• 제목/요약/키워드: jaw movement pattern

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전치부 반대교합 성인의 저작양상에 관한 연구 (Study on masticatory pattern of adult having anterior cross bite)

  • 손병화;유형석;박종진
    • 대한치과교정학회지
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    • 제27권1호
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    • pp.35-44
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    • 1997
  • 저작은 기본적으로 Brain system의 central pattern generator(CPG)에 의해 조절되며, CPG로 부터 target 기관까지의 출력(output)은 oral sensory feedback에 의해 변형된다. 전치부 반대교합은 이 feedback mechanism에 영향을 미치어 muscle activity와 jaw movement를 바꾼다. 본연구는 정상교합자와 전치부 반대교합자의 muscle activity와 jaw movement pattern의 차이를 알고자 시행하였다.대상은 각각 성인남녀 30명씩으로 하였으며 측정은 Biopak system의 EMG와 EGN을 사용하여 얻은 결과는 다음과 같다. 1. Resting시 실험군이 정상군보다 모든 근육(좌측 악이복근 제외)에서 높은 근활성도를 보였다. 2. Clenching시는 정상군과 실험군간의 유의차가 없었다.(우측 악이복근 제외) 3. Swallowing시는 정상군이 좌우측 교근과, 우측 후측두근 에서 실험군보다 높은 근활성도를 보였다. 4. 최대 개폐구속도는 정상군이 실험군보다 큰 값을 보였다. 5. 최대개구량과 최대전후방운동량 및 측방변위량은 정상군이 실험군보다 큰 값을 나타냈다.

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Short-term changes in muscle activity and jaw movement patterns after orthognathic surgery in skeletal Class III patients with facial asymmetry

  • Kim, Kyung-A;Park, Hong-Sik;Lee, Soo-Yeon;Kim, Su-Jung;Baek, Seung-Hak;Ahn, Hyo-Won
    • 대한치과교정학회지
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    • 제49권4호
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    • pp.254-264
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    • 2019
  • Objective: To evaluate the short-term changes in masticatory muscle activity and mandibular movement patterns after orthognathic surgery in skeletal Class III patients with facial asymmetry. Methods: Twenty-seven skeletal Class III adult patients were divided into two groups based on the degree of facial asymmetry: the experimental group (n = 17 [11 male and 6 female]; menton deviation ${\geq}4mm$) and control group (n = 10 [4 male and 6 female]; menton deviation < 1.6 mm). Cephalography, electromyography (EMG) for the anterior temporalis (TA) and masseter muscles (MM), and mandibular movement (range of motion [ROM] and average chewing pattern [ACP]) were evaluated before (T0) and 7 to 8 months (T1) after the surgery. Results: There were no significant postoperative changes in the EMG potentials of the TA and MM in both groups, except in the anterior cotton roll biting test, in which the masticatory muscle activity had changed into an MM-dominant pattern postoperatively in both groups. In the experimental group, the amount of maximum opening, protrusion, and lateral excursion to the non-deviated side were significantly decreased. The turning point tended to be shorter and significantly moved medially during chewing in the non-deviated side in the experimental group. Conclusions: In skeletal Class III patients with facial asymmetry, the EMG activity characteristics recovered to presurgical levels within 7 to 8 months after the surgery. Correction of the asymmetry caused limitation in jaw movement in terms of both ROM and ACP on the non-deviated side.

