김성훈한의원 소개 진료프로그램 상담예약 언론보도&저서
 
Ȱġ
 

ȸ Ȱġÿ Ư õؾ ϹǷ Ư Ȥ Ű ٶ ϴ. Դٰ Űջ ȯڿԴ ̷  ܿ  ϰ Ǿ  ʿ  Ͼ ϰ ִ.

ٶ ǿ

ũ ÿ(open mouth widely) - masseter muscle ϴ  Ͼ Ѵ.
ƷԼ ¿ ̽ÿ(move lower lip side to side)
Ʒ, ¿ ̽ÿ(move eyes up, down, right and left) : Ʒø Ͼ.
ũ ÿ(broad laugh) - Űջ ȯڿ  Ͼ ִ.
ٹ ä ϰ Ͻÿ(puff out cheeks, mouth closed) : п
Լ ̸ ÿ(upper lip against upper incisors)
ÿ(close eye tightly)

O'Dwyer

: hook-wire Ͽ 6 9 ȸٿ ġ Ȱ Ѵٰ Ǵ 9 ǥ Ű鼭 (EMG amplitudes) м.

9 ȸ : Levator Labii Superioris, Zygomaticus minor/major, Buccinator, Risorius, Orbicularis Oris Superioris, Orbicularis Oris Inferioris, Depressor Anguli Oris, Depressor Labii Inferioris, Mentalis

9 ǥ :

  • Unilateral Snarl( Լ ø),
  • Broad Laugh(ũ ),
  • Puff out Cheeks mouth closed( ٹ ä ϰ ϱ),
  • Board Smile, mouth closed( ٹ ä ũ ),
  • Upper lib against upper incisors(Լ մ ),
  • Lower lip against lower incisors(ƷԼ Ʒմ )
  • Depress corners of mouth( 𼭸 ),
  • Depress lower lip jaw closed( ٹ ä ƷԼ ),
  • Raise evert lower lip wrinkling chin(ƷԼ ÷ ο ָ )

: ׸ Levator Labii Superioris ϴ Unilateral Snarl( Լ ø), Depressor Anguli Oris ϴ Depress corners of mouth( 𼭸 ) ۿ ߰ߵǾ. , ̵ ϴ ܿ ߿ и ޼ ٴ ̴.

Balliet

: ǥÿ ׵ ȿ Ƿ и  ų ִ ǥø Ͽ߸  ִ.

Ű漶 Endoneurial sheath ջȯ, 3 ջȯ, Bell's palsy, йڼջ, Ű湮(anastomosis) ȯ 7 Ű ջ Ƿ ū ǥ (cross-wiring) ִ.

ٽ Űջ ȯ ߽Ű迡  ؾ߸ ϴµ, ٱ Ȱġ  ų ִ ȸ Ƿ (synkinesis) (dyskinesis) ҽų ִ.

, 强 (tonic muscle control) ϴ Ȱġ

ȸ ڵ̸ ݻ ǥ poor control Ǹ Ƿο ΰϴ. ׷Ƿ ȸ ÿ ϸ slow twitch, tonic muscle activity Ͼ ִ (nonemotional movement) ð ̷ Ѵ.

̷ õ ȯڰ õõ ʰ  , ȸ ۵ ϰ ּ Ƿη ϸ ϰ Ѵ.

̻ Ȱġ

ȸ鵿ۿ EMG μ  Ÿ.
̷  cocontraction̳ mass action, synkinesis  籸ϰ ȴ.

slow tonic control μ A, B, S ҵ ִ.
maxium contractionĿ relaxation Ȱġ Ⱓ Ÿ ִ.

A : ſ 强 .
muscle contraction ӵ ӿ ؼ Ͼ ϴ ʱ ƷñⰣ̳  ̾ Ѵ. ʱ ƷñⰣ ȿ ̳ ุ Ͼ ؾ Ѵ.
B : 󼺰 innervation
slow tonic   ̳  ְ Ǹ ټ Ȱ Ͽ Ͼ ϰ ϴ  ų ִ. ̶ ̳ , Ƿΰ Ÿ  ũ⸦ ̰ų ߴѴ. ֳϸ  Ʒõ ֱ ̴.
S : ̳̿ stop innervation

A, B Ҹ ׻ ۽ ִ ̿ϿҰ Ǿ Ѵ. S Ҵ motor neuron ȴ.
̰ ȭ ڿ ۿ ݵǾ Ͼ ̱ ȯ (feeling) ߴ޿ ſ ߿ϴ.

Ұ Ͼ ̹Ƿ motor neuron ߽Ű Ͽ Ӹ ƴ϶ Ʒõ ʿϴ.

, ̿ ̿ ſ ߿ϸ, Ͼ ؼ õϴ ȯڿ  ߴ ؾ Ѵ.

ȭ(normalization) -

ӻ ȸ鸶 ȯڴ innervation Ͽ normal ƴ 찡 .
̴ ȯڰ disability ұϰ ʾҰų ̷ ȯڿ ſ ϴ.

̷ ȸ ؼ ݱ̴.



ұϰ Բ ۽Ű ߽Űκ ұյ innervation ̷ ᱹ ȸ ұ ȭ ִ.

, Ųٴ Ű  ϾǷ ұ Ŀ ȴٴ ̴.

׷Ƿ, ġ ÿ ִ Ȱ Űų ̾ Ͼ ϴ ȯڸ Ȱġؾ Ѵ