• Title/Summary/Keyword: Nerve stimulation

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Vagus Nerve Stimulation Treatment for Children with Refractory Epilepsy (Lennox-Gastaut Syndrome) (난치성 간질 환자에서 미주신경자극술 치료결과 분석(레녹스-가스토 증후군 환자))

  • Kim, Dae-Sik;Kim, Cheon-Sik
    • Korean Journal of Clinical Laboratory Science
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    • v.39 no.1
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    • pp.56-62
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    • 2007
  • Lennox-Gastaut syndrome(LGS) is a severe age-specific epilepsy syndrome that causes medication-resistant seizures in childhood. Vagal nerve stimulation (VNS) has been proposed as a possible way to improve the treatment of refractory epilepsy. We treated 9 patients with Lennox-Gastaut syndrome between the ages of 2 and 11 years (mean 5.8 years), by using the vagus nerve stimulation. The mean follow-up duration was 35 months. The mean reduction of seizure frequency compared with baseline before VNS was 52% after 6 months (range, 0% to 89%; P<0.011), and 58% after 1 year (range 0% to 89%; P<0.012). Seven patients showed improvements of quality of life (QOL) such as alertness, mood, and language skills. The most common side effects were transient hoarseness (6 patients) and drooling (1 patient). Our results suggest that the vagus nerve stimulation could be an effective and safe adjunct therapy for the treatment of Lennox-Gastaut syndrome.

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Effects of Transcutaneous Electrical Nerve Stimulation(TENS), Self-Stretching and Functional Massage on the Muscle Fatigue by Maximum Muscular Strength

  • Yoon, Jung Gyu;Ryu, Je Ju;Roh, Hye Won;Yang, Hyun Ah;Lee, Sang Bin
    • Journal of International Academy of Physical Therapy Research
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    • v.3 no.2
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    • pp.422-428
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    • 2012
  • The present study purposed to examine the effects of transcutaneous electrical nerve stimulation, self-stretching and functional massage on the recovery of muscle contraction force for muscle fatigue caused by sustained isotonic contraction. The subjects of this study were 45 healthy students. They were divided into transcutaneous electrical nerve stimulation group(n=15), self-stretching group(n=15) and functional massage group(n=15), and using Primus RS. We observed the pattern of changes in maximal voluntary isometric contraction force(MVIC) after causing muscle fatigue in quadriceps femoris muscle through sustained isotonic contraction. Maximal voluntary isometric contraction force(MVIC) were greatly increased after transcutaneous electrical nerve stimulation, self-stretching and functional massage. In the comparison of recovery rate of muscle contraction force for muscle fatigue caused by sustained isotonic contraction among the treatment groups, it did not show any significant differences. However, it showed that each treatment may be effective in recovery of muscle fatigue caused by sustained isotonic contraction.

Effects of Stimulation of the Chords Tympani and Cervical Sympathetics on the Submaxillary Secretion and Intraluminal Pressure of the Submaxillary Duct in Cats (가묘악하선(家猫顎下腺)에 있어서 고색신경(鼓索神經) 및 경부교감신경자극(頸部交感神經刺戟)이 타액분필(唾液分泌) 및 배설관내압(排泄管內壓)에 미치는 영향(影響))

  • Lee, Jong-Eun
    • The Korean Journal of Physiology
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    • v.11 no.2
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    • pp.51-56
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    • 1977
  • In Nembutal anesthetized cats, the sobmaxillary duct was cannulated with polyethylene tube, and effects of stimulation of the chorda tympani and cervical sympathetics on, the submaxillary secretion and intraluminal pressure of the submaxillary duct were observed. The stimulation of tile chorda tympani elicited a profuse salivary secretion. The stimulation of the cervical sympathetics evoked only a scanty flow, and on repeated stimulation of the nerve salivary flow response gradually diminished and finally the flow ceased. In this state the salivary flow by the sympathetic stimulation was resumed after the stimulation of the chorda tympani. Atropine abolished these responses to nerve stimulation. Intraluminal pressure of the submaxillary duct was abruptly increased and remained on a plateau during the stimulation of the chorda tympani, whereas sympathetic stimulation elicited moderate increase of the intraluminal pressure which did not remain in spite of continued stimulation. These results suggest that scanty salivary flow induced by cervical sympathetic stimulation is not real secretion but simple elimination of the saliva already present in the duct due to contraction of the contractile elements known to exist in the duct wall.

