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복부 및 사지 부위의 전기침 자극이 전두근에서 측정한 SEMG 변화에 미치는 영향 - 자율신경계의 변화에 대한 임상적 접근을 위한 사전 연구 -

Changes of Surface Electromyography on Frontalis Muscle during Electro-Acupuncture Stimulation of Abdomen or Legs - A Pilot Study for Clinical Approach to Autonomic Nervous System Changes -

이상관|신선호|임진영|제준태|최산호
대한한방내과학회 (The Society Of Korean Oriental Internal Medicine)|2012.03|대한한방내과학회지 (The Journal of Korean Oriental Internal Medicine)|제33권 제1호|pp. 14-25|DOI http://dx.doi.org/

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키워드

surface electromyographyelectro-acupuncturedistal acupoint
주제분류한의학

초록

Objectives : To observe physiological changes during clinical acupuncture treatment. Methods : We recruited 40 healthy volunteers who had experienced an acupuncture treatment at least once within the past three years. The experimental group was divided into four groups according to the needling site and frequency of electrical stimulation. Sites consisted of abdomen and legs. Frequencies consisted of 100 Hz and 2 Hz. The procedures of experimental treatment consisted of seven phases, Resting Ⅰ phase (Resting Ⅰ), Needle insertion phase (Insertion), Maintenance of needle insertion Ⅰ phase (Maintain Ⅰ), Electrical stimulation phase (ES), Maintenance of needle insertion Ⅱ phase (Maintain Ⅱ), Needle removal phase (Removal) and Resting Ⅱ phase (Resting Ⅱ). We measured the surface electromygraphy (SEMG) through an electrode on the frontalis muscle during all phases consecutively. Results : When SEMGs of all seven phases were analyzed, they significantly increased or decreased according to phases. SEMGs of Insertion, Maintain Ⅰ, ES and Maintain Ⅱ phase significantly increased more than RestingⅠ in abdomen and legs groups. SEMGs of the abdomen group were measured as being 4.78±0.74 ㎶ on Resting Ⅰ, 16.48±3.97 ㎶ on Insertion, 46.31±10.56 ㎶ on Maintain Ⅰ, 45.88±9.72 ㎶ on ES, 45.56±9.69 ㎶ on Maintain Ⅱ, 18.76±3.05 ㎶ on Removal, and 3.75±0.65 ㎶ on Resting Ⅱ . SEMGs of the legs group were measured as being 3.34±0.35 ㎶ on Resting Ⅰ, 12.11±1.76 ㎶ on Insertion, 36.74±6.99 ㎶ on Maintain Ⅰ, 33.57±6.30 ㎶ on ES, 32.66±6.03 ㎶ on Maintain Ⅱ, 14.08±2.15 ㎶ on Removal, and 2.88±0.32 ㎶ on Resting Ⅱ. Conclusions : SEMG changed differently according to processes of acupuncture. Electrical stimulation showed different change of SEMG. Thus, acupuncture treatment may change the status of the autonomic nervous system.

Abstract

Objectives : To observe physiological changes during clinical acupuncture treatment. Methods : We recruited 40 healthy volunteers who had experienced an acupuncture treatment at least once within the past three years. The experimental group was divided into four groups according to the needling site and frequency of electrical stimulation. Sites consisted of abdomen and legs. Frequencies consisted of 100 Hz and 2 Hz. The procedures of experimental treatment consisted of seven phases, Resting Ⅰ phase (Resting Ⅰ), Needle insertion phase (Insertion), Maintenance of needle insertion Ⅰ phase (Maintain Ⅰ), Electrical stimulation phase (ES), Maintenance of needle insertion Ⅱ phase (Maintain Ⅱ), Needle removal phase (Removal) and Resting Ⅱ phase (Resting Ⅱ). We measured the surface electromygraphy (SEMG) through an electrode on the frontalis muscle during all phases consecutively. Results : When SEMGs of all seven phases were analyzed, they significantly increased or decreased according to phases. SEMGs of Insertion, Maintain Ⅰ, ES and Maintain Ⅱ phase significantly increased more than RestingⅠ in abdomen and legs groups. SEMGs of the abdomen group were measured as being 4.78±0.74 ㎶ on Resting Ⅰ, 16.48±3.97 ㎶ on Insertion, 46.31±10.56 ㎶ on Maintain Ⅰ, 45.88±9.72 ㎶ on ES, 45.56±9.69 ㎶ on Maintain Ⅱ, 18.76±3.05 ㎶ on Removal, and 3.75±0.65 ㎶ on Resting Ⅱ . SEMGs of the legs group were measured as being 3.34±0.35 ㎶ on Resting Ⅰ, 12.11±1.76 ㎶ on Insertion, 36.74±6.99 ㎶ on Maintain Ⅰ, 33.57±6.30 ㎶ on ES, 32.66±6.03 ㎶ on Maintain Ⅱ, 14.08±2.15 ㎶ on Removal, and 2.88±0.32 ㎶ on Resting Ⅱ. Conclusions : SEMG changed differently according to processes of acupuncture. Electrical stimulation showed different change of SEMG. Thus, acupuncture treatment may change the status of the autonomic nervous system.

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