• 제목/요약/키워드: Movement disorder

검색결과 325건 처리시간 0.023초

바이러스성 뇌수막염(Viral Encephalitis) 후유기(後遺期) 환아(患兒) 1례(例)에 대한 증례(症例) (A Case of Viral Encephalitis)

  • 김기훈;신동길;김덕곤
    • 대한한방소아과학회지
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    • 제16권1호
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    • pp.9-19
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    • 2002
  • Viral Encephalitis are a serious meningeal infection occurred by various chemical substance. Chief symptoms are headache. hyperesthesia in child and fretting. irritation in infant. Adolescence complain of a retrobulbar pain, fever, vomiturition, photophobia. Fever can cause choreic movement, mental disorder and seizure. Most of patients have complete recovery, but if there are brain lesions, it is bad prognosis. Occasionally patients complain of continuous headache, mental disorder, ataxia and marasmus. We report on a 4-year-old male patient with viral encephalitis. It has been 40 days since disease. He had disorientation mentality, dysphagia and fever.

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평형감각이상을 호소하는 태음인 CVA 후유증환자 1례에 대한 사암침법의 치료 증례 보고 (A Case Report on the CVA Patient with the Sense Disorder of Equilibrium)

  • 임하섭;김정범
    • 동의생리병리학회지
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    • 제17권5호
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    • pp.1339-1342
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    • 2003
  • CVA is a kind of cerebrovascular disease which has a few local functional lesions of brain tissue, and it is generally caused by cerebral infarction, cerebral hemorrhage, and so on. It is also known as a stroke of paralysis, which leaves a lot of sequelae in a patient such as lesion of movement, perceiving, memory, sense, emotion, etc. A CVA patient which has a sequela, the sense disorder of equilibrium, took the Saam Acupuncture Therapy and Dr. Dong's Acupuncture Therapy, and then he was cured.

주의력결핍 과잉행동장애와 수면 문제 (Attention Deficit Hyperactivity Disorder and Sleep Problems)

  • 박은진
    • 수면정신생리
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    • 제18권1호
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    • pp.10-16
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    • 2011
  • There has been a growing interest in sleep problems associated with attention deficit hyperactivity disorder (ADHD). In this paper, we reviewed the current literature on the underlying sleep problems associated with ADHD. Sleep problems are very common in children with ADHD. Patients with ADHD may have sleep difficulties including difficulty falling asleep, frequent night awakening, increased tiredness upon waking. Children with ADHD are associated to restless legs syndrome, periodic limb movement and sleep-disordered breathing. Screening for other psychiatric comorbidities and the side effects of medications, such as psychostimulants, is also necessary when considering sleep problems in ADHD. Sleep problems can cause a negative impact on the quality of life and emotional well-being both of children with ADHD and their parents. Many evidences suggest that assessment of sleep difficulties should be included in evaluating the patient of ADHD.

Lesch-Nyhan 증후군을 가진 소아의 체외충격파신쇄석술을 위한 전신마취 경험 (General Anesthesia for Extracorporeal Shockwave Lithotripsyin Child with Lesch-Nyhan Syndrome)

  • 박상진;권일치;이원기;이덕희
    • Journal of Yeungnam Medical Science
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    • 제25권1호
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    • pp.78-83
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    • 2008
  • Lesch-Nyhan syndrome is an inborn error of purine metabolism resulting from hypoxanthine-guanine-phosphoribosyltransferase (HGPRT) deficiency and leading to excess purine production and uric acid over-production. It is a very rare X-linked recessive disorder, characterized by movement disorder, cognitive deficits, and self-injurious behavior. However, because of the high incidence of calculi, patients may present for surgery of urinary tract, and have increased risk of difficult intubation, aspiration pneumonia, renal insufficiency or sudden death. We report the case of a 5-year-old boy with Lesch-Nyhan syndrome who underwent successive extracorporeal shockwave lithotripsy under general anesthesia.

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소아기 붕괴성 장애의 양상을 보이는 PANDAS 1례 (A CASE OF PANDAS WITH CHILDHOOD DISINTEGRATIVE DISORDER)

