• Title/Summary/Keyword: Stimulation method

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3 Stage 2 Switch Application for Transcranial Magnetic Stimulation

  • Ha, Dong-Ho;Kim, Whi-Young;Choi, Sun-Seob
    • Journal of Magnetics
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    • v.16 no.3
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    • pp.234-239
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    • 2011
  • Transcranial magnetic stimulation utilizes the method of controlling applied time and changing pulse by output pulse through power density control for diagnosis purposes. Transcranial magnetic stimulation can also be used in cases where diagnosis and treatment are difficult since output pulse shape can be changed. As intensity, pulse range, and pulse shape of the stimulation pulse must be changed according to lesion, the existing sine wave-shaped stimulation treatment pulse poses limitations in achieving various treatments and diagnosis. This study actualized a new method of transcranial magnetic stimulation that applies a 3 Stage 2 Switch( power semiconductor 2EA) for controlling pulse repetition rate by achieving numerous switching control of stimulation coil. Intensity, pulse range, and pulse shape of output can be freely changed to transform various treatment pulses in order to overcome limitations in stimulation treatment presented by the previous sine wave pulse shape. The method of freely changing pulse range by using 3 Stage 2 Switch discharge method is proposed. Pulse shape, composed of various pulse ranges, was created by grafting PFN (Pulsed Forming Network) through AVR AT80S8535 one-chip microprocessor technology, and application in transcranial magnetic stimulation was achieved to study the output characteristics of stimulation treatment pulse according to delaying time of the trigger signal applied in section switch.

Current method of Functional Electric Stimulation and Direction of Henceforth Expansion (기능적 전기자극 치료의 최근 기법과 향후 발전 방향)

  • Chung, Jin-Woo;Kim, Soon-Ja;Lim, Jong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.167-175
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    • 2002
  • Functional Electrical Stimulation is the clinical application of a small electric current to the intact nerves of the body, in order to trigger a muscle contraction. This contraction is then incorporated into a functional activity, for example walling. A clear distinction needs to be made between therapeutic stimulation and functional stimulation. The former being of an exercise orientation, where one would relax while the stimulation works on its own. Functional electrical stimulation on the other hand, incorporates this elicited muscle movement into an everyday activity, like standing, walking, reaching out etc. But recently, New method used to FES which updated electrode insult in muscle and small nerve branch. A lot of new research build up many countries such as England, USA, Japan, Spain, Canada. So I had been write this paper for introduce new FES method, and I hope to more enhanced motivation of therapist for the functional electric stimulation.

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Systematic Review on Effect of Peripheral Sensory Nerve Stimulation on Upper Extremity Function for Stroke Patients (뇌졸중 환자의 상지 기능 향상을 위한 말초감각신경자극의 효과에 관한 체계적 고찰)

  • Kim, Sun-Ho;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.5 no.2
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    • pp.11-22
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    • 2016
  • Objective: This study is executed systematic review targeted at international journals intended to investigate on effect of peripheral sensory nerve stimulation on upper extremity function for stroke patients. Method: After literature search, researchers selected for 10 studies registered up to October 2015 based on PubMed database, using the following search terms: peripheral nerve stimulation, electrical stimulation, sensory stimulation, somatosensory stimulation, stroke, hemiplegia, hemiparesis and hand, arm, upper limb. Result: There were significant improves of upper extremity function and positive effect on the cortical activation in the use of peripheral sensory nerve stimulation. Conclusion: domestic studies in future requires a study of the method for measuring more accurately the effect of peripheral sensory nerve stimulation in RCT studies applying various intervention.

Measurement of Magnetic Flux and Induced Current in Magnetic Stimulation for Urinary Incontinence Treatment (요실금 치료용 자기 자극기의 자속밀도 및 유도전류 측정)

  • Han, Byung-Hee;Choi, Kyung-Moo;Cho, Min-Hyoung;Lee, Soo-Yeol
    • Journal of Biomedical Engineering Research
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    • v.30 no.4
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    • pp.318-326
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    • 2009
  • A simple method for measuring magnetic flux and induced current in magnetic nerve stimulation for urinary incontinence treatment is proposed. Unlike electric nerve stimulation, direct measurement of the induced current in magnetic nerve stimulation is impossible. Since induced currents stimulate nerves or muscles in magnetic nerve stimulation, measuring induced current is very important in validating stimulation efficacy and securing safety. The magnetic flux measuring system is composed of 6 layers with pick-up coils of 7 by 7 in each layer, and the induced current measuring system is composed of 6 layers with 7 concentric circular coils in each layer. The proposed method can be used in the design or performance test of a magnetic nerve stimulator for many clinical applications such as urinary incontinence treatment, activation of peripheral nerves, and transcranial magnetic stimulation.

