• 제목/요약/키워드: Nerve degeneration

검색결과 92건 처리시간 0.022초

요추부 극돌기간 고정기구의 생체역학적 해석 (Biomechanical Analysis of Lumbar Interspinous Process Fixators)

  • 허순;박정홍;이성재;손권
    • 한국정밀공학회지
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    • 제23권3호
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    • pp.195-202
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    • 2006
  • The degenerative lumbar spinal stenosis (DLSS) is a disease inducing low back pain, leg pain, convulsion. numbness, and neurogenic claudication from compression of nerve root. Intervertebra fixation was reported to increase the degeneration of neighbor lesion after treatment. Recently, a new surgical technique of inserting a fixator between interspinous processes has been introduced. The purpose of this study is to design the interspinous process fixator with flexibility to complement the trouble of using fixator in DLSS. This study evaluated the existing fixator through the mechanical test and modified it using the finite element analysis (FEA). The evaluation was based on the displacement, stiffness and von-Mises stress obtained from the mechanical test and calculated from the FEA in the biomechanical loading condition. Effects of variation in length and thickness were investigated to design an optimal fixator. Three prototypes were manufactured using FEA results. Mechanical tests under the biomechanical loading condition were performed to select the best one from these three. The selected fixator increased flexiblity by 32.9%.

물리치료의 실험적 측면에 대한 Capsaicin의 이해 (Comprehension of Capsaicin for a Experimental Part of Physical Therapy)

  • 김동현;김진상
    • The Journal of Korean Physical Therapy
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    • 제13권1호
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    • pp.219-227
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    • 2001
  • Capsaicin. a vanillyl amide(8-methy1-N-vanilly1-6-nonenamide) with a molecular weight of 305.42, was substance, interrupting the pain conducting pathway Until recently the neurotoxic effects of Capsaicin to adult animals were thought to be limited to the peripheral nervous system. But several reports suggest the possibility of central nervous system changes after Capsaicin administration to the adult rat. Capsaicin desensitization is defined as long lasting, reversible suppression of sensory neuron activity. How fast and for how long the desensitization develops is related to the dose and time of exposure to Capsaicin, and the interval between consecutive dosing. In the long term Capsaicin treatment can lead to morphological degeneration and changes in some small sensory neurons, predominantly unmyelinated C fiber afferent nerve fibers. Clinical interest has recently been roused by evidence that Capsaicin's desensitizing action may be of therapeutic value and that an endogenous Capsaicin-1 ike substance may exist. This study summarizes the fundamental knowledge(mechanism, receptors, et al of Capsaicin) of Capsaicin for physical therapists.

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오제스키병바이러스 인공감염 한국재래산양의 병리학적 소견 및 절편내 in situ hybridization 바이러스 동정 (Pathological findings and virus detection by in situ hybridization in the Korean native goats experimentally infected with Aujeszky's disease virus)

  • 김순복;송근석;문운경;정창근
    • 대한수의학회지
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    • 제35권2호
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    • pp.369-374
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    • 1995
  • Aujeszky's disease virus(ADV) was inoculated intranasally into the Korean native goats to investigate pathological findings and pathogenesis of ADV infection by using of histological and immunohistochemical methods and in situ hybridization(ISH). Clinical signs of salvation, pyrexia, pruritus and staggering were followed by death with five days after inoculation, Pathoanatomical findings were edema of the lung and the urinary bladder with hemorrhage and congestion, petechial hemorrhages on the endo-and epicardium, renal congestion, moderate splenomegaly and cystic edema. Main microsocpic lesions observed in all infected goats were confined to the CNS and charcterized by perivascular cuffing with lymphocytes and macrophages, focal gliosis, neuronal degeneration and necrosis, and intranuclear inclusion bodies in the neurons and glial cells. Positive reactions to ADV were detected more frequently in the nuclei than in the cytoplasms of infected nerve cells in the CNS by immunohistochemistry and ISH. Frequenctly localized sites of ADV in the CNS were olfactory bulb, prietal cortex, callosal sulcus and corpus callosum. Positive reactions were also detected in the tonsillar epithelium, and alveolar macrophage and sloughed epithelium of the lung.

