• 제목/요약/키워드: Vestibular

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The Effects of Pilates Exercise on Static and Dynamic Balance in the Elderly

  • Park, Ji-Hye;Lee, Joong-Sook;Yang, Jeong-Ok;Lee, Bom-Jin;Bae, Kang-Ho;Shin, Jin-Hyung
    • 한국운동역학회지
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    • 제26권4호
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    • pp.397-405
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    • 2016
  • Objective: Pilates is a low/mid-intensity exercise that can be easily performed by elderly individuals as it is an individual body-oriented exercise. It is also a cardio workout that can be performed anywhere to develop strength and flexibility. Therefore, we investigated the effects of 8 week Pilates program on the balancing ability of elderly individuals. Method: The research participants were selected from elderly residents in B city. Ten individuals voluntarily signed an agreement to undergo free measurements as well as to participate in the workout program. (Height: $157.1{\pm}11.9cm$, Weight: $61.7{\pm}8.0kg$). The Pilates exercise was performed 60 minutes a day, three times a week for a total of eight weeks. The measurement variables used to test balance were the vestibular test, 5 m habitual and maximum walk test and 3 m tandem walk test. A series of paired t-test were conducted using IBM SPSS Statistics 23.0 to analyze all the research data collected in order to determine the balance ability of the participants before and after the Pilates program. Additionally, the statistically significant level for all analysis was set to ${\alpha}=.05$. Results: In the vestibular test, some meaningful changes were observed in the length envelope area (ENV) while standing on one foot, but there were no significant differences in the ENV, rectangle(REC), root mean square, and total length. Results also revealed that statistically significant differences existed in the 5 m habitual and maximum walk test, as well as the 3 m tandem walk test. Conclusion: To summarize the findings, the 8 week Pilates program employed in this study significantly improved the dynamic balance of the elderly participants. Thus, elderly individuals that frequent perform Pilates are expected to enjoy positive benefits such as increased balance and fewer falling accidents.

나안 두부충동검사에서 위음성의 원인분석 (Causes of False Negative Bedside Head Impulse Test)

  • 김대영;최윤기;경태석;황준하;김현지;이승철;김규성
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • 제60권3호
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    • pp.107-111
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    • 2017
  • Background and Objectives The bedside head impulse test (bHIT) in bare eyes often overlooks possible vestibular losses by missing the corrective saccade. This is why it is necessary to compare bHIT against video head impulse test (vHIT), which is more accurate in identifying vestibular losses than the bedside test. Subjects and Method A total of 51 vHIT positive ears underwent the study, and out of those, 47 were diagnosed with dizziness. bHIT and vHIT were performed for patients, and the occurrence rate of overt saccade (OS) was calculated. Results Among the 51 vHIT positive ears, 33 (64.7%) were bHIT positive ears and 18 ears (35.3%) were bHIT negative. Patterns of positive vHIT were classified as A: no corrective saccade, B: covert saccade (CS) only, C: OS only, and D: CS with OS (CS+OS), which were 45 out of 51 ears (88%). The occurrence rate of OS was higher in the bHIT positive group than in the bHIT negative group (p=0.05), and higher in the CS negative group (CS-) than in the CS positive group (CS+) (p<0.001). Conclusion Possible causes of false negative results of bHIT are seen as following: the absence of corrective (covert and overt) saccade, the occurrence of CS only, and missing the OS during the bHIT (probably due to low occurrence rate of OS). The occurrence of CS should be considered as an important factor in false negative bHIT when lowering the occurrence rate of OS.

Modified tunneling technique for root coverage of anterior mandible using minimal soft tissue harvesting and volume-stable collagen matrix: a retrospective study

  • Lee, Yoonsub;Lee, Dajung;Kim, Sungtae;Ku, Young;Rhyu, In-Chul
    • Journal of Periodontal and Implant Science
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    • 제51권6호
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    • pp.398-408
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    • 2021
  • Purpose: In this study, we aimed to evaluate the clinical validity of the modified tunneling technique using minimal soft tissue harvesting and volume-stable collagen matrix in the anterior mandible. Methods: In total, 27 anterior mandibular teeth and palatal donor sites in 17 patients with ≥1 mm of gingival recession (GR) were analyzed before and after root coverage. For the recipient sites, vertical vestibular incisions were made in the interdental area and a subperiosteal tunnel was created with an elevator. After both sides of the marginal gingiva were tied to one another, a prepared connective tissue graft and volume-stable collagen matrix were inserted through the vestibular vertical incision and were fixed with resorbable suture material. The root coverage results of the recipient site were measured at baseline (T0), 3 weeks (T3), 12 weeks (T12), and the latest visit (Tl). For palatal donor sites, a free gingival graft from a pre-decided area avoiding the main trunk of the greater palatine artery was harvested using a prefabricated surgical template at a depth of 2 mm after de-epithelization using a rotating bur. In each patient, the clinical and volumetric changes at the donor sites between T0 and T3 were measured. Results: During an average follow-up of 14.5 months, teeth with denuded root lengths of 1-3 mm (n=12), 3-6 mm (n=11), and >6 mm (n=2) achieved root coverage of 97.01%±7.65%, 86.70%±5.66%, and 82.53%±1.39%, respectively. Miller classification I (n=12), II (n=10), and III (n=3) teeth showed mean coverage rates of 97.01%±7.65%, 86.91%±5.90%, and 83.19%±1.62%, respectively. At the donor sites, an average defect depth of 1.41 mm (70.5%) recovered in 3 weeks, and the wounds were epithelized completely in all cases. Conclusions: The modified tunneling technique in this study is a promising treatment modality for overcoming GR in the anterior mandible.

