• Title/Summary/Keyword: wave treatment

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근막통증증후군 환자에게 통증점 체외충격파 치료가 경추의 가동 범위, 통증, 근육의 기계적 특성에 미치는 영향 (Effects of Extracorporeal Shock Wave Therapy in Pain Point on Range of Motion, Pain and Mechanical Muscle Properties in Myofascial Pain Syndrome)

  • 정구영;윤태림;이준희
    • 한국전문물리치료학회지
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    • 제28권1호
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    • pp.53-58
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    • 2021
  • Background: To evaluate whether extracorporeal shock wave therapy (ESWT) in the pain point is a more effective treatment than the trigger point for myofascial pain syndrome (MPS) of the upper trapezius. Objects: The purpose of this study was to compare the most effective areas when applying extracorporeal shock wave therapy. Methods: A total of 30 patients with MPS were randomly assigned to the trigger point in the ESWT (n = 15) and pain point ESWT (n = 15) groups. Interventions in both groups were performed in one session, i.e., 2,000 shocks with 1.5 bar intensity. Pain and function were assessed using the visual analog scale (VAS) and cervical range of motion (ROM) and based on mechanical muscle properties. Statistical analysis was performed using the repeated measures two-way analysis of variance to determine the significance probability between pre- and post-test. Results: Changes in mechanical muscle properties were not statistically significant between the two groups. However, VAS and cervical ROM showed statistically significant differences at pre- and post-intervention, regardless of the group (p < 0.05). Conclusion: Although no significant difference was observed in the intervention effect, applying an extracorporeal shock wave to the pain point rather than the pain trigger point should be considered in order to save time in effectively and accurately identifying the pain trigger point and site.

Corrosion resistance assessment of nickel-titanium endodontic files with and without heat treatment

  • Tatiana Dias Costa;Elison da Fonseca e Silva;Paula Liparini Caetano ;Marcio Jose da Silva Campos ;Leandro Marques Resende ;Andre Guimaraes Machado;Antonio Marcio Resende do, Carmo
    • Restorative Dentistry and Endodontics
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    • 제46권1호
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    • pp.6.1-6.10
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    • 2021
  • Objectives: The aim of this study was to evaluate the corrosion resistance of heat-treated (Reciproc and WaveOne) and non-heat-treated (ProTaper and Mtwo) superelastic nickel-titanium endodontic files when immersed in a 5.25% sodium hypochlorite solution. Materials and Methods: Anodic polarization curves were obtained with potential sweeps that began at the open circuit potential or corrosion potential (Ecorr). The pitting potential (Epit) was identified on the anodic polarization curve as the potential at which a sudden increase in current was observed. The micromorphology of the 28 tested files was analyzed before and after the electrochemical assay using scanning electron microscope (SEM). The data were analyzed using 1-way analysis of variance with the post hoc Bonferroni test (for Ecorr) and the Student t-test for independent samples (for Epit). Results: The mean Ecorr values were 0.506 V for ProTaper, 0.348 V for Mtwo, 0.542 V for Reciproc, and 0.321 V for WaveOne files. Only WaveOne and Protaper files exhibited pitting corrosion, with Epit values of 0.879 V and 0.904 V, respectively. On the SEM images of the ProTaper and WaveOne files, cavities suggestive of pitting corrosion were detected. Conclusions: Signs of corrosion were observed in both heat-treated and non-heat-treated files. Of the evaluated files, WaveOne (a heat-treated file) and ProTaper (a non-heat-treated file) exhibited the lowest corrosion resistance.

Quantification of Nerve Viscosity Using Shear Wave Dispersion Imaging in Diabetic Rats: A Novel Technique for Evaluating Diabetic Neuropathy