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Nasal Trigeminal Chemoreception (비강의 삼차신경 화학수용)

  • Kim, Byung Guk;Kim, Ji-sun
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.61 no.11
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    • pp.567-572
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    • 2018
  • The sensory function of the trigeminal nerve is to provide tactile, proprioceptive, and nociceptive afference by chemical stimulation. Various physical responses of the trigeminal nerve to stimuli help to defend against harmful substances. Recently, many studies have been conducted on solitary chemoreceptor cells innervated by trigeminal nerve. Most volatile organic compounds stimulate both the olfactory and trigeminal nervous systems. In general, the trigeminal nervous system is less sensitive than the olfactory nervous system. Studies have shown that sensation of the trigeminal nerve by chemical stimulation results in inhibition of olfaction. This indicates that the olfactory and trigeminal nerves interact with each other in the central nervous system. It is important to study various noxious stimuli acting on the trigeminal nerve in modern society where environmental concerns are intensifying.

Design and Implementation of Transcutaneous Electrical Nerve Stimulation System for the Integration with Mobile Phone (휴대폰 내장을 위한 경피신경 자극치료기의 설계 및 구현)

  • Woo Sang-Hyo;Yoon Ki-Won;Lee Jyung-Hyun;Park Hee-Joon;Won Chul-Ho;Cho Jin-Ho
    • Journal of Korea Multimedia Society
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    • v.9 no.3
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    • pp.360-368
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    • 2006
  • Recently, performance of the mobile phone has increased dramatically. Due to this, it is possible to integrate various biotechnology. There are many ventures to integrate biotechnology with mobile phone, because of increasement interest of peoples well-being. The transcutaneous electrical nerve stimulation can Improve the circulation of blood and suppress a pain. To integrate the transcutaneous electrical nerve stimulation with mobile phone, it is necessity to make small, low power, and safe module. In this paper, the transcutaneous electrical nerve stimulation module is designed and implemented by small boost convertor. The value of tank capacitor, which is the total stimulus energy to human, can be chosen to insure safe condition. The confirm the of operation of designed module, a small micro-controller is used to make system and test the module. The implemented system is small and consumes a low enough power to be integrated with mobile phone.

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Reflex Eye Movements Induced by Stimulation of the Semicircular Canal Nerve in Rabbits (가토반규관신경자극(家兎半規管神經刺戟)에 의(依)한 반사성안구운동기전(反射性眼球運動機轉)에 관(關)하여)

  • Kim, Ki-Ho
    • The Korean Journal of Physiology
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    • v.2 no.2
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    • pp.75-81
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    • 1968
  • According to recent observations of Cohen et al. the patterns of vestibular eye movements of rabbits are different from those of cats. However, the causes of such difference of the reflex eye movements in these species are not wholly explained. While the accumulated data obtained from cats appear to be established, experimental evidences in rabbits are rather meager. The author had re-examined the reflex eye movements of rabbits and attempted to find a mechanism which causes such difference in the reflex eye movements between two species. In anesthesized rabbit, unilateral individual semicircular canal nerve was stimulated selectively with a fine insulated electrode which was inserted through a hole made on the corresponding osseous canal, under a dissecting microscope. When an individual canal nerve was stimulated, the reflex movements of both eyes were observed, photographed, and recorded kymographically. Extraocular muscles were also studied to find their morphological characteristics and to correlate them with the function of the muscles. 1. At the beginning of the stimulation, both eyes moved to a specific direction depending upon the canal stimulated, and such directional eye movements were sustained during the whole course of stimulation. Amplitude of the eye movement showed graded responses to the increasing frequency of the stimulus, reaching to the maximal response at 200-300 cps. 2. Stimulation of the unilateral horizontal canal nerve caused conjugate eye movements, which was also observed in cats and other species by other investigators. 3. Stimulation of the unilateral vertical canal nerve caused a pattern of non-conjugate eye movements, which are different from those observed in cats. Such different patterns of vestibular eye movements in two different species are ascribable to the functional difference of the inferior and superior oblique muscles.

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Vagus Nerve Stimulation Through Electro-acupuncture for Inflammatory Bowel Disease (염증성 장 질환에서 전침을 중심으로 한 미주신경자극에 대한 고찰)