감각통합치료가 발달지연 아동의 침 흘림과 놀이에 미치는 효과: 단일사례연구 (Effect of Sensory Integration Therapy with Oral Activity on Drooling and Play in Children with Developmental Disorder: Single-Subject Research)

  • 박소희;홍은경
    • 대한감각통합치료학회지
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    • 제21권3호
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    • pp.54-64
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    • 2023
  • 목적 : 본 연구는 구강감각의 감각조절장애가 있는 발달지연 아동을 대상으로 구강활동을 포함한 감각통합 치료를 적용하여 침 흘림과 구강장난감을 활용한 놀이에 대한 효과를 알아보고자 하였다. 연구방법 : 연구대상은 2세 8개월의 구강감각의 감각조절장애가 있는 발달지연 남아 2명이었다. 단일대상연구 ABA' 중 대상자간 중다기초설계(multiple-baseline design across subjects)를 사용하였다. 목표행동은 목표성취도 척도(Goal Attainment Scale; GAS)를 사용하여 침 흘림과 구강 장난감을 활용한 놀이 대한 관심과 집중으로 측정하였다. 중재기(B) 10회기 동안 구강활동과 고유-전정 중심의 감각통합치료를 아동에게 적용하였다. 결과 : 침 흘림은 기초선 기간에 평균 목표행동 값(GAS)이 A 아동 0.25점, B 아동-0.5점에서 중재 기간에는 A 아동 1.88점, B 아동 1.4점으로 향상했고 유지기 동안 평균은 A, B 아동 모두 3점이었다. 놀이에 대한 기초선 기간에 평균 목표행동 값은 A 아동은 -0.75점, B 아동은 0.75점에서 중재 기간 A 아동은 1.9점, B 아동은 1.1점이었고 유지기 동안 평균은 A 아동 1.33점, B 아동 2점이었다. 결론 : 구강활동을 포함한 고유-전정감각 중심의 감각통합치료는 구강감각의 감각조절문제가 있는 아동에게 침 흘림과 구강장난감을 활용한 놀이에 효과가 있는 것으로 보인다.

Segmental osteotomy for mobilization of dental implant

  • Olate, Sergio;Weber, Benjamin;Marin, Alvaro
    • Journal of Periodontal and Implant Science
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    • 제43권5호
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    • pp.243-247
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    • 2013
  • Purpose: The aim of this work is to evaluate a surgical technique for mobilization of mal posed dental implant in anterior area. Methods: A 38-year-old patient consulted our unit for esthetic dissatisfaction with the implant treatment of a central incisor. An implant was observed in 11 and 21, where 11 was 3 mm above the ideal limit, with excessive vestibular angulation. The choice was made to perform a segmental osteotomy and mobilize the bone block and the implant down and forward; a bone block extracted from the mandibular ramus was installed between the implant block and the bed to stabilize the segment. Results: After 4 months, a conventional fixed prosthesis was created and the esthetic result achieved was close to what the patient wanted, with no need for further surgery. The surgical condition was stabilized and maintained for the long-time and no complications how necrosis, infection or bone defects was present. Conclusions: It was concluded that the procedure is efficient, and the biological arguments in favor of the procedure are discussed.

Presentation of budge sonance with small action on the body motion

  • Kim, Jeong-lae;Kim, Kyu-dong
    • International journal of advanced smart convergence
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    • 제4권1호
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    • pp.35-39
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    • 2015
  • This study was presented the small action by the budge sonance function. An estimation of budge sonance function was acquired displacements across all condition with a variation of small action. The budge sonance function was to be indicated to express the flow rate of body motion. Their function was suggested an issue of the action condition by budge sonance. This system was proposed a combination of the body motion and small action. The acquired sonance signal was to render the small action of body motion with budge sonance function. The analysis of budge function was generally realized a variation from displacements on the fast body motion. Budge sonance signal of action that vision condition was acquired to a variation of the $Vi-{\beta}_{AVG}$ with $(-4.954){\pm}(-5.42)$ units, that vestibular condition was acquired to a variation for the $Ve-{\beta}_{AVG}$ with $(-2.288){\pm}0.212$ units, that somatosensory condition was acquired to a variation for the $So-{\beta}_{AVG}$ with $(-0.47){\pm}0.511$ units, that CNS condition was acquired to a variation for the $C-{\beta}_{AVG}$ with $(-0.171){\pm}(-0.012)$ units. Budge sonance function was proposed the small action from axial action on body control. We know a body motion response from axial action was not only variation of budge sonance, but also body motion of fast body motion.

