• Title/Summary/Keyword: Paralytic

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A Case of Paralytic Strabismus of Abducens Nerve by Acupuncture and Herbal Medicines (外旋神經痲痺 斜視患者의 韓方治驗 1例)

  • Kim, Joong-Ho;Kim, Yoon-Bum;Chae, Byung-Yoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.7 no.1
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    • pp.143-147
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    • 1994
  • We report one case with paralysis of the sixth cranial nerve, which was diagnosed at Kyung Hee Unversity Hospital. The patient was happened with traffic accident. He showed disorder of both abduction eye movement, headache, double vision and dizziness. We have experienced good improvement to recover paralytic strabismus by the Oriental Medicine.

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Effects of Cross Training with Bilateral Ankle Dorsiflexor Strengthening Exercise on the Muscle Activity of the Paralytic Tibialis Anterior, Balancing Ability, and Gait Function in Patients with Chronic Stroke: A Preliminary Randomized, Controlled Study

  • Park, Sung-Chan;Ryu, Jun-Nam;Park, Jae-Man;Seo, Byoung-Do;Ryu, In-Tae;Cha, Yong-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.4
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    • pp.63-70
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    • 2019
  • PURPOSE: This study examined the effects of bilateral ankle dorsiflexors-strengthening exercise on the paralytic tibialis anterior activity, balance ability, and gait function of patients with chronic stroke. METHODS: Nineteen patients with chronic stroke were assigned randomly to the experimental and control groups. All participants received general physical therapy for 60-minutes per session, five times a week, for 6 weeks. In addition, the experimental group (n = 9) performed bilateral ankle dorsiflexion muscle-strengthening training three times a week, 30 minutes per session, for six weeks. The control group (n=10) performed the paraplegic ankle dorsiflexion muscle- strengthening training in the same manner. Before and after the intervention, the paralytic tibialis anterior muscle activity, timed up and go test (TUG), and 10m walking test (10 MWT) were performed. RESULTS: Both groups showed significant improvement in the post-intervention muscle activity of the paralytic tibialis anterior, TUG, and 10MWT compared to that before the intervention (p<.05), but the differences between the two groups were not significant (p >.05). CONCLUSION: Bilateral ankle dorsiflexors strengthening exercise is an effective cross-training method to improve the muscle activity of the paraplegic tibialis anterior, balance ability, and walking function in chronic stroke patients.

Paralytic Shellfish Poisoning of Mediterranean mussels from Jinhae Bay in Korea (진해만 해역에서 지중해담치 (Mytilus galloprovincialis)의 마비성패독 독화 양상)

  • Shon, Myung-Baek;Kim, Young-Soo;Kim, Chang-Roon
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.42 no.4
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    • pp.366-372
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    • 2009
  • This study looked at toxicity of Mediterranean mussels, Mytilus galloprovincialis, which had accumulated paralytic shellfish toxins (PST) from early March to late May 2005 at Jinhae Bay, Korea. Alexandrium sp. was observed in low densities (< 1,000 cells/L) at the beginning of the study in March, increased rapidly in April, declined rapidly and disappeared in May. Although low densities of Alexandrium sp. were observed in March, mussel toxicity exceeded regulation level ($80{\mu}g$ STXeq. /100 g). Peak PSP (Paralytic Shellfish Poisoning) toxicity in the mussels occurred during high Alexandrium sp. cell densities in April. Mussels toxicity decreased with decline of Alexandrium sp. cell density. Major toxin components identified were $GTX_1$, $GTX_4$, followed by $C_1$, $C_2$, $GTX_2$, $GTX_3$ and neoSTX. Trace or sporadic toxin components were STX, $GTX_5$, $dcGTX_2$, $dcGTX_3$ and dcSTX. Toxin component analysis from the middle to end of the study showed that $11{\beta}$-epimers ($GTX_{3,4}$, $C_2$) were converted into $11{\alpha}$-epimers ($GTX_{1,2}$, $C_1$) and started to determine STX.

Studies for Reestabilishment of Approval Toxin Amount in Paralytic Shellfish Poison-Infested Shellfish 1. Toxicity Change in Paralytic Shellfish Poison-Infested Blue mussel, Mytilus edulis and Oyster, Crassostrea gigas during Boiling and Canning Processes

  • KIM Young-Man;CHOI Su-Ho;KIM Sung-Joon;SUH Sang-Bok;PYUN Han-Suck;CHANG Dong-Suck;SHIN Il-Shik
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.29 no.6
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    • pp.893-899
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    • 1996
  • The studies on the detoxification of paralytic shellfish poison (PSP)-infested blue mussels, Mytilus edulis and oyster, Crassostrea gigas were performed for using of available processing resource. Toxic blue mussel and oysters from Nampo in Masan Bay, Hachong in Koje Bay and Woepori in Koje were used for experimental samples. The toxicity of low toxic blue mussel $(A,\;84{\mu}g/100g;\;B,\;166{\mu}g/100g;\;C,\;295{\mu}g/l00g;\;D,\;557{\mu}g/100g)$ and oyster $(740{\mu}g/100g)$ were reduced below the regulation limit of PSP $(80{\mu}g/100g)$ or undetected level by mouse bioassay after boiling at $98^{\circ}C$ for 10 min and retorting at $115^{\circ}C$ for 70 min, while the toxicity of high toxic blue mussel $(E,\;8,760{\mu}g/100g)$ remained beyond the regulation limit after boiling and retorting at same condition. These results suggested that the regulation limit of PSP could be level up from $(80{\mu}g/100g)$ to about $160{\mu}g/100g$.