Parallel Load Techinques Application for Transcranial Magnetic Stimulation

  • Choi, Sun-Seob;Kim, Whi-Young
    • Journal of Magnetics
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    • v.17 no.1
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    • pp.27-32
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    • 2012
  • Transcranial magnetic stimulation requires an electric field composed of dozens of V/m to achieve stimulation. The stimulation system is composed of a stimulation coil to form the electric field by charging and discharging a capacitor in order to save energy, thus requiring high-pressure kV. In particular, it is charged and discharged in capacitor to discharge through stimulation coil within a short period of time (hundreds of seconds) to generate current of numerous kA. A pulse-type magnetic field is formed, and eddy currents within the human body are triggered to achieve stimulation. Numerous pulse forms must be generated to initiate eddy currents for stimulating nerves. This study achieved high internal pressure, a high number of repetitions, and rapid switching of elements, and it implemented numerous control techniques via introduction of the half-bridge parallel load method. In addition it applied a quick, accurate, high-efficiency charge/discharge method for transcranial magnetic stimulation to substitute an inexpensive, readily available, commercial frequency condenser for a previously used, expensive, high-frequency condenser. Furthermore, the pulse repetition rate was altered to control energy density, and grafts compact, one-chip processor with simulation to stably control circuit motion and conduct research on motion and output characteristics.

Effects of the Vestibular Caloric Stimulation with Ice Water on the Autonomic Nervous System

  • Kim, Chungyoo;Kang, Jongho
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.3
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    • pp.27-30
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    • 2016
  • PURPOSE : The effect of the vestibular caloric stimulation with ice water on the autonomic nervous system was investigated using pulse oximetry. METHOD : Thirty-four healthy men and women were subject to a 2-minute vestibular caloric stimulation with ice water, and autonomic nervous activities (low frequency, high frequency, and total power) were measured before and after the vestibular caloric stimulation. Data were analyzed separately for men and women. RESULT : Low frequency, high frequency, and total power in the men and low frequency in the women were statistically significantly higher after vestibular caloric stimulation. High frequency and total power in the women were higher but not significantly different after vestibular caloric stimulation. CONCLUSION : Vestibular caloric stimulation with ice water increases autonomic nervous activities, with the variation being within the normal range. The test can be considered safe for use.

The Change of H Reflex by Galvanic Vestibular Stimulation (평류전정자극에 의한 H 반사의 변화)

  • Hwang, Tae-Yeun;Kim, Tae-Youl;Park, Jang-Sung
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.2 no.3
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    • pp.65-73
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    • 2004
  • In experimental method, this study was that galvanic vestibular stimulation in vestibular system influenced the excitability of spinal neuron through. H-reflex was measured by galvanic vestibular stimulation of binaural(right-negative pole and left-positive pole) at left head turning and prone position in sixteen normal subjects in their twenties age were selected. The summary of the comparison results were obtained below. 1. In the change of H reflex according to galvanic vestibular stimulation(GVS), Hmax amplitude(p<.05) increased significantly after stimulation. 2. In the change of H reflex according to galvanic vestibular stimulation(GVS), Hmax/Mmax ratio(p<.05) increased significantly after stimulation. In the conclusion, galvanic vestibular stimulation influenced the excitability of vestibulospinal tract and spinal neuron.