편측 무시 환자에서 시각 정보 차단이 머리 위치 정렬에 미치는 영향: 사례 연구 (The Effect of Visual Cue Deprivation for the Head Alignment on Unilateral Neglect Patient: Case Report)

  • 장종성;박정미;이미영
    • 대한물리의학회지
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    • 제8권3호
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    • pp.337-342
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    • 2013
  • PURPOSE: The Unilateral neglect is characterized by difficulty shifting attention to the side of space opposite the brain lesion and frequently reducing use of contralesional extremities. This study was to identify whether the visual deprivation was responsible for head position on unilateral neglect patient after stroke. METHODS: A patient with left middle cerebral artery infarction participated in the study. We assessed neglect using line bisection and star cancellation test. Patient was instructed to maintain correct alignment of trunk and head in a sit position. We evaluated degree of head lateral tilting and rotation. Then, patient was blocked visual input. Also, we evaluated head position in the same way. RESULTS: He scored 3 points in the line bisection test and 9 points star cancellation test. In postural evaluation, he had deviated posture such as lateral head tilting and rotation. After visual cue deprivation, patient showed different head position which was decreased degree of head tilting and rotation. CONCLUSION: For vertical body orientation, it was used multiple sensory references including the vestibular, somatosensory, and visual system. This finding suggested that abnormal posture of neglect patient could be related to the visual input. It has important clinical implications in terms of understanding the neglect.

Development of a New Training System for the Improvement of Equilibrium Sense

  • Kwon, Tae-Kyu;Park, Yong-Gun;Yu, Mi;Kim, Seong-Hyun;Hong, Chul-Un;Kim, Nam-Gyun
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2004년도 ICCAS
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    • pp.206-210
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    • 2004
  • This paper proposes a new training system for equilibrium sense using unstable platform. This training system for equilibrium sense consists of an unstable platform, a computer interface circuit and software program. Postural instability changes the weighting of different types of sensory information and the state of the equilibrium maintenance system. In order to improve the equilibrium sense, we developed software program such as a block game, sine curve training (SCT) and pingpong game using Visual C++. Using this system and training programs, we performed an experiment to train the equilibrium sense of a subject. To evaluate the effects of balance training, the time maintained on the target and the moving time to the target are measured. As a result, the moving time to the target and time to maintain cursor on the target improved through repeating equilibrium sense training. It was concluded that this system was reliable in the evaluation of equilibrium sense. We expect that this system might be applied to clinical use as an effective balance training system.

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Total Palatal Mucosal Free Graft를 이용한 비정상 협소대 치험 1예 (Correction of an unusual abnormal buccal frenum by Total Palatal Mucosal Free Graft : A Case Report)

  • 박형식;김선용;이상휘
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제12권3호
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    • pp.42-48
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    • 1990
  • This is a case report on an unusual - heavy buccal frenum in young lady which was treated by frenectomy, vestibuloplasty and total-palatal mucosal free graft. The authors noticed that this abnormal condition lead several chronic complications in young patient as like as premature loss of upper molar teeth, early and rapid loss of alveolar bone around insertion of frenum, over - extended eruption of lower molar teeth and abnormal mandibular movements, etc. After frenectomy and surgical extension of buccal vestiblue on both upper and lower posterior regions, we obtained a full - sized palatal mucosal graft and moved it on upper and lower extension area seperately as two pieces of free grafts to offer inherent function of denture - bearing mucogingiva and same color - matching with oral mucosa and to prevent post - operative relapse of vestibular height. We discussed here about unusual abnormality and their complications of unusual buccal frenum and its treatment.

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Study of the valuation system for movement condition: R-L

  • Kim, Jeong-Lae;Kim, Kyu-Dong
    • International journal of advanced smart convergence
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    • 제3권1호
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    • pp.15-19
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    • 2014
  • This study was compared the variation system of body posture condition for stability by the posture. We used a model of bio parameter on the basis of the move state in the standing posture. We compared the sway movement derived from average of the physical sensing condition. Vision condition of variation average (Vi-${\sigma}_{AVG-AVG}$) was verified slightly greater at $13.746{\pm}4.05$ unit. Vestibular condition of variation average (Ve-${\sigma}_{AVG-AVG}$) was verified slightly larger at $7.829{\pm}1.071$ unit. Somatosensory condition of variation average (So-${\sigma}_{AVG-AVG}$) was verified slightly smaller at $2.592{\pm}0.538$ unit. CNS condition of variation average (C-${\sigma}_{AVG-AVG}$) was verified slightly larger at $0.46{\pm}0.105$ unit. The valuation system will be to deduce the model of body management with falling and stroke and all that sort of things. There will be to infer a data algorithm and the evaluation of processing system.