• Title/Summary/Keyword: Vestibular

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PNF Exercises for Balance Ability in Elderly (노인들의 균형능력과 PNF운동)

  • Heo, Jun-Ho
    • PNF and Movement
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    • v.12 no.1
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    • pp.1-5
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    • 2014
  • Purpose: The purpose of this study was to investigate PNF exercises for balance ability in elderly. Methods: This is a literature study with books and articles. Results: The balance ability in elderly is reduced by decreasing proprioception, visual and vestibular sensation. PNF exercise is highly efficient for functional activities to control posture and movement. It is also highly efficient for balance ability in elderly. This is considered effective exercise program for maintain and to promote balance ability in elderly. Conclusion: PNF exercise is highly efficient for functional activities to control posture and movement. In addition, it is also efficient for balancing posture and movement in cooperation with visual information and vestibular system. This exercise is considered to be effective exercise program to maintain posture and improve balance ability.

Anterior canal-sparing bilateral vestibulopathy in MELAS syndrome

  • Kim, Jae-Myung;Nam, Tai-Seung;Lee, Seung-Han
    • Annals of Clinical Neurophysiology
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    • v.24 no.2
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    • pp.84-89
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    • 2022
  • Vestibular dysfunction has rarely been reported in MELAS syndrome. A 40-year-old male with long-term diabetes and hearing loss experienced a stroke-like episode with hemisensory disturbance and lactic acidosis. Brain MRI showed temporo-parieto-occipital cortical lesions, and a final diagnosis was made of MELAS syndrome with the mitochondrial 3243A>G mutation. Neuro-otologic evaluations revealed anterior-canal-sparing bilateral impairments of the vestibulo-ocular reflex in the video head impulse test and no caloric paresis. This unique pattern of vestibular dysfunction may aid in diagnosing MELAS syndrome.

Recording and interpretation of ocular movements: spontaneous and induced nystagmus

  • Jin-Ju Kang;Seoyoung Choi;Seunghee Na;Sun-Young Oh
    • Annals of Clinical Neurophysiology
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    • v.25 no.1
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    • pp.10-18
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    • 2023
  • The ultimate purpose of eye movement is to maintain clear vision by ensuring that images of observed objects are focused on the fovea in the retina. Accurate evaluation of ocular movements, including nystagmus and saccadic intrusions, provides very useful information for determining the overall function and abnormality of the complex oculomotor system, from the peripheral vestibular system to the cerebrum. Eye movement tests are therefore essential for the accurate diagnosis of patients who complain of dizziness and imbalance. They help to predict lesion locations from the peripheral vestibular system to the central cerebral cortex and play an important role in differentiation from other diseases. The methodology of recording and interpreting ocular movements using video-oculography are described in this review article.

Effect of Ziziphi Jujubae Semen on 5-Fluorouracil Induced cytotoxicity in Cultured Vestibular Neurons (배양전정신경세포에 있어서 5-Fluorouracil의 세포독성에 대한 산조인의 효과)

  • Son Il Hong;Lee Jung Hun;Choi Yu Sun;Lee Jae Kyoo;Kim Hyung Su;Lee Yong Suk;Lee Whan Bong;Choi Ki Wook;Min Bu Ki;Kim Sang Su;Lee Kang Chang;Ryu Myeung Hwan;Song Ho Joon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.1
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    • pp.146-149
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    • 2002
  • To evaluate the protective effect of Ziziphi Jujubae Semen(ZJS) on 5-Fluorouracil(5-Fu) in cultured vestibular neurons(VN), neurotoxicity was assessed by XTT assay after VN was exposed to 3-24ug/ml 5-Fu for 48 hours. and also, the neuroprotective effect of ZJS was measured by XTT assay in these cultrures. Cell viability was remarkably decreased dose-dependently, after the treatment with 12ug/ml 5-Fu to cultured VN for 48 hours. In the neuroprotective effect of ZJS on the toxicity induced by 5-Fu, ZJS prevented the neurotoxicity induced by 5-Fu in these cultures. From above the results, it suggests that 5-Fu is toxic in cultured VN and herb extract, ZJS has protective effect over the neurotoxicity induced by 5-Fu.