  • Feifei Liu;Diancheng Li;Yuwei Xin;Fang Liu;Wenxue Li;Jiaan Zhu
    • Korean Journal of Radiology
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    • 제23권2호
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    • pp.237-245
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    • 2022
  • Objective: Viscoelasticity is an essential feature of nerves, although little is known about their viscous properties. The discovery of shear wave dispersion (SWD) imaging has presented a new approach for the non-invasive evaluation of tissue viscosity. The present study investigated the feasibility of using SWD imaging to evaluate diabetic neuropathy using the sciatic nerve in a diabetic rat model. Materials and Methods: This study included 11 diabetic rats in the diabetic group and 12 healthy rats in the control group. Bilateral sciatic nerves were evaluated 3 months after treatment with streptozotocin. We measured the nerve cross-sectional area (CSA), nerve stiffness using shear wave elastography (SWE), and nerve viscosity using SWD imaging. The motor nerve conduction velocity (MNCV) was also measured. These four indicators and the histology of the sciatic nerves were then compared between the two groups. The performance of CSA, SWE, and SWD imaging in distinguishing the two groups was assessed using receiver operating characteristic (ROC) analysis. Results: Nerve CSA, stiffness, and viscosity in the diabetic group was significantly higher than those in the control group (all p < 0.05). The results also revealed a significantly lower MNCV in the diabetic group (p = 0.005). Additionally, the density of myelinated fibers was significantly lower in the diabetic group (p = 0.004). The average thickness of the myelin sheath was also lower in the diabetic group (p = 0.012). The area under the ROC curve for distinguishing the diabetic neuropathy group from the control group was 0.876 for SWD imaging, which was significantly greater than 0.677 for CSA (p = 0.030) and 0.705 for SWE (p = 0.035). Conclusion: Sciatic nerve viscosity measured using SWD imaging was significantly higher in diabetic rats. The viscosity measured using SWD imaging performed well in distinguishing the diabetic neuropathy group from the control group. Therefore, SWD imaging may be a promising method for the evaluation of diabetic neuropathy.

족궐음간경(足厥陰肝經)의 화혈(火穴)과 수혈(水穴)의 침보사(針補瀉)가 자율신경계와 뇌파에 미치는 영향 (The effects of Fire point(LR2).Water point(LR8) through Reinforcement-Reduction acupuncture stimulation on ANS & EEG)

  • 강희철;이승기
    • 동의신경정신과학회지
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    • 제21권2호
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    • pp.87-101
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    • 2010
  • Objectives : The aim of this experiment was to investigate the influences of Autonomic Nervous System and EEG by conducting Reinforcement-Reduction(補瀉) acupuncture stimulation to compare the changes in acupoints on the body before and after treatment of acupuncture at Xingjian(LR2) being referred as Fire-point(火穴) and Ququan(LR8) being referred as Water-point(水穴) of Yin Liver Meridian(足厥陰肝經). Methods : This study was carried out on 30 healthy female volunteers in their 20's. There were four tests conducted throughout and the period for each test was between 2 to 5days. HRV and EEG were measured for 5 minutes before acupuncture stimulation was conducted on LR2-Reinforcement, LR2-Reduction, LR8-Reinforcement and LR8-Reduction at random. During the 20 minutes of acupuncture treatment, same subjects were measured simultaneously to observe any significant changes in acupoints. Again, the same subjects were measured for 5 minutes after removing the acupuncture in order to perform a comparative analysis. Results : The measurement of HRV showed that LF, LFnorm and LF/HF ratio increased significantly(p<0.05) while HF, HF norm decreased significantly in case of LR2-Reinforcement & LR8-Reduction. Both LR2-Reduction and LR8-Reinforcement induced a significant increase in HFnorm. EEG measurement indicated low $\alpha$ wave decreased and high $\beta$ wave increased significantly at LR2-Reinforcement during post-acupuncture period compared with acupuncture stimulation period. Both LR2-Reduction and LR8-Reinforcement developed significantly low $\alpha$ wave and high $\alpha$ wave. High $\beta$ wave increased significantly at LR8-Reduction during the acupuncture stimulation in comparison with pre-acupuncture period. Conclusions : The manipulation of acupuncture stimulation at LR2-Reinforcement and LR8-Reduction enhanced the activity of sympathetic nerves and the state of arousal while that of para sympathetic nerves declined. On the other hand, LR2-Reduction and LR8-Reinforcement developed the levels of para sympathetic nerves and relaxation.