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Studies for Reestabilishment of Approval Toxin Amount in Paralytic Shellfish Poison-Infested Shellfish 2. Change of Toxin Composition and Specific Toxicity in Paralytic Shellfish Toxins of Blue mussel, Mytilus edulis and, Oyster, Crassostrea gigas from Woepori, $K\v{o}je$, Korea During Canning Process

  • SHIN Il-Shik;CHOI Su-Ho;LEE Tae-Sik;LEE Hi-Jung;KIM Ji-Hoe;LEE Jong-Soo;KIM Young-Man
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.29 no.6
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    • pp.900-908
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    • 1996
  • Changes of paralytic shellfish toxin components and specific toxicity in blue mussel, Mytilus edu/is and oyster, Crassostrea gigas during canning process were investigated by high performance liquid chromatography (HPLC). The $mole\%$ of the frozen shucked blue mussel were in order of $27.5\;mole\%$ of gonyautoxin 1, $23.0\;mole\%$ of gonyautoxin 8 (C1) and $23.0\;mole\%$ of epi-gonyautoxin 8 (C2), while those of the frozen shucked oyster were in order of $29\;mole\%$ of C1, $22\;mole\%$ of C2, $16.7\;mole\%$ of gonyautoxin 2. Both samples had minor amounts of saxitoxin and neosaxitoxin. On the other hand, in case of specific toxicity, the major toxins were consisted of gonyautoxin $1\~4$ in both sample. The toxicity of gonyautoxin $1\~4$ were 88 and $84\%$ in blue mussel and oyster, respectively. According to the experimental results, C1, C2 and gonyautoxin 4 were very sensitive to heat treatment, while gonyautoxin 2 and saxitoxin were pretty heat resistant than any other toxin components.

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Clinical Study on Effect of Ginger Herbal Acupuncture Therapy on Shoulder Pain of Paralytic Patients (생강약침(生薑藥鍼)이 중풍후유증(中風後遺症)으로 인(因)한 견비통(肩臂痛)에 미치는 효과)

  • Heo, Sung-Woong;Kwon, Mi-Jung;Kim, Hong-Gi;Jung, Kyoung-Keun;Kim, Soo-Min;Min, Young-Kwang;Ahn, Chang-Beohm;Song, Choon-Ho;Youn, Hyoun-Min;Jang, Kyung-Jun
    • Journal of Acupuncture Research
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    • v.23 no.5
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    • pp.145-154
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    • 2006
  • Objectives : The purpose of this research is to study the effect of Ginger-Herbal acupuncture on shoulder pain of cerebral paralytic patients. Methods : 53 person were selected among patients hospitalized in Dong-eui Oriental medical hospital from 1st, May, 2005 to 1st, Oct, 2005. They were divided into two groups, i.e acupuncture group and ginger-herbal acupuncture group. For 2 weeks, 22 patients were treated by ginger-herbal acupuncture treatments and 31 patients were treated by only acupuncture treatments. Research tools are Visual Analogue Scale by Cline et al. for measuring the severity of shoulder pain, and measured Range of Movement of shoulder joint Results : The ginger-herbal acupuncture treatments group showed significant pain decrease while acupuncture treatments group showed pain decrease. The range of shoulder movement was not significantly improved in both 2 groups. Conclusion : Based on the above results, it can be determined that ginger-herbal acupuncture therapy can be used as the effective treatments for reducing of shoulder pain. But more cases are to be studied in order to make more effective treatments in the case of shoulder pain of paralytic patients.

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Upper eyelid platinum weight placement for the treatment of paralytic lagophthalmos: A new plane between the inner septum and the levator aponeurosis

  • Oh, Tae Suk;Min, Kyunghyun;Song, Sin Young;Choi, Jong Woo;Koh, Kyung Suk
    • Archives of Plastic Surgery
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    • v.45 no.3
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    • pp.222-228
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    • 2018
  • Background The most common surgical treatment for paralytic lagophthalmos is the placement of a weight implant in the upper eyelid; however, this technique confers the risks of implant visibility, implant extrusion, and entropion. In this study, we present a new technique of placing platinum weight implants between the levator aponeurosis and inner septum to decrease such complications. Methods A total of 37 patients with paralytic lagophthalmos were treated between March 2014 and January 2017 with platinum weight placement (mean follow-up, 520.1 days). After dissecting through the orbicularis oculi muscle, the tarsal plate and levator aponeurosis were exposed. The platinum weights (1.0-1.4 g) were fixed to the upper margin of the tarsal plate and placed underneath the orbital septum. Results Five patients could partially close their eye after surgery. The average distance between the upper eyelid and the lower eyelid when the eyes were closed was 1.12 mm. The rest of the patients were able to close their eye completely. Three patients patient developed allergic conjunctivitis after platinum weight insertion, which was managed with medication. None of the patients complained of discomfort in the upper eyelid after surgery. Visibility or extrusion of the implant were observed in three patients. Conclusions Postseptal weight placement is a safe and reproducible method in both primary and secondary upper eyelid surgery for patients with paralytic lagophthalmos. It is a feasible method for preventing implant visibility, implant exposure, and entropion. Moreover, platinum is a better implant material than gold because of its smaller size and greater thinness.

