• 턱관절균형의학회지
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• 제10권1호
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• pp.26-31
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• 2020

Objectives: The purpose of this study is to report the effect of Korean medical treatment with FCST and Miniscalpel-Acupuncture on patient with cervical dystonia. Methods: In this study, A patient with cervical dystonia was admitted to ◯◯ Korean medicine Hospital from Oct 20th, 2020 to Nov 28th, 2020. During the admission period, the patient was treated by Korean medical treatment (acupuncture, pharmacopuncture, herb medicine, etc.), especially using FCST and Miniscalpel-Acupuncture. The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), the Tsui score and CDIP (Cervical Dystonia Impact Profile)-58 were used for measuring the Cervical Dystonia. Results: After treatment for 40 days, the TWSTRS showed a decrease from 52.75 to 13.75, the Tsui score also decreased from 17 to 3 and the CDIP-58 score decreased from 64.1 to 25.5. Conclusions: These results showed that Korean medical treatment especially using FCST and Miniscalpel-Acupuncture may have an effect on reducing symptoms of cervical dystonia. But the further researches are needed.

• 대한통합의학회지
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• 제9권4호
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• pp.149-158
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• 2021

Purpose : Forward head posture (FHP) is one of the most common postural malalignment of the cranio-cervical region. Previous studies have reported that FHP might affect both temporomandibular joint (TMJ) and cervical muscles, but still remains unclear. The purpose of this study was to compare the changes of craniovertebral angle (CVA) and muscle properties after smartphone use in healthy individuals with and without FHP. Methods : Fifteen healthy individuals aged 18 to 22 years were included. CVA was evaluated using Dartfish motion analysis, and the subjects were divided into two groups according to their CVA: a FHP group (n = 7, CVA less than 48 °) and a control group (n = 8, CVA more than 48 °). MyotonPro was used to measure muscle properties of masseter, digastric and sternocleidomastoid muscles (SCM). Each subject underwent 15-minutes of smartphone task (web browsing or video watching) in relaxed sitting posture. CVA and muscles properties were assessed both before and after the smartphone task. Results : There were significant changes in post measurements of CVA between the groups. Masseter muscle showed significant differences in pre and post measurements of all muscle properties, and digastric muscle showed significance only in muscle tone. Amount of changes (post-pre), however, showed no significant difference in this study. Conclusion : 15-minutes of smartphone task did not affect CVA and muscle properties of masseter, digastric and SCM in both groups, however, there were significant changes in pre and post measurements of CVA and some muscle properties of masseter and digastric muscles. Therefore, CVA, masseter and digastric muscles might be significantly changed in a heavy duration of smartphone usage more than 15-minutes. Further studies are needed regarding duration of smartphone task, assessments in other various TMJ muscle groups, and participants with pathological FHP conditions.

• 턱관절균형의학회지
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• 제12권1호
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• pp.22-27
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• 2022

본 증례에서는 발병일 이후 항우울제 복용 및 도수치료, 한방치료에도 증상의 개선이 보이지 않던 호흡곤란이 주증인 불안장애 환자를 대상으로 TBT를 병행한 약침, 침, 한약 등 한방치료를 적용하여 증상의 완화를 관찰하였다. 이에, 호흡곤란을 수반한 정신과질환의 치료에 있어서 한의학 치료 및 TBT가 효과가 있을 것으로 판단된다.

• Journal of Oral Medicine and Pain
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• 제22권2호
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• pp.207-217
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• 1997

This study was performed for Investigation of the magnitude of mandibular positional change in maximum mouth opening. protrusion, lateral excursion, gum and peanut chewing with BioPAK system(Bioresearch Inc. USA) which can analyze mandibular rotational torque movements. For this study 17 female patients with Temporomandibular joint(TMJ) closed lock and 18 female control without any Temporomandibular disorders(TMDs) signs and premature occlusal contact were included. The obtained results were as follows : 1. In maximum mouth opening, the mandibular rotational angle and distance of patients were significantly greater than those of control group in horizontal plane(P<0.05). 2. In protrusion, the mandibular rotational angle and distance of patients were significantly greater than those of control group in frontal and horizontal plane(P<0.01, P<0.05). 3. The mandibular rotational angle and 야stance in lateral excursion to affected side of patients were significantly greater than those in lateral excursion to non-affected side in frontal plane(P<0.05). 4. The mandibular rotational angle in gum chewing to affected side of patients was significantly greater than that in gum chewing to non-affected side in frontal plane. 5. The mandibular rotational angle and distance in peanut chewing to affected side of patients were significantly greater than those in peanut chewing to non-affected side in frontal and horizontal plane. 6. The mandibular rotational angle and distance in peanut chewing to affected side of patients were greater than those in gum chewing, and was the same result in control group in frontal and horizontal plane.