장시간 스마트폰 사용으로 VDT증후군을 가진 20대 성인의 체외충격파적용이 목-어깨의 복합적 통증지수에 대한 효과 (The Effects of the Extracorporeal Shock Wave Therapy on Complex Pain Scales of Neck-Shoulder in 20s Adults with VDT Syndrome due to prolonged Smartphone Use)

  • 서교철;박승환;조미숙
    • 한국융합학회논문지
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    • 제12권11호
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    • pp.135-142
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    • 2021
  • 본 연구는 스마트폰을 장시간 사용으로 VDT증후군(Visual Display Terminal Syndrome)을 가진 20대 성인들을 대상으로 체외충격파 치료(ESWT)를 통해 목-어깨의 근육의 복합적 통증지수에 미치는 영향을 알아보고자 한다. VDT증후군으로 목-어깨통증을 가지고 있는 대상자 20명을 무작위로 분류해서 실험군 10명과 대조군 10명으로 나눠서 실험에 참여하였다. 실험대상자들은 4주간, 주 5일간 실시하였다. 실험군은 1회 5 Hz, 2.0 bar의 강도로 체외충격파치료를 2000회씩 실시하였고, 대조군은 1회 30분간 자가신장운동을 실시하였다. 실험대상자들은 실험전과 실험후에 VAS와 PPT로 목-어깨통증을 측정하여 비교하였다. 자료분석은 SPSS win 18.0으로 실험전과 실험후에 실험군과 대조군의 결과값을 분석하기 위해 독립비교를 실시하였다. 실험 후 실험군이 목-어깨근육의 VAS, PPT에서 많이 감소하였다. 하지만 대조군은 큰 차이가 없었다. 이런 결과를 통해 체외충격파 치료는 치료전보다 치료후에 통증감소가 나타났지만 자가신장운동은 치료후 통증감소의 차이가 없었다. 앞으로도 VDT증후군의 원인으로 목-어깨통증을 감소시킬 수 있는 다양한 치료법으로 이용될 것으로 사료된다.

우측 어깨의 충격증후군을 동반한 뇌졸중 후 중추성 통증 환자 치험 1례 (Case Report of Treatment with Korean Medicine on a Central Post-Stroke Pain Patient who had Impingement Syndrome of the Right Shoulder)

  • 임현찬;김태련;이혜인;김은지;이다은;전상윤
    • 대한한방내과학회지
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    • 제38권6호
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    • pp.1060-1067
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    • 2017
  • Objectives: This case study examined the effects of treatment with traditional Korean medicine on a central post-stroke pain patient, who had impingement syndrome of the right shoulder. Methods: The patient received traditional Korean medical treatments, including acupuncture, warm-needling, moxibustion, and cupping, throughout the treatment period, and extracorporeal shock-wave therapy and physical therapy for part of the treatment period. The effects of treatments were measured with a manual muscle test (MMT), numerical rating scale (NRS), range of motion (ROM), and gait staging index (self-invented). Results: The clinical symptoms of the patient were improved considerably after the complete treatment. Conclusions: Traditional Korean medicine may be effective for treatment of central post-stroke pain in patients with impingement syndrome.

초음파 처리된 대나무섬유와 케냐프섬유 복합재의 기계적 특성 비교 연구 (Comparative Study on Mechanical Properties of Sonicated Bamboo and Kenaf Fiber Composite)

  • 이수경;박은영;박태성;안승국
    • 한국염색가공학회지
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    • 제32권4호
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    • pp.274-280
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    • 2020
  • This study compared the mechanical properties of bamboo fiber composites and kenaf fiber composites through physical treatment (ultrasonic treatment). Kenaf, a composite of PP reinforced with bamboo fiber, was made using injection molding technology. PP was used as a binder and the ultrasonic treatment time of bamboo and kenaf was increased by 30 minutes to compare and study various mechanical properties of bamboo and kenaf composites through physical treatment. Interfacial properties such as internal cracks and internal structure of the wave cross section were confirmed using a scanning electron microscope (SEM). As a result of the ultrasonic treatment, most of the characteristics were fragile as the ultrasonic treatment time was increased, and it was confirmed that the natural characteristics of the twisted fibers had a great influence on the characteristics of the composite material.