Vertical and horizontal distributions of ellipsoidal Alexandrium (Dinophyceae) cysts in coastal sediment with special reference to paralytic shellfish poisoning caused by tsunamis -a case study of Osaka Bay(Japan) and the southern coast of the Korean Peninsula

  • Matsuoka, Kazumi;Yamamoto, Keigo;Akiyama, Satoshi;Kojima, Natsuhiko;Shin, Hyeon Ho
    • Korean Journal of Environmental Biology
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    • v.37 no.3
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    • pp.268-277
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    • 2019
  • Severe damages will result in human society, when several different critical natural phenomena coincide. One example relates to the resting cysts of Alexandrium species (dinoflagellates that cause paralytic shellfish poisoning), which are preserved in surface sediments throughout Osaka Bay, Japan. These cysts have been found to accumulate particularly densely in shallow areas in the inner parts of Osaka Bay, where a tsunami caused by an earthquake could occur any time. Damage by a tsunami could cause a change of the coastal ecosystems at Osaka Bay including the resuspension of surface sediments containing resting Alexandrium tamarense cysts and the subsequent redistribution of the cysts in newly deposited sediment. Under certain environmental conditions, these cysts could germinate and form dense blooms, leading to paralytic shellfish poisoning. Such a scenario could also affect other coastal areas, including the southern coast of the Korean Peninsula.

Paralytic Shellfish Toxins in the Mussel, Mytilus edulis, Caused the Shellfish Poisoning Accident at Geoje, Korea, in 1996 (96년 거제에서 패류 중독 사고를 유발한 진주담치의 마비성 독소)

  • LEE Jong-Soo;SHIN Il-Shik;KIM Young-Man;CHANG Dong-Suck
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.30 no.1
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    • pp.158-160
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    • 1997
  • Food poisoning accident occurred on May, 1996 at Oepo, Geoje County, Kyeongnam Province, Korea, and two persons were died within a few hours after ingestion of the soup prepared with wild mussel, Mytilus edulis, harvested on the sea rock. Paralytic shellfish poisons (PSP) were elucidated as the responsible toxins for the food poisons accident because the wild mussels caught after three days at the near place from the accident contained high toxicity of PSP ranged $650\~1000MU/g$ of edible meat by mouse bioassay. Gonyautoxin-1+4 $(42.7\%)$ and C1+C2 $(40.0\%)$ were detected as the major toxins in the mussels by fluorometric HPLC method. Although, the poison extracted out with drip during freezing and thawing, and the toxicity gradually decreased by boiling for 20 minutes, over 30 MU/g of toxins remained in the soup and meat, which indicated that they could be able to make food poisoning.

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A Clinical Case Report of Oculomotor Nerve Palsy (동안신경마비 사시환자 1례 증례보고)

  • Eom, Yu-Sik;Sim, Seong-Yong;Nam, Hye-Jeong;Kim, Gyeong-Jun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.3
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    • pp.126-130
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    • 2004
  • Oculomotor nerve palsy presents itself with sudden onset unilateral ptosis and inability to turn the eye upward, downward, or inward, which causes visual disturbances. Strabismus caused oculomotor nerve palsy refers to muscle imbalance that results in improper alignment of the visual axes of the two eyes It may be divided into paralytic and non paralytic strabismus. paralytic strabismus is primarily a neurologic problem. Characteristic clinical disturbances result from lesions of the third, fourth, and sixth cranial nerves. Lesions of the third nerve result in a paralysis of lateral or outward movement and a crossing of the visual axes. Objective: This study was designed to evaluate the effects of oriental medicine therapy on a peripheral oculomotor nerve palsy. Methods & Result: The clinical data was analyzed on a patient with oculomotor nerve palsy whose main symptoms were right side ptosis and inability to turn the eye inward. The patient was treated by the electroacupucture(4Hz frequency, intensity was adjusted so that localized muscle contractions could be seen). As the result, symptoms are improved remarkably. Conclusion: The patient showed right eye ptosis and unilateral deviation of the right eye ball in neutral position. After acupuncture treatment and electroacupuncture treatment, the ptosis and deviation of the patient's right eye was recovered six weeks after the onset. The study suggests that oriental medicine therapy is significantly effective on the treatment of peripheral oculomotor nerve palsy.

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