• 치과방사선
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• 제22권2호
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• pp.351-364
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• 1992

Internal derangement of the temporomandibular joint can be defined an abnormal relationships of the meniscus relative to the mandibular condyle, articuar fossa and eminence. This may cause variable mandibular dysfunctions and pain. For diagnosis, arthrography, computed tomography and magnetic resonance imaging are used. In this study, the author reviewed 98 TMJs of 88 patients who were diagnosed as internal derangement througth inferior joint space arthrography at the department of Oral & Maxillofacial Radiology, Dental Hospita, Dankook university through 1986 to 1992. 98 TMJs consisting of 30 disc displcement with reduction, 48 disc displcement without reduction and 20 perforation were studied about clinical and radiological findings. The results were as follows: 1. Internal derangement was found most frequently in the 2nd 3rd decades and the average age of perforation was higher than that of disc displcement with higher than that of disc displcement with reduction. The sexual predilection was 2 times hiher in females. 2. The most frequent chief complaints were TMJ sound in disc displcement with reduction, pain and limitation of mouth opening in disc displcement without reduction and pain in perforation. The duration of the chief complaints was longer in disc displcement with reduction with than in preforation and disc displcement without reduction. 3. Reciprocal click was the most frequently TMJ sound in disc displcement with reduction. History of joint sound in disc displcement without reduction an crepitus in perforation was the most frequent one. 4. The average maximum opening was 45.4㎜ in disc displcement with reduction, 31.4㎜ in disc displcement without reduction and 33.8㎜ in perforation. 5. In the centric occlusion, posterior condylar position was the most frequent in disc displcement with reduction. posterior and concentric condylar position was frequent in disc displcement without reduction, concentric and anterior condylar position in perforation. At 1 inch opening, the same position to articular eminence was most frequently found in disc displcement with reduction, posterior position in disc disp1cement without reduction, posterior and nterior position in perforation was frequently found. 6. Bony changes, especially sclerosis and flattening, was most frequently found in perforation.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제12권1호
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• pp.202-209
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• 1990

A retrospective study of 498 patients (591 joints) who had diagnosed as having internal derangement of the temporomandibular joint by history, clinical examination, and arthrography were evaluated. 66 patients (70 joints) were diagnosed as having meniscus perforation between the joint compartments. In those patients with pain (11 joints : 15.7%), pain and crepitation (24 joints : 34.3%), pain, crepitation and LOM (31 joints : 44.3%), and painless crepitation with LOM (4 joints : 5.7%) complained clinically. All these patients who had perforation showed irregularity in outline of the contrast material, bone contour-contrast material gaps, flattening of cortical layer of articular eminence. On the 20 joints treated surgically, 17 joints were found to have meniscus perforation at the time of surgery which correlated with their pre-operative radiographic and clinical diagnosis. Three joints could not found perforation of meniscus. This study was designed to examine of the incidences of the meniscus perforation in the above patients and to assess the diagnostic accuracy of arthrography by comparing the results with the finding of direct examination at TMJ surgery.

• Imaging Science in Dentistry
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• 제45권1호
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• pp.1-5
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• 2015

Purpose: Lateral pterygoid muscle (LPM) plays an important role in jaw movement and has been implicated in Temporomandibular disorders (TMDs). Migraine has been described as a common symptom in patients with TMDs and may be related to muscle hyperactivity. This study aimed to compare LPM volume in individuals with and without migraine, using segmentation of the LPM in magnetic resonance (MR) imaging of the TMJ. Materials and Methods: Twenty patients with migraine and 20 volunteers without migraine underwent a clinical examination of the TMJ, according to the Research Diagnostic Criteria for TMDs. MR imaging was performed and the LPM was segmented using the ITK-SNAP 1.4.1 software, which calculates the volume of each segmented structure in voxels per cubic millimeter. The chi-squared test and the Fisher's exact test were used to relate the TMD variables obtained from the MR images and clinical examinations to the presence of migraine. Logistic binary regression was used to determine the importance of each factor for predicting the presence of a migraine headache. Results: Patients with TMDs and migraine tended to have hypertrophy of the LPM (58.7%). In addition, abnormal mandibular movements (61.2%) and disc displacement (70.0%) were found to be the most common signs in patients with TMDs and migraine. Conclusion: In patients with TMDs and simultaneous migraine, the LPM tends to be hypertrophic. LPM segmentation on MR imaging may be an alternative method to study this muscle in such patients because the hypertrophic LPM is not always palpable.

