• 제목/요약/키워드: Pain Mechanism

검색결과 502건 처리시간 0.026초

결합조직 맛사지 (Connective Tissue Massage (Bindegewebs massage))

  • 김종순;류재관
    • 대한물리치료과학회지
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    • 제4권3호
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    • pp.475-489
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    • 1997
  • Connective tissue massage(CTM, Bindegewebs massage) are developed and named by Mrs. Elizabeth Dicke, a German physical therapist. The CTM is used primarily for internal disorder such as myocarditis, coronary insufficiency, high blood pressure, functional stomach and intestinal disorders, inflamma-tion of the gallbladder, and hepatitis, arterial circulatory problems, venous disorders, headache, particularly trauma to the head, and some gynecologic disorder, etc. Which is performed with special stroking technique of the subcutaneous tissue of the trunk, extremities, and face. The mechanism of effectiveness of CTM is based on a viscerocutaneous reflex. The stroking stimulates the nerve end-ings of the autonomic nervous system. The impulses activated by stroking travel to the sympathetic trunk and the spinal cord and brain, which causes a change in reaction susceptibility. The most important for apply CTM is necessary to know the reflex zone (Head's zone, Mackenzie's zone and Dicke's connective tissue zone). Dicke's connective tissue zones are only found by the special dia-gnostic stroking. Because the connective tissue zones no discomfort when unmanipulated, and thus the patient is unaware of them. It is characterized by diagnostic stroking that causes a sharp pain in the tissue. As a general rule, all treatment are preceded by the basic stroke from the level of the coccyx to the first lumbar vertebra and each stroke is done three times. The right side is done first, then the left side.

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Regulation of DREAM Expression by Group I mGluR

  • Lee, Jin-U;Kim, In-Sook;Oh, So-Ra;Ko, Suk-Jin;Lim, Mi-Kyung;Kim, Dong-Goo;Kim, Chul-Hoon
    • The Korean Journal of Physiology and Pharmacology
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    • 제15권2호
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    • pp.95-100
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    • 2011
  • DREAM (downstream regulatory element antagonistic modulator) is a calcium-binding protein that regulates dynorphin expression, promotes potassium channel surface expression, and enhances presenilin processing in an expression level-dependent manner. However, no molecular mechanism has yet explained how protein levels of DREAM are regulated. Here we identified group I mGluR (mGluR1/5) as a positive regulator of DREAM protein expression. Overexpression of mGluR1/5 increased the cellular level of DREAM. Up-regulation of DREAM resulted in increased DREAM protein in both the nucleus and cytoplasm, where the protein acts as a transcriptional repressor and a modulator of its interacting proteins, respectively. DHPG (3,5-dihydroxyphenylglycine), a group I mGluR agonist, also up-regulated DREAM expression in cortical neurons. These results suggest that group I mGluR is the first identified receptor that may regulate DREAM activity in neurons.

Analysis of temperature-dependent abnormal bursting patterns of neurons in Aplysia

  • Hyun, Nam Gyu;Hyun, Kwangho;Oh, Saecheol;Lee, Kyungmin
    • The Korean Journal of Physiology and Pharmacology
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    • 제24권4호
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    • pp.349-362
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    • 2020
  • Temperature affects the firing pattern and electrical activity of neurons in animals, eliciting diverse responses depending on neuronal cell type. However, the mechanisms underlying such diverse responses are not well understood. In the present study, we performed in vitro recording of abdominal ganglia cells of Aplysia juliana, and analyzed their burst firing patterns. We identified atypical bursting patterns dependent on temperature that were totally different from classical bursting patterns observed in R15 neurons of A. juliana. We classified these abnormal bursting patterns into type 1 and type 2; type 1 abnormal single bursts are composed of two kinds of spikes with a long interspike interval (ISI) followed by short ISI regular firing, while type 2 abnormal single bursts are composed of complex multiplets. To investigate the mechanism underlying the temperature dependence of abnormal bursting, we employed simulations using a modified Plant model and determined that the temperature dependence of type 2 abnormal bursting is related to temperature-dependent scaling factors and activation or inactivation of potassium or sodium channels.