A Language-Specific Physiological Motor Constraint in Korean Non-Assimilating Consonant Sequences

  • Son, Min-Jung
    • 말소리와 음성과학
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    • 제3권3호
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    • pp.27-33
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    • 2011
  • This paper explores two articulatory characteristics of inter-consonantal coordination observed in lingual-lingual (/kt/, /ks/) and labial-lingual (/pt/) sequences. Using electromagnetic articulometry (EMMA), temporal aspects of the lip movement and lingual movement (of the tongue tip and the tongue dorsum) were examined. Three sequences (/ks/, /kt/, /pt/) were investigated in two respects: gestural overlap in C1C2 and formation duration of coronals in C2 (/t/ or /s/). Results are summarized as follows. First, in a sequence of two stop consonants gestural overlap did not vary with order contrast or a low-level motor constraint on lingual articulators. Gestural overlap between two stop consonants was similar in both /kt/ (lingual-lingual; back-to-front) and /pt/ (labial-lingual; front-to-back). Second, gestural overlap was not simply constrained by place of articulation. Two coronals (/s/ and /t/) shared the same articulator, the tongue tip, but they showed a distinctive gestural overlap pattern with respect to /k/ in C1 (/ks/ (less overlap) < /kt/ (more overlap)). Third, temporal duration of the tongue tip gesture varied as a function of manner of articulation of the target segment in C2 (/ks/ (shorter) < /kt/ (longer)) as well as a function of place of articulation of the segmental context in C1 (/pt/ (shorter) < /kt/ (longer)). There are several implications associated with the results from Korean non-assimilating contexts. First, Korean can be better explained in the way of its language-specific gestural pattern; gestural overlap in Korean is not simply attributed to order contrast (front-to-back vs. back-to-front) or a physiological motor constraint on lingual articulators (lingual-lingual vs. nonlingual-lingual). Taking all factors into consideration, inter-gestural coordination is influenced not only by C1 (place of articulation) but also C2 (manner of articulation). Second, the jaw articulator could have been a factor behind a distinctive gestural overlap pattern in different C1C2 sequences (/ks/ (less overlap) vs. /kt/ and /pt/ (more overlap)). A language-specific gestural pattern occurred with reference to a physiological motor constraint on the jaw articulator.

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Development of Mandibular Movements Measuring System Using Double Stereo-Cameras

  • Park, Soon-Yong;Park, Sung-Kee;Cho, Chang-Hyun;Kim, Mun-Sang;Park, Mi-Gnon
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2005년도 ICCAS
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    • pp.1183-1188
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    • 2005
  • In this paper, we propose a 3D automated measuring system which measures the mandibular movements and the reference plane of the jaw movements. In diagnosis and treatment of the malocclusions, it is necessary to estimate the mandibular movements and the reference plane of the jaw movements. The proposed system is configured with double stereo-cameras, PC, two moving pattern plates(MPPs), two fixed pattern plates(FPPs) and one orbital marker. The virtual pattern plate is applied to calculate the homogeneous transformation matrices which describe the coordinates systems of the FPP and MPP with respect to the world coordinates system. To estimate the parameters of the hinge axis, the Euler's theorem is applied. The hinge axis points are intersections between the FPPs and the hinge axis. The coordinates of a hinge axis point with respect to the MPP coordinates system are set up to fixed value. And then, the paths of the jaw movement can be calculated by applying the homogeneous transformation matrix to fixed hinge axis point. To examine the accuracy of the measurements, experiments of measuring the hinge axis points and floating paths of them are performed using the jaw motion simulator. As results, the measurement errors of the hinge axis points are within reasonable boundary, and the floating paths are very similar to the simulator's moving path.

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애성환자에 있어서 잘못된 발성습관에 관한 연구 (The Study of Faulty Vocal Habits in Patients with Hoarsenes)