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Aujeszky’s Disease Virus의 실험적 감염 Rat의 병리조직학적 관찰과 면역조직화학적 항원 검출 (Immunohistochemical and Pathological Observations of the Rats Experimentally Infected with Aujeszky’s Disease Virus)

  • 조우영;조부제;조성환;이철호
    • 한국동물위생학회지
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    • 제13권1호
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    • pp.32-43
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    • 1990
  • In order to investigate the clinico-pathological and immunohistochemical changes in the rats infected with Aujeszky’s disease virus(ADV), 100 heads of 4 weeks-old rats were inoculated intraperitoneally and intranasally, with the domestically isolated ADV, NYJ-1-87 strain, at $10^{3.0}$ or $10^{5.0}$$TCID_ {50}$/0.2ml. Results obtained through the experiments were summarized as follows : 1. Clinical signs such as dulness, anorexia, pruritus, fascial edema, dyspnea and ataxia were observed from the 2nd day and died at the 3rd to 5th day after ADV inoculation. By necropsy, congestion and hemorrhage were observed in the abdominal organs, while no specific changes were detected in the other organs. 2. In histopathological observation, degeneration and necrosis of the nervous cells, non-suppurative meningoencephalitis, microgliosis and perivascular cuffing were manifested in central nerve system but no specific changes were observed in the other organs. 3. By immunohistochemical staining using peroxidase antiperoxidase, the positive cells were detected in the tissues of kideny, spleen, urinary bladder and lung.

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노인 건강 증진을 위한 호흡근 트레이닝의 코어 안정화 효과 (The core stabilization effect of respiratory muscle training to promote the health of the elderly)

  • 김지선
    • 한국응용과학기술학회지
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    • 제37권3호
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    • pp.496-508
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    • 2020
  • This study reviews studies on the core stabilization of respiratory muscle training for the elderly health. Previous research data and presenting basic literature data suggest that respiratory activation is an important mechanism for core strengthening via exercise interventions for the elderly. The review found that first, the mechanism of improving the respiratory muscles weakened by aging to address the loss of core function due to old age sarcopenia among the elderly results entails promoting the autonomic nervous system by focusing on the respiratory muscle activation pattern, the core muscle sensation mobilized for body centering. Second, nerve roots, intraperitoneal pressure, and deep muscles in the trunk of the body can be promoted while controlling respiratory stimulation with cognitive feedback. Effortful inspiration increases the activation of respiratory assistive muscles and effortless exhalation can improve the core muscle mobilization by involving abdominal muscles. Third, through respiratory muscle training, the elderly can increase their awareness of spinal centering and improve the ability to control the deep core muscles that must be mobilized for core stabilization. In conclusion, respiratory muscle training to increase the utilization of the trunk muscles seems to be a useful core stabilization exercise for the elderly with chronic tension and joint degeneration.

X-선 조사를 받은 흰쥐 귀밑샘 샘포의 미세구조 (An Ultrastructural Study on the Parotid Acinar Cells of X-irradiated Rats)

