ABSTRACT Effects of exercise type on spinal curvature structural, cervical functional stability of chronic neck patients with kyphosis Moon, Hyung-Hoon Department of Sport and Leisure Studies Graduate School Korea University The purpose of this research is to investigate the most efficient way of ky...
ABSTRACT Effects of exercise type on spinal curvature structural, cervical functional stability of chronic neck patients with kyphosis Moon, Hyung-Hoon Department of Sport and Leisure Studies Graduate School Korea University The purpose of this research is to investigate the most efficient way of kyphosis exercises based on an analysis of the curvature of spinal and the functional stability of cervical. The patients who were diagnosed of kyphosis for more than six months were treated for twelve weeks in the following kyphosis exercises : Corrective Exercise Group(n=8), Resistance Exercise Group(n=8), Physical Therapy Group(n=8). The following are variables used in this study and the methods used in measurement. The thoracic cobb's angle which is a variable of spinal curvature is measured by the position angle of the cervical vertebral and shoulder using PAS photographic technique. Pain scale, neck disability index of cervical joint were respectively measured using VAS, NDI. On each muscular region of neck(deep muscles such as longus capitis muscle, longus colli muscle and multifidus muscles, and superficial muscle such as musculus scalenus anterior and upper trapezius muscle), this study used pressure biofeedback unit to measure both maximum cervical muscular strength and cervical muscular endurance of subjects, and also employed magnetic resonance imaging(MRI). For exercise programs, we executed corrective exercise, resistance exercise, physical therapy three times a week/60min while gradually increasing the intensity of exercise. The following conclusion was obtained after an analysis on the effects of each variable. The results are listed as follows : 1. The change of spinal curvature structural due to exercise type 1) The change of thoracic cobb's angle due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant decrease. 2) The change of forward head angle due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant decrease. 3) The change of shoulder angle due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant decrease. 2. The change of cervical functional stability due to exercise type 1) The change of pain scale(VAS) due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant decrease. Furthermore, the group that performed resistance exercise displayed more significant decrease than physical group. 2) The change of neck disability index(NDI) due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant decrease. Furthermore, the group that performed resistance exercise displayed more significant decrease than physical group. 3) The change of maximal muscle strength due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant increase. 4) The change of muscle endurance of 80% due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant increase. 5) The change of muscle endurance of 50% due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant increase. 6) The change of cross-sectional area of cervical joint due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant increase. These findings prove that corrective exercise is most effective in treating kyphosis patients with chronic neck pain. In conclusion, for kyphosis patients with chronic neck pain, forming proper spinal curvature is effective in relieving pain and restoring cervical functions and it is thought that based on this study, continued study on effective therapeutic interventions and prospective study on the maintenance time of pain relief after neck pain treatment will need to be actively conducted in future, by subdividing environmental factors and physiological factors of kyphosis patients caused by life habits and aging.
ABSTRACT Effects of exercise type on spinal curvature structural, cervical functional stability of chronic neck patients with kyphosis Moon, Hyung-Hoon Department of Sport and Leisure Studies Graduate School Korea University The purpose of this research is to investigate the most efficient way of kyphosis exercises based on an analysis of the curvature of spinal and the functional stability of cervical. The patients who were diagnosed of kyphosis for more than six months were treated for twelve weeks in the following kyphosis exercises : Corrective Exercise Group(n=8), Resistance Exercise Group(n=8), Physical Therapy Group(n=8). The following are variables used in this study and the methods used in measurement. The thoracic cobb's angle which is a variable of spinal curvature is measured by the position angle of the cervical vertebral and shoulder using PAS photographic technique. Pain scale, neck disability index of cervical joint were respectively measured using VAS, NDI. On each muscular region of neck(deep muscles such as longus capitis muscle, longus colli muscle and multifidus muscles, and superficial muscle such as musculus scalenus anterior and upper trapezius muscle), this study used pressure biofeedback unit to measure both maximum cervical muscular strength and cervical muscular endurance of subjects, and also employed magnetic resonance imaging(MRI). For exercise programs, we executed corrective exercise, resistance exercise, physical therapy three times a week/60min while gradually increasing the intensity of exercise. The following conclusion was obtained after an analysis on the effects of each variable. The results are listed as follows : 1. The change of spinal curvature structural due to exercise type 1) The change of thoracic cobb's angle due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant decrease. 2) The change of forward head angle due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant decrease. 3) The change of shoulder angle due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant decrease. 2. The change of cervical functional stability due to exercise type 1) The change of pain scale(VAS) due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant decrease. Furthermore, the group that performed resistance exercise displayed more significant decrease than physical group. 2) The change of neck disability index(NDI) due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant decrease. Furthermore, the group that performed resistance exercise displayed more significant decrease than physical group. 3) The change of maximal muscle strength due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant increase. 4) The change of muscle endurance of 80% due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant increase. 5) The change of muscle endurance of 50% due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant increase. 6) The change of cross-sectional area of cervical joint due to exercise type showed significant difference(p<.001) compared to other groups, and the group which performed the corrective exercise demonstrated the most significant increase. These findings prove that corrective exercise is most effective in treating kyphosis patients with chronic neck pain. In conclusion, for kyphosis patients with chronic neck pain, forming proper spinal curvature is effective in relieving pain and restoring cervical functions and it is thought that based on this study, continued study on effective therapeutic interventions and prospective study on the maintenance time of pain relief after neck pain treatment will need to be actively conducted in future, by subdividing environmental factors and physiological factors of kyphosis patients caused by life habits and aging.
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