  • 안철민;박정은
    • 대한후두음성언어의학회지
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    • 제10권1호
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    • pp.12-16
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    • 1999
  • Background and Objectives : The common cause of voice disorders may be bad habits of phonation. faulty vocal habits might aggravate the voice disorder or make the dysphonia. Authors thought the analysis of faulty vocal habits might help to evaluate the causes and to choose the treatment methods in patients with dysphonia. Authors studied to evaluate which vocal habits were used in patients with dysphonia. Materials and Methods : Patients with dysphonia(N= 32) and person without dysphonia(N=20) were evaluated through pre-evaluation test by otolaryngologist and SLP. All subjects were evaluated accordingly Posture of body, expansion of cervical vein, excessive movements of thyroide prominence, position of tongue, tension of lower lip, tension of jaw, breathing pattern related with phonation. Results : In dysphonia group, we found 23 cases with tension of jaw, 15 cases with expansion of cervical vein, 7 cases with bad position of tongue, 3 cases with excessive movement of thyroid prominence and a lot of cases with bad breathing Pattern on Phonation. In control group, only 3 cases with bad position of tongue, 2 cases with tension of lower lip, 1 case with tension of jaw were found. Conclusions : More faulty vocal habits were found in dysphonia group. Authors thought faulty vocal habits could be the cause of dysphonia and aggravate the dysphonia and the control of vocal habits would be very important in patients with dysphonia.

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저작시(咀嚼時) 하악운동(下顎運動)의 양상(樣相) (Mandibular Movement Pattern During Mastication)

  • 배영수;조광헌
    • 대한치과보철학회지
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    • 제24권1호
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    • pp.117-124
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    • 1986
  • 경북대학교 치과대학에 재학중인 남자 17명, 여자 7명 총 24명을 연구대상으로 M.K.G의 sweep mode에 나타나는 저작운동을 분석한 바 다음과 같은 결과를 얻었다. 단일 저작회로의 기간은 $515{\pm}87msec.$ 이며, 이중 폐구 기간이 가장 길었고, 개구 기간, centric pause의 기간 순위였다. (P<0.005). 개구시 저작측으로 측방변위한 양은 $3.5{\pm}1mm$이었고, 비저작측으로 측방변위한 양은 $1.0{\pm}0.7mm$이었다. 개구시 최대 수직속도는 $120{\pm}28m/sec.$이며, 폐구시 최대 수직속도는 $109{\pm}21mm/sec.$로서 개구시의 최대 수직속도가 더 빠르게 나타났다. (P<0.05).

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Tooth Positioner의 제작에 관해서 (CONSTRUCTION PROCEDURE OF TOOTH POSITIONER)

  • 경희문;성재현
    • 대한치과교정학회지
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    • 제12권1호
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    • pp.61-68
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    • 1982
  • Tooth Positioner는 band를 제거한 후 가능한 빨리 장착시켜야 susceptible하며 무엇보다도 환자의 생리학적 jaw movement를 설정해서 제작해야 하고 적어도 hingeaxis relation은 찾아서 제작해야한다. Positioner의 장착시간은 하루에 $3\~4$시간의 active biting exercise와 수안시간동안 사용하게 한다. 처음 장착시에 가장 tight하고 이 tightness 는 치아가 요망되는 위치로 근접함에 따라서 점차 감소되고 이 tightness의 감소가 작용효과의 가장 좋은 지침이 되며 자는 하루 하루 그 변화를 느껴야 한다. Positioner가 느슨하게 적합되고 좋은 교합관계를 보이면 장착을 수안시간동안으로 제한시키거나 혹은 깨어 있을 동안 한 두시간 장착하게 한아. 대개 $3\~4$주 후에 predetermined pattern과 유사하게 되며, 일반적으로 장착 후 $8\~10$주 후에 더 장착할 것인가를 결정하고 필요성이 없다면 conventional retainer로 바꾸어 준다. Tooth Positioner는 기능적인 구호흡, thumb sucking, snoring을 해소시켜 줄 수 있으며 jaw relationship이나 overbite문제를 해결할 수 있다. 그리고 chair time을 감소시켜 줄 수 있으며 tissue tone을 자극해서 치아위치를 증진시키는데 끊임없이 작용한다. 그러나 제작에 많은 시간이 걸리고 치아를 배열하는 술자의 능력에 따라 치료효과가 많이 좌우되며 너무 bulky하므로 이물감이 커서 유용하게 장착할 수 있는 시간이 제한적이고 natural muscle balance에 대해 간헐적인 교정력을 가함으로써 치아를 loosening 시킬 수 있다. 이 장치물은 다른 removable appliance와 같이 환자의 협조가 무엇보다 중요하므로 환자에게 장착동기를 유발시켜 주는 것이 좋으며 True Blocked Nasal Airway가 있는 환자에게는 금기증이 된다.