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Effects of a Sensory Stimulation on Weight Gain, Behavioral State, and Physiological Responses in Premature Infants (감각자극이 미숙아의 체중 증가, 행동상태 및 생리적 반응에 미치는 영향)

  • 송희승;신희선
    • Journal of Korean Academy of Nursing
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    • v.31 no.4
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    • pp.703-711
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    • 2001
  • Purpose: The purpose of this study was to examine the effects of sensory stimulation on premature infants. Method: Thirty three premature infants admitted to NICU of D University Hospital in C city were randomly assigned in two groups (Experimental group: 16, Control group:17). For the experimental group, tactile and kinesthetic stimulation developed by Dr. Field was applied 2 times a day for 10 days. Behavioral state was measured using the Anderson Behavioral State Scale (ABSS). Heart rate, respiration, and oxygen saturation were obtained for each infant before and after sensory stimulation. Hypothesis testing was done using the $\chi$$^2$- test, student t-test, and repeated measures of ANOVA. Result: Hypothesis 1: There was a significant difference in the daily body weight gain between experimental and control group (F= 40.77, p= .0001). Hypothesis 2: There was a significant difference in the frequency of 'inactive awake state' between two groups ($\chi$$^2$= 39.778, p= .001). Hypothesis 3: There were significant differences in the mean of heart rate and $O_2$saturation between two groups (t= -2.174, p= .037; t= 3.080, p= .005). However, there was no significant difference in the mean of respiration rate between two groups (t= -1.966, p= .581). Conclusion: The effectiveness of a sensory stimulation on weight gain and behavioral state in premature infants was supported. Further study is recommended to develop a sensory stimulation method as an independent nursing intervention for premature infant.

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The Effects of Transcranial Direct Current Stimulation on Depression and Anxiety in Stroke Patients (경두개 직류 전류자극이 뇌졸중 환자의 우울과 불안에 미치는 효과)

  • Young-Seok Cho;Ji-Hoon Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.2
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    • pp.109-117
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    • 2023
  • Purpose : Transcranial direct current stimulation is noninvasive method of cerebral cortical stimulation applied as an intervention to facilitate recovery in stroke patients. The purpose of this study was to examine the effects of transcranial direct current stimulation on depression and anxiety in stroke patients with the aim to finding a reliable method to reduce depression and anxiety in stroke patients. Methods : This study was conducted at A hospital located in D city from December 2022 to February 2023. Patients diagnosed with stroke were selected according to predefined study criteria and divided into two groups. 9 patients in experimental group underwent transcranial direct current stimulation and traditional occupational therapy, while 9 patients in the control group underwent sham transcranial direct current stimulation and traditional occupational therapy for 20 min per session 3 times per week for a total of 8 weeks. Beck depression inventory (BDI) and Beck anxiety inventory (BAI) were used to evaluate depression and anxiety in the patients before and after intervention. Wilcoxon signed rank test was used to compare differences before to after intervention. Mann-Whitney U test was used to compare the two groups. Differences with p<.05 were considered statistically significant. Results : First, both the experimental and control groups presented significant statistical difference before and after intervention on depression (p<.01). Comparison of two groups after intervention showed significant statistical difference in depression (p<.05). Second, the groups presented significant statistical difference before and after intervention on anxiety (p<.01). After intervention, the two groups showed significant statistical difference in anxiety (p<.05). Conclusion : Results of the present study demonstrated the effects of transcranial direct current stimulation on depression and anxiety in stroke patients, suggesting it may be a useful method of rehabilitation in this patient population; as such, further studies are warranted.

New Methods of Vagus Nerve Stimulation : Therapeutic Effects of Non-Invasive Vagus Nerve Stimulation by TENS Application (미주신경 자극을 위한 새로운 방법 : 비침습적 TENS 적용에 대한 미주신경 자극의 치료적 효과)

  • Kwon, Haeyeon;Moon, Hyunju
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.4
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    • pp.77-82
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    • 2016
  • Purpose: The purpose of this study was to investigate the therapeutic effect of non-invasive vagus nerve stimulation by transcutaneous electrical nerve stimulation application on the autonomic nervous system of human body. Methods: Participants were seventeen healthy adults. Standard deviation of all normal N-N intervals(SDNN), root mean square of successive differences(RMSSD), low frequency(LF), high frequency(HF) were compared in pre and post Mean values after intervention. Data were analyzed in Wilcoxon's signed-ranks test. Results: The results of this study is that sistolic blood pressure and pulse rate decreased mean value after non-invasive vagus nerve stimulation by transcutaneous electrical nerve stimulation. High frequency, low frequency, SDNN, RMSSD increased mean value in heart rate variability after intervention. But that is not significant except for SDNN. Conclusion: Non-invasive vagus stimulation by transcutaneous electrical nerve stimulation effect on parasympathetic nerve stimulation, and then it might be effective method for autonomic nerve balance control.