• Title/Summary/Keyword: Vestibular

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A Case Report of a Patient with Lateropulsion in Lateral Medullary Infarction Improved by Korean Medicine Treatment Including Scalp Acupuncture (가쪽쏠림보행을 동반한 외측 연수경색 환자의 두침요법을 병행한 한의치료: 증례보고)

  • Hyun, Jae-Cheol;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.193-201
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    • 2021
  • The aim of this study was to report the effect of Korean medicine treatment with scalp acupuncture of patient with lateropulsion, dizziness, headache caused by lateral medullary infarction. We treated the patient with scalp acupuncture, acupuncture, herbal medicine. Numeric rating scale (NRS), Korean version of berg balance scale (K-BBS), gait balance evaluation, dizziness handicap inventory (DHI), activities-specific balance confidence scale (ABC) and vestibular disorders activities of daily living scale (VADL) were used to evaluate symptoms. NRS of Lateropulsion, dizziness, headache were decreased. K-BBS score increased from 4 to 56, and in the gait balance evaluation, it returned to normal. DHI, VADL score were decreased and ABC score increased from 0 to 1,300. This case report shows that Korean medicine treatment with scalp acupuncture can be effective in lateral medullary infarction. However, further controlled studies are needed to confirm the effect of scalp acupuncture on such patients.

Cephalic lateral crural advancement flap

  • Bulut, Fuat
    • Archives of Plastic Surgery
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    • v.48 no.2
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    • pp.158-164
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    • 2021
  • Background In lower lateral cartilage (LLC) surgery, cephalic trimming poses risks for the collapse of the internal and external nasal valves, pinched nose, and drooping deformity. The cephalic lateral crural advancement (CLCA) technique presented herein was aimed at using a flap to increase nasal tip rotation and support the lateral crus, in addition to the internal and external nasal valves, by avoiding grafts without performing excision. Methods This study included 32 patients (18 female and 14 male) and the follow-up period for patients having undergone primer open rhinoplasty was 12 months. The LLC was elevated from the vestibular skin using the CLCA flap. A cephalic incision was performed without cephalic trimming. Two independent flaps were formed while preserving the scroll ligament complex. The CLCA flap was advanced onto the lower lateral crus while leaving the scroll area intact. The obtained data were analyzed retrospectively. Results The mean age of the patients was 31.6 years (range, 20-51 years). The Rhinoplasty Outcome Examination scores after 12 months varied from 90 to100 points, and 93% of patients reported perfect satisfaction. At a 1-year follow-up, the patients' nasal patency (visual analogue scale) rose from 4.56±1.53 (out of 10) to 9.0±0.65 (P<0.001). Conclusions The CLCA flap led to better nasal tip definition by protecting the scroll area, increasing tip rotation, and supporting the internal and external nasal valves without cephalic excision.

Effects of electrostimulation therapy in facial nerve palsy

  • Sommerauer, Laura;Engelmann, Simon;Ruewe, Marc;Anker, Alexandra;Prantl, Lukas;Kehrer, Andreas
    • Archives of Plastic Surgery
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    • v.48 no.3
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    • pp.278-281
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    • 2021
  • Facial palsy (FP) is a functional disorder of the facial nerve involving paralysis of the mimic muscles. According to the principle "time is muscle," early surgical treatment is tremendously important for preserving the mimic musculature if there are no signs of nerve function recovery. In a 49-year-old female patient, even 19 months after onset of FP, successful neurotization was still possible by a V-to-VII nerve transfer and cross-face nerve grafting. Our patient suffered from complete FP after vestibular schwannoma surgery. With continuous application of electrostimulation (ES) therapy, the patient was able to bridge the period between the first onset of FP and neurotization surgery. The significance of ES for mimic musculature preservation in FP patients has not yet been fully clarified. More attention should be paid to this form of therapy in order to preserve the facial musculature, and its benefits should be evaluated in further prospective clinical studies.

Comparative scanning electron microscope analysis of the enamel of permanent human, bovine and porcine teeth

  • Olek, Aneta;Klimek, Leszek;Boltacz-Rzepkowska, Elzbieta
    • Journal of Veterinary Science
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    • v.21 no.6
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    • pp.83.1-83.14
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    • 2020
  • Background: Bovine and porcine teeth are often used in in vitro experiments as substitutes of human teeth. Objectives: The aim of the present study was to perform a comparative analysis of enamel morphology of permanent human, bovine and porcine teeth under the scanning electron microscope. Methods: As many as 10 human, 10 bovine, and 10 porcine teeth were studied. All the teeth were sectioned and the halves were randomly divided into 2 groups according to the examined tissue (vestibular enamel at the mid-height of the dental crown and in the cervical area). Human and bovine enamel was etched for 15 sec and porcine enamel for 30 sec. The scanning electron microscope analysis was performed. The length and width of enamel prisms were determined with the "Met-Ilo" 1.1 computer program. Results: All enamel samples revealed the same etching pattern-Silverstone's type 2. Bovine enamel showed a similar porosity and the amount of interprismatic enamel compared to human enamel while the amount and width of interprismatic enamel bands in porcine enamel were evidently greater. The shape of the porcine prisms was visually similar to human prisms, although dimensions were significantly different. However, bovine prisms differed in form and appeared to be distinctly elongated. Conclusions: Reported findings indicate that the results of experimental studies carried out on bovine and porcine enamel should not be compared with the results obtained on human enamel.