  • 양남길;박인규;안의태;고정식;박경호;김진국
    • Applied Microscopy
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    • 제24권1호
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    • pp.28-40
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    • 1994
  • Xerostomia and xerophthalmia are delicate or serous side effects, occuring when the radiotherapy is administered to the head and neck cancer patient. It is known that the cause of the above side effect is radiosensitivity of serous cells. In this study, the ultrastructural features of the parotid glands of the X-irradiated rats were observed. Sprague-Dawley rats weighing 200-250g each were anesthetized with sodium thiopental, and placed on the Mitsubishi linear accelerator. Only the head and neck areas of animals were exposured at the distance of 80cm, within the area of $30X30cm$, in the depth of 1cm, with the speed of 200R/min. Total doses applied were 3,000R or 6,000R depending on the experimental groups. Animals were sacrificed on the 6th hour, 2nd day and 6th day after the irradiation. Parotid glands were fixed in the 2.5% glutaraldehyde-1.5% paraformaldehyde solution, and followed by refixation in the 1% osmium tetroxide solution. Dehydrated blocks were embedded in araldite mixture, and ultrathin sections were cut. Sections were contrasted with the solution of uranyl acetate and lead citrate, and observed with JEM 100 CX-II electron microscope. The results were as follows: 1. Normal parotid acinar cells are two types; the light and the dark acinar cells. The light acinar cell contains dense secretory granules, whereas dark acinar cells contains granules of medium density with some darker spots within them, or other cells contain granules of medium density with darker rims. 2. Six hours after the irradiation, many acinar cells were degenerated showing variable stages of cytolytic bodies, light bodies, or dense degenerations. Within the acinar cell, Golgi apparatus and granular endoplasmic reticula were most severely altered elements. Granules showed more contrasting densities and irregularities. 3. Two days after the irradiation, some cytolytic bodies, and focal lucent degeneration of cytoplasm, and fine granular alteration of cytoplasmic matrix were pronounced. But other elements including secretory granules are rather looked unlatered. 4. Six days after the irradiation, most severe alterations were seen. Many intracellular canaliculi (or secretion figures), quanta of cytoplasm containing secretion antecedants, severely irregular luminal border, and again contrasting density of secretory granules showing tigroid spots or dense rims were noted. And myoepithelial degenerations were observed not uncommonly. 5. Irregular densities of secretory granules were interpreted as abnormal components of protein or carbohydrate portion are synthesized or abnormally metabolized under severe X-irradiation. 6. Myoepithelial degeneration and related alteration of nerve endings, etc., were suggested as the other causes of xerostomia following X-irradiation. 7. It is requested that radiation doses should be arranged, considering in mind not only the sensitivity of acinar cells but also the myoepithelial and neural functions.

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Artificial Vision Project by Micro-Bio Technologies

  • Kim Sung June;Jung Hum;Yu Young Suk;Yu Hyeong Gon;Cho Dong il;Lee Byeong Ho;Ku Yong Sook;Kim Eun Mi;Seo Jong Mo;Kim Hyo kyum;Kim Eui tae;Paik Seung June;Yoon Il Young
    • 한국가시화정보학회:학술대회논문집
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    • 한국가시화정보학회 2002년도 마이크로/바이오 가시화기술부문 학술강연회
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    • pp.51-78
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    • 2002
  • A number of research groups worldwide are studying electronic implants that can be mounted on retinal optic nerve/visual cortex to restore vision of patients suffering from retinal degeneration. The implants consist of a neural interface made of biocompatible materials, one or more integrated circuits for stimuli generation, a camera, an image processor, and a telemetric channel. The realization of these classes of neural prosthetic devices is largely due to the explosive development of micro- and nano-electronics technologies in the late $20^{th}$ century and biotechnologies more recently. Animal experiments showed promise and some human experiments are in progress to indicate that recognition of images can be obtained and improved over time. We, at NBS-ERC of SNU, have started our own retinal implant project in 2000. We have selected polyimide as the biomaterial for an epi-retinal stimulator. In-vitro and in-vivo biocompatibility studies have been performed on the electrode arrays. We have obtained good affinity to retinal pigment epithelial cells and no harmful effect. The implant also showed very good stability and safety in rabbit eye for 12 weeks. We have also demonstrated that through proper stimulation of inner retina, meaning vision can be obtained.