  • 조수철;성덕규
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제12권1호
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    • pp.149-156
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    • 2001
  • 베타 용혈성 A군 연구균(group A beta-hemolytic streptococcus)에 의한 류마치스성 열 이후에 Sydenham 무도병이 발현되는 환자 군에서 강박 증상 또는 틱 증상이 나타난다는 보고가 있은 후, A군 연구균 감염과 강박 장애 또는 틱 장애 사이의 관계가 주목받게 되었다. A군 연구균 감염 후에 강박 증상 또는 틱 증상이 유발되는 환자들은 갑작스런 발병과 극적인 증상 악화를 보이고 사춘기 이전에 발병하며 무도병 모양의 운동 및 독특한 양상의 운동 과잉 등의 신경학적 이상을 보이고 또 그 경과가 악화 및 완화를 반복하는 양상을 보인다. 이런 임상적 특징을 보이는 소아 환자 군을 PANDAS(pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections)라고 부르게 되었다. 이후 현재까지 강박 장애와 틱 장애뿐 아니라 주의력 결핍/과잉운동 장애, 신경성 식욕부전증, 신체이형장애 환자들이 PANDAS 범주에 속한다는 보고들이 있어 왔다. 본 증례는 7세까지 정상적인 발달을 보이다가 A군 연구균 감염 수개월 후부터, 인지 기능, 사회성, 언어 및 의사소통에 장애를 보이고 틱 증상과 함께 얼굴과 손발에 이상 운동을 보이는 환자를 기술하였다. 이에 저자들은 본 증례가 소아기 붕괴성 장애의 양상을 보이는 PANDAS 증례라고 생각되어 이를 문헌 고찰과 함께 보고함으로써, PANDAS가 틱 장애, 강박 장애, 주의력 결핍/과잉운동 장애, 신경성 식욕부전증, 그리고 신체이형장애 등의 양상을 보일 뿐 아니라 소아기 붕괴성 장애의 양상을 보일 수 있다는 사실을 보고하고자 한다.

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자폐스펙트럼장애 아동 대상 리드믹 운동과제 평가 연구 메타분석 (Rhythmic Tapping Task Performance in Children With Autism Spectrum Disorder: A Meta-Analysis)

  • 유가을;윤예은
    • 인간행동과 음악연구
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    • 제16권1호
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    • pp.47-72
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    • 2019
  • 본 연구는 자폐스펙트럼장애(ASD) 아동의 운동조절을 평가하기 위해 리드믹 운동과제를 포함한 국외 실험연구를 고찰하고 분석하고자 하였다. 이를 위해 ASD로 진단받은 아동과 신경학적 손상이 없는 대조군(TD)을 대상으로 하고 리드믹 탭핑, 리드믹 운동, 동기화 등 운동조절 관련 변인을 포함하고 있는 국외 실험연구를 선정하였다. 총 10개의 연구가 최종 선정되었고, 해당 연구에 포함된 운동조절 관련 변인과 사용된 청각 자극, 측정 방법 등을 분석하였다. 또한 ASD 아동과 TD 아동의 리드믹 운동과제 수행력 차이를 확인하기 위해 메타분석을 실시하였다. 연구 결과, 리드믹 운동과제를 통해 운동조절을 평가할 때 목표된 변인은 다섯 가지로 운동 타이밍 조절, 타이밍 재산출, 양손 협응, 동기화, 대인 간 동기화가 포함되었고, 각 과제는 움직임의 정확도(accuracy)와 정밀도(precision)의 측면에서 분석됨을 알 수 있었다. 또한 리드믹 운동과제 수행력과 사회기술 지표의 상관관계가 보고됨을 확인할 수 있었다. 메타분석 결과, ASD 그룹은 청각 자극에 맞추어 움직이다가 자극이 소거된 후에도 동일한 움직임을 지속하는 타이밍 재산출 지표에 있어서는 TD 그룹과 유의한 차이가 없는 반면, 외부 자극(청각적 큐나타인)에 동기화하고 움직임을 일관적으로 조절하는 데 있어서는 유의하게 낮은 수행 수준을 보이는 것으로 나타났다. 이러한 연구 결과는 리드믹 운동과제가 음악치료 임상 현장에서 ASD 아동의 운동조절뿐만 아니라 사회기술을 평가하는 효과적인 방안이 될 수 있음을 시사한다.

허리 부위 동태손상증후군의 진단을 위한 설문 문항 개발 (Development of Diagnostic Questionnaires for Lumbar Movement System Impairment Syndromes)

  • 김정균;김현호;김동원;박진성;박영배;박영재
    • 대한한의학회지
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    • 제37권1호
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    • pp.125-134
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    • 2016
  • Objectives: The aim of this study is to develop diagnostic questionnaires for the lumbar movement system impairment syndrome. Methods: We had reviewed the previous study and literature and organized various checkable items for differential diagnosis of five different lumbar movement system impairment syndromes. Next, we selected items which can be developed as questionnaire items. Finally, we conducted face validity study with eight Korean medicine doctors and survey research for the importance score of the items with three experts. Results: We developed a diagnostic questionnaire as followings: 6 items for lumbar extension syndrome; 5 items for lumbar flexion syndrome; 6 items for lumbar rotation syndrome. With the 2 rounds of survey research, we could bridge the differences of the importance score of each items. Conclusions: Questionnaire for the diagnosis of movement system impairment syndrome was developed. With this questionnaire, objective diagnosis of lumbar movement system impairment syndrome can be expected. This tool may also be used for detecting sub-health status of musculoskeletal systems.