Development of the off-vertical rotatory chair and visual stimulation system for evaluation of the vestibular function (전정기능 평가를 위한 탈수직축 회전자극 시스템 및 HMD 시스템의 개발)

  • 김규겸;고종선;박병림;김인동
    • The Transactions of the Korean Institute of Power Electronics
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    • v.6 no.4
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    • pp.325-332
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    • 2001
  • The vestibular system located in the inner ear controls reflex body posture and movement, It has the semicircular canals sensing an angular acceleration and the otolith organs sensing a linear acceleration. With this organic signal, medical doctor decide if a person has disease or not. To obtain this data, a precision stimular system is considered. Robust control is needed to obtain eye signals induced by off-vertical axis rotation because of an unbalanced load produced by tilting the axis of the system upto 30 degrees. In this study, off-vertical axis rotatory system with visual stimulation system are developed. This system is consisted of head mounted display for generating horizontal, vertical, and three dimensional stimulus patterns. Furthermore wireless recording system using RF modem is considered for noiseless data transmission. Detailed data was described.

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Real time remote management for home network system using bio-physical sensor (생체 센서 시스템을 이용한 실시간 원격 홈 네트워크 시스템)

  • Kim, Jeong-Lae
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.1
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    • pp.117-124
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    • 2011
  • This study was realized the home network system for home care by bio-physical sensor system, to convey for the remote physical signal. The composition condition has four functions of displacement point for a Vision, Somatosensory, Vestibular and CNS that the basic measurement used to a Heart Rate, Temperature, Weight. Physical signal are decided to search a max and min point with adjustment of 0.01 unit in the reference level. There were checked physical condition of body balance to compounded a physical neuroceptor of sensory organ for the measurement such as a Vision, Somatosensory, Vestibular, CNS, BMI. There are to check a health care condition through a combination of physical organ with a posturography of a exercise. The service of home network system can be used to support health care management system through health assistants in health care center and central health care system. It was expected to monitor a physical parameter for the remote control health management system.

Management of Recurrent Vestibular Schwannomas

  • Kim, Wook-Ha;Park, Chul-Kee;Kim, Dong-Gyu;Jung, Hee-Won
    • Journal of Korean Neurosurgical Society
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    • v.39 no.2
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    • pp.87-91
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    • 2006
  • Objective : Management of recurrent vestibular schwannomas[VS] after microsurgery or radiosurgery is a complicated subject. However, few studies have documented the outcome of recurrent VS. The authorsreviewclinicalexperience of recurrent VS management and analyzed the efficacy of treatment modalities. Methods : Between 1990 and 2002, 293 patients harboring unilateral VS underwent, microsurgery, radiosurgery, microsurgery followed by radiosurgery. Of these, 26 procedures [in 20 patients] were performed to assessed from an increased tumor size by magnetic resonance imaging[MRI]. The mean age of patients with recurred VS was 46.9 years and the mean follow-up period was 68 months. Radiological characteristics were investigated and growth rates of recurred tumors were calculated by measuring changes in tumor diameter on MRI after treatment. Results : MRI characteristics revealed a lobulated contour in 75% and a cyst in 60% of the patients. Only 1 patient showed neither lobulation nor a cyst. The average diameter of the recurrent tumors were 36.9mm. The overall tumor control rate for initial management was 87.4%, 94.7%, and 98.5% for microsurgery, radiosurgery, and microsurgery plus radiosurgery, respectively. However, control rates for recurrent tumors were lower at 85%, 63%, and 80%, respectively. Conclusion : A cystic nature and a lobulated tumor contour are frequent clinical characteristics of recurrent VS. Microsurgery or microsurgery followed by radiosurgery shows little difference in tumor control rate for primary and recurrent VS. However, radiosurgery alone appears to be less beneficial for recurrent VS.