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Comparative Review of the Correlation Between Electroneurography, Electromyography, Hematology Tests, or the Heart Rate Variability Test, with an Improvement in the Severity of Bell's Palsy Symptoms

  • Hwang, Ji-Min;Kim, Jun-Yeon;Kim, Ha-Na;Park, Kyeong-Ju;Jo, Min-Gi;Jang, Jun-Yeong;Nam, Sang-Soo;Goo, Bon Hyuk;Kim, Jung-Hyun;Ko, Min Jung;Chae, Sang Yeup;Park, Young Jae
    • Journal of Acupuncture Research
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    • 제38권3호
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    • pp.192-199
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    • 2021
  • Background: In this retrospective study, we aimed to determine which diagnostic tests were associated with an improvement in Bell's palsy symptoms. Methods: There were 30 patients who visited Kyung Hee University Korean Medicine Hospital from April 1, 2017 to February 29, 2020, and who received East-West collaboration treatment for Bell's palsy. The tests included electroneurography (ENoG), electromyography (EMG), hematology, and heart rate variability (HRV) results which were used to determine if any test correlated with improvement of Bell's palsy symptoms. Results: The initial severity of symptoms did not correlate with the tests performed, with the exception of mean corpuscular hemoglobin concentration (p = 0.013). For both ENoG for oculi degeneration and mean EMG tests, the rate of nerve degeneration showed a significant negative correlation with the improvement of Bell's palsy symptoms. Amongst the HRV test indicators, the square root of the mean of the sum of the squares of differences between the adjacent normal R-R wave interval, the standard deviation of intervals, total power, very low frequency, and high frequency of the wave was negatively correlated with improvement of Bell's palsy symptoms. Similarly, glycosylated hemoglobin Type A1c (HbA1c) and erythrocyte sedimentation rate (ESR) showed a negative correlation with improvement of symptoms of Bell's palsy. With the exception of HbA1c and ESR, the remaining hematology test results showed no significant difference when comparing before and after treatment. Conclusion: ENoG, EMG, HRV test, HbA1c, and ESR negatively correlated with improvements in Bell's palsy symptoms and may determine the prognosis of Bell's palsy.

요추 분리추간판의 영상 소견 (Imaging of Sequestered Lumbar Discs)

  • 정강원;박희철;이선주;박대현;팽성화;이영준
    • 대한영상의학회지
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    • 제85권1호
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    • pp.3-23
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    • 2024
  • 임상에서 자주 접하게 되는 추간판탈출증 중 분리추간판은 추간판의 성분이 원래의 수질핵과 완전히 분리되는 특별한 경우를 의미한다. 이러한 분리추간판은 척추관 내부뿐만 아니라 외부에도 위치할 수 있으며, 주변 구조물에 압력을 가하거나 신경 경로를 압박하게 되고 이로 인해 다양한 임상 증상을 유발할 수 있다. 특히 경막 내에 위치한 분리추간판의 경우, 경막절개술을 통해서만 병변을 식별할 수 있다. 따라서 수술 전에 분리추간판의 정확한 위치와 범위를 파악하는 것은 수술 계획을 세우는 데 중요하다. 자기공명영상에서 분리추간판은 초기에는 모체 추간판과 유사한 신호강도를 보이지만 이후 독립적인 퇴행 변화를 거치며 신호강도가 달라질 수 있다. 또한 대부분의 분리추간판 조각은 염증 반응의 결과로 인해 인접한 혈관발생과 육아조직의 형성 정도에 따라 다양한 정도의 주변 조영증강을 보일 수 있다. 이종설에서는 분리추간판의 다양한 영상 소견과 위치를 소개하여 환자에게 정확한 진단과 적절한 치료 방향을 제시하는 데 도움이 되고자 한다.