  • Minjeong Kim;Dongwon Kim;Chaehyun Park;Jae-Woo Park;Seok-Jae Ko
    • The Journal of Internal Korean Medicine
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    • v.44 no.3
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    • pp.455-465
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    • 2023
  • Inflammatory bowel disease (IBD) is defined as a chronic inflammatory-mediated disease that causes ulceration and inflammation in the gastrointestinal tract. Among most patients, the course of chronic inflammation repeatedly shows intermittent exacerbations and alternating remissions. However, despite the various therapeutic options to relieve symptoms, such as corticosteroids, TNF-α inhibitors, and antibiotic drugs, there is no known cure for IBD. Nonetheless, previous research has revealed that the autonomic nervous system is involved in the pathophysiology of IBD. In this study, we reviewed clinical trials confirming the therapeutic effect of vagus nerve stimulation (VNS) on IBD in vivo. We searched in vivo and human studies on Pubmed using keywords combined with "vagus nerve stimulation", "VNS", and "inflammatory bowel disease". All studies included in this review reported that direct VNS is effective in relieving symptoms of IBD and has no severe adverse effects. The most frequently stimulated site was the unilateral cervical vagus nerve area, and parameters for stimulation were set as 5-20 Hz. Based on the results, we aim to summarize the evidence for the efficacy of VNS on IBD and suggest the possibility of auricular electroacupuncture treatment as a therapeutic option for IBD.

Intraoperative Neurophysiological Monitoring in Cerebello Pontine Angle Tumor

  • Park, Sang-Ku
    • Korean Journal of Clinical Laboratory Science
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    • v.46 no.1
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    • pp.38-45
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    • 2014
  • Intraoperative Neurophysiological Monitoring (INM) inspection has a very important role. While preserving the patient's neurological function be sure to safe surgery, neurological examination should thank. Cerebello pontine angle tumor surgery, especially in the nervous system is more important to the meaning of INM. In cochlear nerve, facial nerve, trigeminal nerve, which are intricate brain surgery, doctors are only human eye and brain to the brain that it is virtually impossible to distinguish the nervous system. They receives a lot of help from INM. In this paper, we examined six kinds broadly. First, the methods of spontaneous EMG and Free-running EMG, which can instantly detect a damage inflicted on a nerve during surgery. Second, methods of triggered EMG and direct nerve electrical stimulation, which directly stimulate a nerve using electricity to distinguish between nerves and brain tumors. Third, the method of knowing a more accurate neurologic status by informing neurological surgeons about Free-running EMG wave forms that are segmetalized into four. Fourth, three ways of knowing when a patient will be awaken from intraoperative anesthesia, which happens due to a weak anesthetic. Fifth, a method of understanding the structures of a brain tumor and a facial nerve as five dividend segments. Sixth, comparisons between cases normal facial nerve recovery and occurrence of a facial nerve paralysis during the postoperative course.

The Effects of Transcutaneous Electrical Nerve Stimulation and Microampere Electrical Nerve Stimulation on Sympathetic Tone in Healthy Subjects (경피신경전기자극과 미세전류자극이 정상인의 교감신경 긴장도에 미치는 영향)

  • Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.9 no.1
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    • pp.51-57
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    • 1997
  • The purpose of this study was to determine the effect of two different forms of transcutaneous electrical nerve stimulation(TENS) and one of microcurrent high voltage pulsed galvanic current(HVPC) on sympathetic tone in healthy subjects. Fourty subjects received TENS(20) and PVPC(30) during short time(20min). Left finger tip skin temperatures were measured at four interval for each treatment : 1) before treatment, 2) after 10 minutes treatment, 3)after 20 minutes treatment, and 4) after 10 minutes rest. The results were as follows. 1) TENS treatment group increased skin temperature after treatment 20 minutes, but HVPC treatment increased akin temperature after 10 minutes and recovered normal skin temperature after 10 minutes treatment. It means that short time(20min) electrical stimulation decreased sympathetic activities. 2) Sympathetic activities of TENS stimulation were influenced by age, but HVPC were not. 3) During 10 minutes, both treatment increased sympathetic activities, but HVPC treatment reversed sympathetic activity more rapidly than TENS. 4) The changes of skin temperature means by sex, males in TENS treatment group were higher than females, but HVPC were reverted.

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Residual Neuromuscular Sensing Platform Development using Sensor of Nerve Stimulation Response Measurement during Anesthesia (신경자극반응 측정 센서를 이용한 마취 시 잔여근이완 감지 플랫폼 구현)

  • Shin, Hyo-Seob;Kim, Young-Kil
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.6
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    • pp.1505-1510
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    • 2010
  • Response to nerve stimulation platform for implementing measures to detect finger movement has been functioning as an important factor. The finger movement of the muscle response to nerve stimulation and sensing Actuator for the H/W development is needed. In addition, a low power embedded CPU based on the top was used. H/W configuration portion of the isolation power, constant current control, High impedance INA, amplifier parts, and the stimulus mode and the Micro-control the status of current, AD converter Low Data obtained through the processing system is implemented.