Comparison of Abdominal Oblique Muscle Activity During Leg Raising in Hook-lying Position According to Surface Conditions (Hook-lying 자세에서 한쪽 다리 들기시 지지면의 안정성에 따른 복사근의 근활성도 비교)

  • Kim, Su-Jeong;Weon, Jong-Hyuck;Oh, Jae-Seop;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.13 no.3
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    • pp.102-110
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    • 2006
  • To improve trunk stability, various exercise protocols were introduced into the clinical field. Trunk and lumbar stability exercises on unstable surfaces are especially recommended to improve lumbar stability. The purpose of this study was to compare abdominal oblique muscle activity during leg raising in hook-lying position among 3 different type of surface conditions (on floor (F), vestibular board (VB), and foam roll (FR)). Sixteen able-bodied volunteers, who had no medical history of lower extremity or lumbar spine disease, were recruited for this study. Surface electromyography (EMG) activity was recorded from the internal and external oblique muscles of both sides. The normalized EMG activity was compared using a one-way repeated ANOVA. The results showed that the EMG activities of the internal oblique and external oblique of the lifted leg side during straight leg raising significantly increased under the FR condition when compared to the F condition. There was no significant difference of the EMG activity in abdominal oblique muscles between the VB and the FR conditions. The EMG activity of the internal oblique of supported leg side during the straight leg raising was significantly greater under the FR condition than the VB and F conditions (p<.05). The composition ratio of EMG activity of internal oblique muscles during straight leg raising was significantly increased under the FR condition. Therefore, straight leg raising exercise on foam roll in hook lying position could be beneficial to improve trunk and lumbar stability.

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Study of quake wavelength of dynamic movement with posture

  • Kim, Jeong-lae;Hwang, Kyu-sung
    • International journal of advanced smart convergence
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    • v.4 no.1
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    • pp.99-103
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    • 2015
  • Quake wavelength technique was designed of the sway by the body. There was presented a concept of the dangle wavelength by twisting condition of posture. We compared to the twisting condition for an average variation and maximum variation with the movement. There was used a combination system and correlation system of the posture. Their correlation signal was presented a control data by the dynamic movement. The quake wavelength system was to be formation of activity aspects by posture. The correlation of wavelength technique was applied to the a little action of posture variation signal. Quake wavelength by the dynamic movement was determined to a variation of vision condition of the $Vi-{\alpha}_{AVG}$ with $(-1.27){\pm}(-0.34)$ units, that vestibular condition of the $Ve-{\alpha}_{AVG}$ with $(-0.49){\pm}(-0.4)$ units, that somatosensory condition of the $So-{\alpha}_{AVG}$ with $0.037{\pm}0.269$ units, that CNS condition of the $C-{\alpha}_{AVG}$ with $(-0.049){\pm}0.015$ units. As the study of the quake wavelength technique was depended on the action system of body movement that a maximum and averag values was used a movement of combination data. The system was required an action signal for the form of actual signal on the basis of a little movement condition in the body. The human action systemwas compared to maximum and average from the movement derived the body. Therefore, their system was controlled to evaluate posture condition for the body correlation.

The Effect of Multisensory Exercise on Foot Pressure Sensitivity, Balance for the Elderly (다감각 운동이 여성노인의 발 바닥 압력감각, 균형에 미치는 영향)

  • Kang, Ji-Eun;Yi, Kyung-Ock;Lee, Tae-Yong
    • Korean Journal of Applied Biomechanics
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    • v.25 no.1
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    • pp.95-101
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    • 2015
  • Objective : The purpose of this study was to analyze the effects of multisensory exercise on foot pressure sensitivity and balance for the elderly. Method : The subjects were 17 elderly women (11 for the experimental group and 6 for the control group) with a mean age of 83. The subjects all lived in senior residence centers in Seoul. Multisensory exercise was done twice a week for 40 minutes during a 12 week period. Exercise programs were changed every 3 weeks according to the principal of gradual progress of the exercise. In order to train the vision system subjects were asked to open and close their eyes during exercise. When it came to training the vestibular system, subjects stood and walked on high elastic mats with their bare feet. For the somatasensory system subjects always stood and walked with their bare feet. The sub-Metatarsal Pad Elasticity Acquisition Instrument (MPEAI) was used to measure foot pressure sensitivity. MFT Balance test (V1.7) was used to measure anterior / posterior and medial / lateral directional balance. For the statistical analysis the IBM SPSS 21.0 was used to perform Repeatde measured ANOVA and Wilcoxon ranked test. Results : For the multisensory exercise group Hallux (after 6 weeks, 12 weeks), heel (after 6 weeks) and 2nd Metartarsal $40^{\circ}$ (after 6 weeks) pressure sensitivity increased statistically, but the control group didn't change. Also, balance didn't change for the experimental and control group statistically. Conclusion : Exercise with bare feet on a high elastic mat had a partially positive effect on foot sensitivity.