미로반규관(迷路半規管)과 외안근(外眼筋)의 기능적(機能的) 관계(關係)에 관(關)한 연구(硏究) (Studies on the Functional Interrelation between the Vestibular Canals and the Extraocular Muscles)

  • 김재협
    • The Korean Journal of Physiology
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    • 제8권2호
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    • pp.1-17
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    • 1974
  • 미로(迷路) 각반규관(各半規管)과 각외안근간(各外眼筋間)의 기능적(機能的) 관계(關係)를 구명(究明)하여 미로반사성(迷路反射性) 안구운동(眼球運動)을 위한 신경기구(神經機構)를 이해하고져 마취가토(麻醉家兎)에서 골성(骨性) 반규관(半規管) 팽대부내(膨大部內)에 단전극(單電極)을 삽입하여 각(各) 팽대부신경(膨大部神經)을 전기자극(電氣刺戟)하였을 때 양안(兩眼)의 각(各) 외안근(外眼筋)의 반응(反應)을 등장성장력변화(等長性張力變化)와 근전도(筋電圖)로써 관찰하여 다음과 같은 결론(結論)을 얻었다. 1) 일측(一側) 미로(迷路)에서 한 반규관신경을 자극하면 양안(兩眼)에서 각각(各各) 3개의 안근(眼筋)은 흥분(興奮)하여 수축(收縮)하고 여기에 대(對)한 3개의 길항근(拮抗筋)은 억제(抑制)되어 이완(弛緩)하였다. 2) 일측(一側) 미로(迷路)의 어느 반규관신경을 자극하거나 동측안(同側眼)에서는 상직근(上直筋), 상사근(上斜筋) 및 내직근(內直筋)이 흥분(興奮)(수축(收縮))하고, 하직근(下直筋), 하사근(下斜筋) 및 외직근(外直筋)은 억제(抑制)(이완(弛緩))되었다. 반대측(反對側) 근(筋)에서는 하직근(下直筋), 하사근(下斜筋) 및 외직근(外直筋)이 흥분(興奮)하고 상직근(上直筋), 상사근(上斜筋) 및 내직근(內直筋)은 억제(抑制)되었다. 3) 일측(一側) 미로(迷路)의 3개 반규관자극을 중복(重複)시켰을 때는 한 안근(眼筋)이나 각안근(各眼筋) 길항근대(拮抗筋對)에 각반규관신경(各半規官神經)의 자극효과(刺戟效果)가 중첩(重疊)됨을 증명(證明)할 수 있었다. 4) 이상(以上)의 실험적 근거를 토대로 하여 각반규관(各半規官)과 각외안근(各外眼筋)의 기능적(機能的) 관계(關係)를 규정(規定)하는 법칙성(法則性)을 찾을 수 있었다. 즉(卽) ‘상직근(上直筋), 내직근(內直筋) 및 상사근(上斜筋)은 동측(同側) 미로(迷路) 반규관(半規管)으로부터 흥분적(興奮的) 충격(衝擊)을 받고 반대측(反對側) 반규관(半規管)들로부터는 억제적(抑制的) 충격(衝擊)을 받으며, 하직근(下直筋), 외직근(外直筋) 및 하사근(下斜筋)을 위하여는 이와 정반대(正反對)의 관계(關係)가 성립(成立)한다. 5) 본(本) 실험성적(實驗性績)을 Cohen 등(等)의 가묘(家猫)에서의 연구보고(硏究報告)와 비교하건데 사근(斜筋)에 대(對)한 반규관사배(半規管司配)는 동일(同一)하나, 내(內) 및 외직근(外直筋)과 상(上) 및 하직근(下直筋)에 대(對)한 반규관사배(半規管司配)는 일부(一部) 상이(相異)하였다. Cohen 등(等)의 성적을 분석(分析)하여 본 결과 이론적(理論的) 모순(矛盾)이 있음을 보았고 안근(眼筋)의 각(各) 길항근(拮抗筋)에 대한 반규관사배(半規管司配)의 양식(樣式)에 있어 일정(一定)한 법칙성(法則性)을 찾을수 없었으며 그들의 관찰에는 실험적(實驗的) 오류(誤謬)를 포함하고 있음을 증명(證明)하였다.

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