Shin, Sang-Hee
(Department of Physical Therapy, College of Health Sports Science)
,
Choi, Jong-Duk
(Department of Physical Therapy, College of Health Sports Science)
Purpose: The main causes of chronic neck pain (CNP) are wrong postures and degenerative changes. This study investigated the effects of specific exercise on elderly women with CNP. Methods: 29 elderly women who complain of CNP were classified into experimental group (14) and control group (15). The ...
Purpose: The main causes of chronic neck pain (CNP) are wrong postures and degenerative changes. This study investigated the effects of specific exercise on elderly women with CNP. Methods: 29 elderly women who complain of CNP were classified into experimental group (14) and control group (15). The experimental group was treated with specific exercise and minimal conventional therapy, whereas the control group was treated only with conventional therapy. Then the effects on the visual analogue scale (VAS), neck disability index (NDI), self-rating anxiety scale (SAS), Korean form of geriatric depression scale (KGDS), and range of motion (ROM) were compared between the two groups. Results: The experimental group showed significantly improved results in VAS, NDI, SAS, KGDS, and ROM after intervention (p<0.05), as did the control group (p<0.05). The comparison of changes in the experimental group before and after intervention showed superior results in the SAS, NDI, and ROM (flexion, rotation, lat. flexion) results when compared with the control group (p<0.05). Conclusion: Specific exercise is effective in the improvement of SAS, NDI, and ROM for elderly women with CNP.
Purpose: The main causes of chronic neck pain (CNP) are wrong postures and degenerative changes. This study investigated the effects of specific exercise on elderly women with CNP. Methods: 29 elderly women who complain of CNP were classified into experimental group (14) and control group (15). The experimental group was treated with specific exercise and minimal conventional therapy, whereas the control group was treated only with conventional therapy. Then the effects on the visual analogue scale (VAS), neck disability index (NDI), self-rating anxiety scale (SAS), Korean form of geriatric depression scale (KGDS), and range of motion (ROM) were compared between the two groups. Results: The experimental group showed significantly improved results in VAS, NDI, SAS, KGDS, and ROM after intervention (p<0.05), as did the control group (p<0.05). The comparison of changes in the experimental group before and after intervention showed superior results in the SAS, NDI, and ROM (flexion, rotation, lat. flexion) results when compared with the control group (p<0.05). Conclusion: Specific exercise is effective in the improvement of SAS, NDI, and ROM for elderly women with CNP.
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문제 정의
15 Therefore, this study intended to investigate the effects of specific exercises on CNP patients, present effective forms of therapeutic exercises, and stress the importance of active exercise. The purpose of this study is to compare the effects of conventional therapy and specific exercises for elderly women who complain of CNP.
The purpose of this study was to investigate the effects of specific exercise on the elderly women who complained of CNP for at least 6 months. The VAS, NDI, SAS, KGDS, and CROM of the neck could be more effectively improved when the specific exercise was applied to CNP patients.
Therefore, this study intended to investigate the effects of specific exercises on CNP patients, present effective forms of therapeutic exercises, and stress the importance of active exercise. The purpose of this study is to compare the effects of conventional therapy and specific exercises for elderly women who complain of CNP.
5%.23This study used KGDS to evaluate the depression levels of the elderly patients in each group. KGDS was developed by Kwon and Kim22 who adapted the GDS developed by Yesavage to the elderly in Korea.
This study was conducted to investigate the effects of posture correction exercises on the VAS, NDI, SAS, KGDS, and CROM of women aged 65 or older who complain of chronic neck pain.
제안 방법
In this study, the patients performed flexibility exercise for muscles around the neck together with CCFE which brought about significant changes in CROM (p<0.05).
Intervention of experimental group and control group were conducted six times in a week for 12 weeks. This study was performed from July 1 to September 30 in 2009.
The back of the chair provides support for the thoracic and lumbar spine. The subject was instructed to stabilize the shoulder girdle by holding the bottom of the chair, in order to prevent compensatory movements in the scapular, thoracic, and lumbar spine.
Specific exercise to retrain cervical spine muscle function is advocated in the management of neck pain. This study chose cranio-cervical flexion exercise (CCFE) as an effective mechanism to activate muscular functions and support the cervical vertebrae. The emphasis of CCFE is on activation of the deep cervical flexor muscles (longus capitus, longus colli) by specifically targeting flexion motion of the upper cervical motion segments.
This study instructed elderly women aged 65 or older who complained nonspecific CNP to perform specific exercise six times a week, and analyzed its effects on VAS, NDI, SAS, KGDS, and CROM. It was found that the specific exercise for enhancement of the deep cervical flexor muscles was effective in VAS, NDI, SAS, KGDS, and CROM for elderly women with nonspecific CNP.
대상 데이터
The subjects of this study were 65 or older elderly women who had received treatment for at least 6 months with nonspecific CNP as the main symptom in the “S” clinic in Daejeon who sufficiently understood the purpose of this study and consented to the intent of this study and who properly understood and could follow the directions of the researchers.
Intervention of experimental group and control group were conducted six times in a week for 12 weeks. This study was performed from July 1 to September 30 in 2009.
Twenty-nine volunteers were participated in the study and divided into two groups; a control (15), and a experimental group (14). The general characteristics of subjects were found to be no difference between groups in age, height, weight, and medical history (Table 1).
데이터처리
0) was used for statistical analyses. Differences between the pretreatment and posttreatment were analyzed using the Wilcoxon matched-pairs signed-ranks test. The MannWhitney U Test was conducted to compare the changes between the two groups.
성능/효과
The VAS, NDI, SAS, KGDS, and CROM of the neck could be more effectively improved when the specific exercise was applied to CNP patients. Also, the difference in the SAS, the NDI and some of the CROM changes between control group and experiment group were statistically significant.
For the difference in the changes in CROM between the experimental group and the Control group, the differences in the changes of flexion, lateral flexion, and rotation were statistically significant (p<0.05).
This study instructed elderly women aged 65 or older who complained nonspecific CNP to perform specific exercise six times a week, and analyzed its effects on VAS, NDI, SAS, KGDS, and CROM. It was found that the specific exercise for enhancement of the deep cervical flexor muscles was effective in VAS, NDI, SAS, KGDS, and CROM for elderly women with nonspecific CNP.
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