Preoperative Identification of Facial Nerve in Vestibular Schwannomas Surgery Using Diffusion Tensor Tractography

  • Choi, Kyung-Sik;Kim, Min-Su;Kwon, Hyeok-Gyu;Jang, Sung-Ho;Kim, Oh-Lyong
    • Journal of Korean Neurosurgical Society
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    • v.56 no.1
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    • pp.11-15
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    • 2014
  • Objective : Facial nerve palsy is a common complication of treatment for vestibular schwannoma (VS), so preserving facial nerve function is important. The preoperative visualization of the course of facial nerve in relation to VS could help prevent injury to the nerve during the surgery. In this study, we evaluate the accuracy of diffusion tensor tractography (DTT) for preoperative identification of facial nerve. Methods : We prospectively collected data from 11 patients with VS, who underwent preoperative DTT for facial nerve. Imaging results were correlated with intraoperative findings. Postoperative DTT was performed at postoperative 3 month. Facial nerve function was clinically evaluated according to the House-Brackmann (HB) facial nerve grading system. Results : Facial nerve courses on preoperative tractography were entirely correlated with intraoperative findings in all patients. Facial nerve was located on the anterior of the tumor surface in 5 cases, on anteroinferior in 3 cases, on anterosuperior in 2 cases, and on posteroinferior in 1 case. In postoperative facial nerve tractography, preservation of facial nerve was confirmed in all patients. No patient had severe facial paralysis at postoperative one year. Conclusion : This study shows that DTT for preoperative identification of facial nerve in VS surgery could be a very accurate and useful radiological method and could help to improve facial nerve preservation.

Head Thrust Test (두부충동 검사)

  • Choi, Kwang-Dong;Oh, Sun-Young;Kim, Ji Soo
    • Annals of Clinical Neurophysiology
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    • v.8 no.1
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    • pp.1-5
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    • 2006
  • The head thrust maneuver is a simple bedside test of the higher frequency vestibulo-ocular reflex, which is based on Ewald's second law. It is performed by grasping the patient's head and applying a brief, small-amplitude, high-acceleration head turn, first to one side and then to the other. The patient fixates on the examiner's nose and the examiner watches for corrective rapid eye movements (saccades), which are a sign of decreased vestibular response. The "catch-up" saccades after a head thrust in one direction indicate a peripheral vestibular lesion on that side (in the labyrinth or the $8^{th}$ nerve including the root's entry zone in the brain stem). An individual pair of vertical semicircular canals can also be stimulated by turning the head to the right or left by $45^{\circ}$ and then by rotating the head in the pitch plane relative to the body. Recent studies have suggested that assessment of individual semicircular canal function by head thrust test may provide useful information for anatomical and functional details of a variety of peripheral vestibulopathies and for predicting the prognosis of vestibular neuritis. In central vestibulopathy, the head thrust test may also be valuable sign to determine dysfunction of the central pathways from individual semicircular canals and its role for the development of diverse central nystagmus.

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Relationship between Vestibuloocular Reflex and Autonomic Nerve Response in Adults (성인에서 전정안구반사를 이용한 평형감각과 자율신경반응의 관련성)

  • 김규겸;박현영;전희정;윤상대;박병림
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 1999.03a
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    • pp.237-242
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    • 1999
  • The nature of the interactions between the vestibular and autonomic systems is complex and has not been fully defined. Vestibuloocular reflex induced by sinusoidal rotation and activity of the autonomic nerves in the heart were measured to investigate the interactions between the vestibular system and the autonomic nervous system in healthy adults. Eye movement induced by sinusoidal rotation of the whole body or optokinetic stimulation at 0.04 Hz was analyzed in gain, phase, and symmetry. EKG was measured during vestibular stimulation and analyzed in heart rate variability including mean R-R interval, standard deviation (SD) and coefficient of variance (CV) of R-R interval, and power spectrum of low frequency region (LF) and high frequency region (HF). Gain of eye movement was 0.65${\pm}$0.03 by ratatory stimulation, 0.70${\pm}$0.02 in optokinetic stimulation, 0.08${\pm}$0.02 in visual suppression, and 0.84${\pm}$0.04 in visual enhancement. In R-R interval, resting condition (control) was 0.82${\pm}$0.03 sec, and visual suppression showed significant increase and visual enhancement did significant decrease compared with control (p<0.01).CV was 0.06${\pm}$0.02 in control and visual enhancement increased significantly (p<0.05). In LF/HF control was 1.40${\pm}$0.23, which was not different from rotatory or optokinetic stimulation. But visual suppression decreased LF/HF significantly and visual enhancement increased significantly compared with control (p<0.01). These results suggest that degree of gain corresponds with LF/HF and increased gain in visual enhancement is deeply related to the activity of sympathetic nerves.

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