Simple Correction of Alar Retraction by Conchal Cartilage Extension Grafts

  • Jang, Yong Jun;Kim, Sung Min;Lew, Dae Hyun;Song, Seung Yong
    • Archives of Plastic Surgery
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    • v.43 no.6
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    • pp.564-569
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    • 2016
  • Background Alar retraction is a challenging condition in rhinoplasty marked by exaggerated nostril exposure and awkwardness. Although various methods for correcting alar retraction have been introduced, none is without drawbacks. Herein, we report a simple procedure that is both effective and safe for correcting alar retraction using only conchal cartilage grafting. Methods Between August 2007 and August 2009, 18 patients underwent conchal cartilage extension grafting to correct alar retraction. Conchal cartilage extension grafts were fixed to the caudal margins of the lateral crura and covered with vestibular skin advancement flaps. Preoperative and postoperative photographs were reviewed and analyzed. Patient satisfaction was surveyed and categorized into 4 groups (very satisfied, satisfied, moderate, or unsatisfied). Results According to the survey, 8 patients were very satisfied, 9 were satisfied, and 1 considered the outcome moderate, resulting in satisfaction for most patients. The average distance from the alar rim to the long axis of the nostril was reduced by 1.4 mm (3.6 to 2.2 mm). There were no complications, except in 2 cases with palpable cartilage step-off that resolved without any aesthetic problems. Conclusions Conchal cartilage alar extension graft is a simple, effective method of correcting alar retraction that can be combined with aesthetic rhinoplasty conveniently, utilizing conchal cartilage, which is the most similar cartilage to alar cartilage, and requiring a lesser volume of cartilage harvest compared to previously devised methods. However, the current procedure lacks efficacy for severe alar retraction and a longer follow-up period may be required to substantiate the enduring efficacy of the current procedure.

A Study on the Control System Implementation of Human Body Nerves Signal (인체 신경신호 제어시스템 구현에 관한 연구)

  • Ko, Duck-Young;Kim, Sung-Gon;Choi, Jong-Ho
    • 전자공학회논문지 IE
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    • v.43 no.1
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    • pp.16-24
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    • 2006
  • This paper is aimed to develope of an integrated BCI(Brain Computer Interface System) that make possible for simultaneous multichannel data process and used extra cellular neural activity from the vestibular system instead of electroencephalogram signals for more precision control. The electrical properties pre-amplifier are 47.6 dB of gain, 0.005 % of distortion at 100 Hz, 12M$\Omega$ of input impedance. Window discriminator used two CPU with difference role to increase processing speed so that sampling frequency was 87 kHz. The designed window discriminator has more not only two times in signal resolution power but also ten times in error discrimination power than commericially available discriminator. The proposed method decreases 100 times in amount of integrated data then BCI system during 100 ms.

The Difference of Duration of Post-rotatory Nystagmus Test Between Normal Children and Children With Pervasive Developmental Disorder (비장애 아동과 전반적 발달장애 아동에서 회전 후 안구진탕 기간의 비교)

  • Kim, Jin-Mi;Song, Ji-Won;Hong, Eung-Kyoung;Kim, Sung-Hee;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.3 no.1
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    • pp.1-11
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    • 2005
  • Objective : The purpose of this study was to get the mean of duration of post-rotatory nystagmus test in normal children and to differentiate the duration of post-rotatory nystagmus test between normal children and children with pervasive developmental disorder. Method : 84 subjects were between 3 and 5 years of age and consisted of 64 normal children and 20 children with the pervasive developmental disorder. Analysis of the data was done by using t-test and ANOVA. Results : The results were as follows: 1. Range of duration of post-rotatory nyatagmus test in normal children was $5{\sim}22$second on left and $7{\sim}21$ second on right and the mean was 12.63 second on left and 12.59 second on right. 2. Range of duration of post-rotatory nystagmus test in children with the pervasive developmental disorder was $3{\sim}11$ second on both and the mean was 5.65 second on left and 5.60 second on right. 3. There was no significant difference between males and females with normal children in duration of post-rotatory nystagmus test. However, there was a significant difference of the mean duration between 3 and 5 years old normal group. 4. Children with pervasive developmental disorder significantly have relatively lower duration than the duration of post-rotatory nystagmus test of normal children. Conclusions : The results of the study showed significant difference between normal children and children with pervasive developmental disorder in duration of post-rotatory nystagmus test and suggest that they could be applied to the baseline of clinical therapy.

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