경추부 근육긴장이상에 대한 턱관절 경락음양 균형치료시 영상의학적으로 관찰된 경추정렬 개선 효과 (Meridian Yinyang Balance Treatment of Temporomandibular Joint Improves Cervical Spine Alignment in Spasmodic Torticollis Cases, a Medical Imaging Study)

  • 인창식;이영진;이영준
    • 동의생리병리학회지
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    • 제22권2호
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    • pp.459-463
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    • 2008
  • Postural balance of temporomandibular joint (TMJ) reflects the neuromuscular balance. TMJ posture treatment for meridian yinyang balance has been asserted to have an impact upon cervical spine alignment with an episodic good clinical result for refractory torticollis cases. A retrospective study with one-group pretest-posttest design was conducted to review cervical spine imaging data and clinical symptom changes in cervical dystonia cases to explore the effect of TMJ balance treatment. Review of clinical symptoms and cervical spine imaging data including computed tomography and simple x-ray of 9 cervical dystonia cases revealed significant improvement of cervical spine alignment and clinical symptoms. Improvement of cervical spine alignment may be an underlying mechanism of TMJ balance treatment, as a way of balancing the whole-body meridian system.

실험방법의 차이에 따른 지연 발생 근육통의 물리치료 효과에 대한 연구 (The Investigation of effect of Physical Therapy for Delayed Onset Muscle soreness according to difference of experimental designs)

  • 채윤원;남기석;최진호;황보각;김진상
    • The Journal of Korean Physical Therapy
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    • 제11권3호
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    • pp.37-44
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    • 1999
  • Delayed onset muscle soreness is a sensation of discomfort that occurs 24h after exercise, and it is associated with the performance of unfamiliar and high force muscle wor, such as eccentric contractions. The injury to the muscle has been well described but the mechanism underlying the injury is not fully understood. Although the pathophysiological processes underlying delayed onset muscle soreness are not completely understood, many researchers have investigated various treatments in a attempt to reduce the soreness. These treatments have focused on reducing the inflammation, or edema, consequent to tissue damage, and breaking up the cycle which is thought provoke tonic muscle spasm or pain. Physical therapy is the most importance thechniques to reduce delayed onset muscle soreness. Physical therapy on delayed onset muscle soreness includes massage, exercise, therapeutic ultrasound, TENS, stretching and cryotherapy, this investigation should encourage physical therapists to experiment further with various techniques to reduce delayed onset muscle soreness.

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Bleomycin을 이용한 선천성 림프관기형의 경화요법 (Bleomycin Sclerotherapy of Lymphatic Maformation in Head and Neck)

  • 성명훈;장선오;정종우;김진영
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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    • pp.108-108
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    • 1993
  • 두경부영역의 림프관계의 선천성 기형은 주로 낭포성 림프관종이라고 불리던 것으로 경부에 발생하는 단발 또는 다발성의 림프로 가득찬 종괴로 나타나며, 그 자세한 발생기전에 대하여는 아직 논란이 많다. 저절로 없어지는 경우는 드물기 때문에 적절한 치료를 해 주어야 하며, 크기가 큰 경우 생후 즉시 호흡곤란, 연하곤란 등이 생겨서 위험한 상태에 빠지기도 한다. 치료로는 수술적으로 제거하는 것이 원칙이나 다발성으로 생긴 경우 그 완전제거가 어렵고, 주위조직으로의 침윤이 심한 경우에는 수술에 의한 합병증이나 재발 등이 야기될 수 있다. 최근 여러 가지 약제를 이용한 경화요법이 시도되어 왔는데, 저자들은 11명의 낭포성 림프관종을 가진 환아에서 bleomycin을 이용한 경화요법을 반복 시행하여 좋은 결과를 얻었기에 보고하고자 한다.

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슬관절의 정형의학적 국소 테이핑을 위한 해부학과 생체역학에 관한 문헌적 고찰 (The Anatomy and Biomechanics of knee joint for orthopedic local taping)

  • 임현대;김혜원;김용권
    • 대한물리치료과학회지
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    • 제9권4호
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    • pp.177-184
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    • 2002
  • The knee joint is composed of 3 skeletons that is the femoral bone, the tibial bone, and the patella bone. The tibiofemoral pint and patellofemoral pint act with the meniscus, so these function that is maintain the stabilities by the surrounding soft tissue is complex. The protection mechanism(muscle tension) of the surrounding muscles for the joint disease(Arthritis) limits consistently the motion of the pint to decrease the internal pressure of the joint, and these muscle tension acts with abnormal function for the surrounding tissue and the joint, sometimes the contracture is developed, if the joint with disease is not recovery or treated within early time. So we worked out efficient orthopedic local taping for the patient who is complained of the knee pint pain using the literature investigation about the anatomical structure and the biomechanics of the knee pint for the muscle and the pint problem esp, the rotation of the tibia, the dislocation of the patella, and the motion of the meniscus that is developed due to tension of surrounding muscles of the knee pint. And application of the pint mobilization, the stretching, and the muscle strengthening exercise for the pint will become successful treatment for the joint disease.