정신기능과 관련된 경혈에 대한 침 자극이 인체에 미치는 영향 (The Effects of Acupuncture Stimulation on Acupoints Related to Mind)

  • 이승기;최우진;심성윤
    • 동의신경정신과학회지
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    • 제20권2호
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    • pp.85-99
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    • 2009
  • Objectives : This study aimed to understand the influence of acupuncture on the human body by comparing changes within human bodies before and after people in normal health are treated with acupuncture at the acupoints HT7 and PC9, which are related to mental functions. Methods : The study was performed from January 3, 2008 to March 5, 2008 on 60 healthy males and females in their 20s. HRV, EEG, skin conductance response, respiration and peripheral skin temperature were measured for 5 minutes before acupuncture simulation was applied to the acupoints HT7 and PC9. During 20 minutes of acupuncture treatment, the same items were continuously measured to determine whether there had been any changes, and they were then measured for 5 minutes after the removal of the acupuncture needles in order to implement a comparative analysis. Results : 1. The HRV measurement showed that in the course of before, during and after acupuncture stimulation, heart rate, HF and HF norm decreased significantly (P<0.05) at HT7. LF, LF norm, and LF/HF ratio increased significantly (P>0.05), while heart rate, HF and HF norm decreased significantly (P<0.05) at PC9. 2. Skin conductance response increased significantly (P<0.05) at PC9 during and after the acupuncture simulation periods, compared with the pre acupuncture period. 3. the peripheral skin temperature increased significantly (P<0.05) both at HT7 and PC9 in the course of before, during and after acupuncture stimulation. 4. Compared with the pre-acupuncture period, respiration rate increased both at HT7 and at PC9 during and after the acupuncture simulation periods, but not in a statistically significance. 5. In the EEG measurement, when compared with the pre-acupuncture period at HT7, mid ${\beta}$ wave decreased significantly (P<0.05) during acupuncture treatment. Compared with the measurements during acupuncture treatment at PC9, low ${\beta}$ wave increased significantly (P<0.05) after the acupuncture needles were removed. Conclusions : When acupuncture treatment is applied at the acupoints HT7 and PC9, the activation of parasympathetic nerves decreases and the activation of sympathetic nerves increases in the HRV measurement. It was determined that PC9 makes the sympathetic nerves become highly activated in a skin conduction response. The effect of stability in the brain wave seemed to bo shown at HT7 than PC9.

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열가압성형도재 코어의 가시광선 투과율에 관한 연구 (A study on the visible wave of transmittance pressable ceramic core)

  • 정인호;이상덕;남상용
    • 대한치과기공학회지
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    • 제34권1호
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    • pp.1-9
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    • 2012
  • Purpose: The purpose of this study was to investigate the transmittance differences of pressable ceramic core due to thickness within the visible light spectrum. Methods: 36 specimens were divided into 2 groups (0.6mm, 0.8mm) which have each 3 specimens. The size of specimens was 10mm high and 10mm wide. The transmittance of specimens are measured by spectrophotometer Model Cary 500 that can measure infrared-ray, visible wave and ultraviolet-ray. Results: The results shows that there was no significant difference between specimen's thickness(0.6mm, 0.8mm) and transmittance. Conclusion: The individual's color perception is personal and there are numerous factors that influence on it. In general, human eye can perceive the color of thing only within visible light spectrum but in this experiment through spectrophotometer there was no big difference between specimen's thickness(0.6mm, 0.8mm) and transmittance. To sum up, The most important factors were a layed porcelain structure and its thickness rather than core thickness in the porcelain crown. Also, When making all ceramic core with dead pulp (nervous treatment tooth) when used as a restorative esthetic think is more efficient to improve.

파력발전용 링타입 임펄스터어빈의 성능 해석 (A Study on the Performance of the Ring-type Impulse Turbine for Wave Energy Conversion)

  • 현범수;문재승;홍석원;김기섭
    • 한국해양공학회지
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    • 제20권1호
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    • pp.20-25
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    • 2006
  • This paper deals with the design and aerodynamic analysis of a so-called 'ring-type' impulse turbine for wave energy conversion. Numerical analysis was performed using the CFD cock, FLUENT. The main idea of the proposed turbine rotor was to minimize the adverse effect of tip clearance of the turbine blade; the design was borrowed from a ducted propeller with connected ring tip for special purpose marine vehicles. Results show that the efficiency increases up to $10\%$, depending on flaw coefficient, with the higher flaw coefficient yielding better efficiency. Decrease of input coefficient CA was the main reason for higher efficiency. Performance of ring-type rotor at various design parameters, as well as flaw conditions, was investigated, and the advantages and the disadvantages of the present impulse turbine were also discussed.