• Journal of Oral Medicine and Pain
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• 제35권1호
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• pp.83-91
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• 2010

목적: 측두하악장애 환자에서 다양한 증상의 양상을 평가하고, 측두하악장애 증상과 임상검사 소견 간의 일치 정도를 평가하고자 하였다. 재료 및 방법: 총 218명의 환자(여자 143명, 남자 75명, 평균 연령 $31.3{\pm}14.0$세)를 대상으로 하였으며, 설문지 작성, 임상검사 및 방사선 검사를 수행하였다. 증상의 발생 시기 및 위치를 포함하여 주소와 관련된 모든 증상을 문진하였다. 임상검사로는 개구량 측정, 악관절 잡음 촉진, 악관절 및 저작근 촉진 검사를 하였다. 촉진에 의한 압통검사 결과수치를 이용하여 압통점수합을 구하였다. 결과: 통증이 가장 흔한 증상이었으며(78.9%), 다음으로 악관절 잡음(45.4%), 그리고 개구 제한(17.0%) 순으로 흔하였다. 턱의 통증이 통증 증상 부위의 91.9%를 차지하였다. 주관적인 턱의 통증 강도는 대부분의 환자에서 낮거나 중등도였으며 (93.7%), 이것과 악관절과 저작근의 압통 점수 합과의 상관성은 낮았다(Kendall tau = 0.084). 이와 대조적으로 환자가 보고하는 통증의 좌우측 위치는 임상검사 결과와 관련성이 높았다(우측 통증 p<0.001, 좌측 통증 p<0.001). 악관절 잡음은 환자가 증상으로 인지하는 측과 임상검사 소견 간에 상당한 일치를 보였다(kappa = 0.482). 개구제한을 호소하는 환자는 세가지 개구량 측정값 모두에서 그렇지 않은 환자보다 약 10 mm가 적은 개구량을 보였다(p<0.001). 결론: 턱의 통증, 악관절 잡음 및 개구제한은 측두하악장애 환자의 주소와 관련된 주요한 증상이었다. 환자가 보고하는 통증 부위와 악관절 잡음 및 개구제한이 임상검사 결과와 중등도 내지 높은 일치성을 보임으로서 가장 신뢰할 만한 항목으로 평가되었다.

• 턱관절균형의학회지
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• 제2권1호
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• pp.8-12
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• 2012

Objectives: It has been reported to continue that temporomandibular joint balancing medicine (functional cerebrospinal therapy; FCST) is effective in treating incurable diseases in clinic recently. FCST is based on the results of restricted cervical rotation test, it means that the results of restricted cervical rotation test has a very high reliability on test results. Methods: This study has the aim to understand restricted cervical rotation test method and to use well with high technical skill. So manual muscle test method which was based on the upper limb lifting resistance test method are compared with restricted cervical rotation test method and had been discussed. Results: Results are that restricted cervical rotation test by using the passive motion of arrested persons (patients) have high the reliability and accuracy. Conclusions: It is concluded that restricted cervical rotation test is the new type of manual muscle tests and the results of test are very high the reliability and accuracy so that the acquirement of test method is helpful in clinic practically.

• 대한전기학회논문지:시스템및제어부문D
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• 제50권11호
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• pp.541-549
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• 2001

The term 'silent period(SP)' refers to a transitory, relative or absolute decrease electromyography(EMG) activity, evoked in the midst of an otherwise sustained contraction. Masseteric SP is elicited by a tap on the chin during isometric contraction of masseter muscle. In this paper, a new EMG signal generation model including SP in masseter muscle is proposed. This work is based on the anatomical structure of trigeminal nerve system that related on temporomandibular joint(TMJ) dysfunction. And it was verified by comparing the real EMG signals including SP in masseter muscle to the simulated signals by the proposed model. Through this studies, it was shown that SP has relation to variable neurophysiological phenomena. A proposed model is based on the control system theory and DSP(Digital Signal Processing) theory, and was simulated using MATLAB simulink. As a result, the proposed SP model generated EMG signals which are similar to real EMG signal including normal SP and an abnormal extended SP. This model can be applied to the diagnosis of TMJ dysfunction and can effectively explain the origin of extended SP.