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견관절의 삼중 관절와 순 병변 - 증례 보고 - (Triple Labral Lesion of Shoulder - A Case Report -)

  • 최남용;송현석;윤재웅
    • Clinics in Shoulder and Elbow
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    • 제12권1호
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    • pp.80-83
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    • 2009
  • 목적: 삼중 관절와 순 병변(triple labral lesion)은 전방, 후방, 상방 관절와 순의 파열이 동시에 발생한 경우를 말한다. 문헌 보고가 드물어서, 수상 기전과 증상에 대하여 아직 정립되지는 않았다. 대상 및 방법: 본 저자들은, 교통 사고 후 우측 견관절의 동통과 능동적 외전 장애를 보인 39세 남자에서 삼중 관절와 순 병변을 경험하였다. 내원 시에 관절와 상완 관절의 불안정에 대한 증상을 호소하지는 않았다. 흡수성 봉합 나사못과 봉합 갈고리를 사용하여 관절와 순에 대한 봉합술을 시행하였다. 결과: 수술 후 18개월 추시에서, 능동적 운동범위는 정상으로 호전되었으며 일상 생활 중에는 어려움이 없었다.

온라인 커머스 서비스 혁신을 위한 비즈니스 생태계적 접근 (A Business Ecosystem Approach for E-commerce Service Innovation)

  • 권혁인;박주연;김주호
    • 한국IT서비스학회지
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    • 제20권4호
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    • pp.1-21
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    • 2021
  • At a time when the e-commerce market is experiencing accelerated growth, with advancements in information and communications technology (ICT), the problems of distribution of counterfeit products and consumer confusion caused by non-face-to-face purchases have increased. Hence, amid intensifying competition, it has become important for e-commerce companies deliver product information more efficiently, provide differentiated services, and secure credibility for consumers by reducing consumer damage from buying counterfeit products. However, even though consumer confusion and the inadvertent purchase of counterfeit products are intensifying in such a market scenario, there are no services that aim to solve such problems. This study examines the conventional e-commerce industry in South Korea through a political, economic, social, and technological (PEST) analysis, based on in-depth interviews with consumers, to derive the pain and gain points of the industry. As a result, the inherent problems of the e-commerce industry were revealed. Through a service value network perspective, services aimed at resolving such issues were derived, and the e-commerce business ecosystem needed to solve this problem was deduced. The findings revealed that the artificial intelligence-based service support platform has become a major driving force within the e-commerce innovation ecosystem by enabling a new way to create and secure value using ICT. This entails a new exchange mechanism and transaction architecture and a new organizational structure that breaks the barriers between industries.

편두통 예방에 대한 침치료의 체계적 문헌고찰 및 메타 분석 - Pubmed를 중심으로 - (Systemic Review and Meta-analysis of the Effect of Acupuncture for Migraine Prophylaxis)

  • 배지용;권정연;공경환;고호연
    • 대한한방내과학회지
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    • 제40권4호
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    • pp.637-648
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    • 2019
  • Objective: The aim of this study was to investigate the effect of acupuncture on migraine prophylaxis. Method: Articles were searched from the online databases: PubMed, OASIS, NDSL, and RISS. The search keywords were "migraine prophylaxis" and "acupuncture." The inclusion criterion was randomized clinical trial. The exclusion criteria were in vivo, vitro, and review articles. Results: Eighty-nine articles were found among those published until March 2019. After reviewing the title, abstract, and original article, 10 articles were selected to show the effect of acupuncture for migraine prophylaxis. Conclusion: The effect of acupuncture for the frequency and number of days of a migraine and for the intensity of the pain seems to be effective, but the mechanism does not appear to be clear. Therefore, further research is needed in future acupuncture for migraine prevention.