저작시(咀嚼時) 하악운동(下顎運動)의 양상(樣相) (Mandibular Movement Pattern During Mastication)

  • 배영수;조광헌
    • 대한치과보철학회지
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    • 제24권1호
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    • pp.117-124
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    • 1986
  • 경북대학교 치과대학에 재학중인 남자 17명, 여자 7명 총 24명을 연구대상으로 M.K.G의 sweep mode에 나타나는 저작운동을 분석한 바 다음과 같은 결과를 얻었다. 단일 저작회로의 기간은 $515{\pm}87msec.$ 이며, 이중 폐구 기간이 가장 길었고, 개구 기간, centric pause의 기간 순위였다. (P<0.005). 개구시 저작측으로 측방변위한 양은 $3.5{\pm}1mm$이었고, 비저작측으로 측방변위한 양은 $1.0{\pm}0.7mm$이었다. 개구시 최대 수직속도는 $120{\pm}28m/sec.$이며, 폐구시 최대 수직속도는 $109{\pm}21mm/sec.$로서 개구시의 최대 수직속도가 더 빠르게 나타났다. (P<0.05).

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앵글씨 분류에 의한 성인 골격구조 및 하악운동량 평가 (The Assessment for Mandibular Movement and Adult Facial Skeletal Structure According to Angle's Classcification)

  • 김재형;김병국;최홍란
    • Journal of Oral Medicine and Pain
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    • 제26권2호
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    • pp.147-156
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    • 2001
  • The purpose of this study was to identify the difference of vertical movement of mandible according to Angle's molar relationship and by skeletal factors affect to vertical movement of mandible. 172(age ranged from 20 to 30) subjects who go to college within territory of Kwangju city without any experience of temporomandibular disorder, extraction and orthodontic treatment. were selected for this study. The subjects were classified into class I(male:30, female:49), class II(male:18, female:24) and class III(male:18, female:33) according to Angle's molar relationship. The distance was measured between incisal edge of maxillary and mandibular central incisor and between bottom of central fossa of maxillary and mandibular 1st molar with ruler. The arch length and width were measured on the diagnostic cast. Cephalometrics were taken and then traced. Landmarks were identified and analyzed. 1. Maximal interincisal opening of male is larger than that of female in class I, class II and class III. Among each group maximal interincisal distance is the largest in class III. Maximal intermolar distance of male is superior to that of female in class I, class II, and class III, but there is no siginficant difference among them. 2. On maximal opening movement of Angle's classification class I and class II, total mandibular length, mandibular ramal length, madibular inferior border length and upper arch width were important variables and facial length, upper arch length and lower arch length had negative relationship to that. On maximal opening movement of Angle's class III, the upper arch length, the lower arch length and anterior facial length were important variables especially when compared with class I and II, and upper arch width had negative relationship. These results suggest that maximal opening movement is affected by facial morphology in all classes, but each group is affected by different facial skeletal variables. Accordingly, facioskeletal variables might be considered as diagnosis and treatment to improve the amount of mouth opening.

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교합안전장치가 하악과두운동 및 악관절 잡음에 미치는 영향에 관한 연구 (A Study on the Mandibular Condylar Movement and the Temporomandibular Joint Sound Effected by the Stabilization Occlusal Splint)

  • 구철인;정재헌
    • 대한치과보철학회지
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    • 제27권2호
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    • pp.173-187
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    • 1989
  • The purpose of this study was to evaluate the effects of stabilization occlusal splint by using a simplified condylar path recorder and a dental sound checker. For this study, 11 subjects (10 men and 1 woman) with TMJ disorder were selected from students at Chosun University, School of Dentistry. And they were treated with the stabilization occlusal splint. The condylar movement and the TMJ sound of each subject were recorded and analyzed by using a simplified condylar path recorder and a dental sound checker. The obtained results were as follows: 1. No statistically significant reduction of reduced PRI scores occurred before and immediately after wearing of stabilization occlusal splint. 2. The reduced PRI scores after wearing of stabilization occlusal splint showed statistically significant reduction with the lapse of time. 3. After stabilization occlusal splint therapy, Fisher angle and Bennett angle had almost no change. 4. TMJ sound disappeared in 4 out of 11 subjects.

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