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Why most patients do not exhibit obstructive sleep apnea after mandibular setback surgery?

  • Kim, Jin-Wook;Kwon, Tae-Geon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제42권
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    • pp.7.1-7.8
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    • 2020
  • Maxillomandibular advancement (MMA) is effective for the treatment of obstructive sleep apnea (OSA). In previous studies, the airway was increased in the anteroposterior and transverse dimensions after MMA. However, the effect of the opposite of mandibular movement (mandibular setback) on the airway is still controversial. Mandibular setback surgery has been suggested to be one of the risk factors in the development of sleep apnea. Previous studies have found that mandibular setback surgery could reduce the total airway volume and posterior airway space significantly in both the one-jaw and two-jaw surgery groups. However, a direct cause-and-effect relationship between the mandibular setback and development of sleep apnea has not been clearly established. Moreover, there are only a few reported cases of postoperative OSA development after mandibular setback surgery. These findings may be attributed to a fundamental difference in demographic variables such as age, sex, and body mass index (BMI) between patients with mandibular prognathism and patients with OSA. Another possibility is that the site of obstruction or pattern of obstruction may be different between the awake and sleep status in patients with OSA and mandibular prognathism. In a case-controlled study, information including the BMI and other presurgical conditions potentially related to OSA should be considered when evaluating the airway. In conclusion, the preoperative evaluation and management of co-morbid conditions would be essential for the prevention of OSA after mandibular setback surgery despite its low incidence.

강체 운동 해석 기법에 관한 연구 -하악골 운동 파라미터 결정 기법을 주로- (A Study on a Method of Rigid Body Movement Analysis -Mainly on Mandible Movement Parameter Determination-)

  • 정채영;송철;이권현
    • 한국통신학회논문지
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    • 제15권4호
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    • pp.301-314
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    • 1990
  • 본 논문은 시각 패턴 인식 기법을 이용하여 보이지 않는 강체의 운동을 해석하고자 한다. 가려져 보이지 않는 강체에 특수 모양의 강체를 부착하여 볼 수 있게 한 다음, 강체의 운동을 비디오 카메라로 포착한다. 모든 운동은 평행 이동과 회전 이동으로 나타낼 수 있다. 그러나 평행 이동도 무한 원점을 중심으로 한 회전 운동으로 표현할 수가 있다. 따라서, 운동 해석은 순간 회전 중심과 회전각을 구하는 것이다. 구현한 알고리즘은 인체의 하악 운동에 적용 시켰다.

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자음의 조음 위치와 인접 모음 길이의 상관성에 관한 연구: 영어와 한국어의 경우 (Correlation between Consonants' Place and Vowel Duration in English and Korean)

  • 오은진
    • 음성과학
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    • 제9권3호
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    • pp.201-210
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    • 2002
  • This paper explores whether there is correlation between consonants' place and duration of adjacent vowels in English and Korean. The results showed that in English the vowels preceding alveolar stops were in general longer than the vowels before bilabial or velar stops. Consonants appeared to have their inherent length due to their place and to exhibit some compensatory effects on the duration of preceding vowels. This effect can be explained in a physiological term that the tongue tip is the organ which might be more agile in articulatory movement than the tongue body for the velars or the lower lip (and the jaw) for the bilabials is and the shorter production time of the alveolars caused the lengthening of the adjacent vowels. However, this physiological account did not hold in the case of Korean, which exhibited less consistent patterns across speakers for the consonants' place and the vowel duration. The segmental duration seemed to be timed quite consistently within a language but the pattern was not universal across languages.

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