Objective: The aim of this study was to compare sling exercise group to McKenzie exercise group in patients with chronic neck pain. Design: Two group pretest-posttest design. Methods: Twenty subjects who have chronic neck pain were randomly divided into sling exercise group (n=10) and McKenzie exerc...
Objective: The aim of this study was to compare sling exercise group to McKenzie exercise group in patients with chronic neck pain. Design: Two group pretest-posttest design. Methods: Twenty subjects who have chronic neck pain were randomly divided into sling exercise group (n=10) and McKenzie exercise (n=10). Sling exercise group (n=10) received sling exercise for 30 minutes per day, twice a week over a 4 week period. And the other group were exercised McKenzie exercise (n=8) for 30 minutes per day, twice a week over a 4 week period. Neck disability index (NDI), Visual analog scale (VAS), algometer, digital manual muscle tester (MMT) and cervical muscle strength and cervical range of motion (ROM) are closely measured to identify the effect of sling exercise and McKenzie exercise. Results: For NDI, VAS, algometer on both trapezius, both rotation of cervical muscle strength, both lateral flexion of cervical muscle strength, cervical extension of ROM and both lateral flexion of ROM were significantly increased after intervention in sling exercise group (p<0.05), For VAS, algometer on both trapezius, left (Lt.) rotation of cervical muscle strength, Lt. lateral flexion of cervical muscle strength, cervical flexion and extension of ROM and Lt. lateral flexion of ROM were significantly increased after than before intervention in McKenzie exercise group (p<0.05). Conclusions: These study outcomes clearly support the notion that sling and McKenzie exercise improved pain, Muscle strength and ROM of patients with chronic neck pain. These results suggest that sling and McKenzie exercise program is suitable for chronic neck pain.
Objective: The aim of this study was to compare sling exercise group to McKenzie exercise group in patients with chronic neck pain. Design: Two group pretest-posttest design. Methods: Twenty subjects who have chronic neck pain were randomly divided into sling exercise group (n=10) and McKenzie exercise (n=10). Sling exercise group (n=10) received sling exercise for 30 minutes per day, twice a week over a 4 week period. And the other group were exercised McKenzie exercise (n=8) for 30 minutes per day, twice a week over a 4 week period. Neck disability index (NDI), Visual analog scale (VAS), algometer, digital manual muscle tester (MMT) and cervical muscle strength and cervical range of motion (ROM) are closely measured to identify the effect of sling exercise and McKenzie exercise. Results: For NDI, VAS, algometer on both trapezius, both rotation of cervical muscle strength, both lateral flexion of cervical muscle strength, cervical extension of ROM and both lateral flexion of ROM were significantly increased after intervention in sling exercise group (p<0.05), For VAS, algometer on both trapezius, left (Lt.) rotation of cervical muscle strength, Lt. lateral flexion of cervical muscle strength, cervical flexion and extension of ROM and Lt. lateral flexion of ROM were significantly increased after than before intervention in McKenzie exercise group (p<0.05). Conclusions: These study outcomes clearly support the notion that sling and McKenzie exercise improved pain, Muscle strength and ROM of patients with chronic neck pain. These results suggest that sling and McKenzie exercise program is suitable for chronic neck pain.
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문제 정의
The subjects were also examined using an electromyogram by the same tester in the same environment. The study was conducted using 4th year physical therapy students, who had a full understanding of the sling exercise program. The therapists who supervised the exercise program used the planned exercise program to apply the same exercise and were instructed to perform the correct procedure.
This study selected 20 students who answered the neck disability index (NDI) questionnaire. This questionnaire shows the effects of neck pain on daily activities. The selected subjects' scored between 5-14 and were divided into 2 groups; 10 for the sling exercise group, and 10 for the McKenzie exercise group.
Some studies were based on the deep flexion muscles of the cervical portion having a larger effect on pain than the superficial muscles of the cervical vertebral portion [17]. This study focused on the effects of isometric exercises and stretching on retraining the deep muscles. To accomplish this, the subjects were divided into two groups; sling exercise group and McKenzie exercise group, which performed the exercise program for 4 weeks.
The research was conducted from May 9, 2011 to June 3, 2011 over a four week period. This study selected 20 students who answered the neck disability index (NDI) questionnaire. This questionnaire shows the effects of neck pain on daily activities.
제안 방법
, Chicago, IL, USA) which was analyzed according to the characteristics of the research purpose and variables. All the subjects were satisfied with the process of the official test results of Kolmogorov-Smirnov, general characteristics of the individuals were analyzed by frequency analysis and descriptive statistical analysis. The before and after training results were compared using t-test methods.
To reduce the selection bias, the 20 selected subjects who suffered from neck pain were assigned randomly to the sling exercise group and McKenzie exercise group using a method of mediation. Before and after mediation, the subjects were tested for pain, muscle strength, head-neck ROM. The subjects were also examined using an electromyogram by the same tester in the same environment.
For the sling exercise group, the sling exercise program was applied for 4 weeks, 3 times a week for 30 minutes per day. For the McKenzie exercise group, the McKenzie exercise program was applied as a home program.
In this study, neck self exercise was performed for 4 weeks, 3 times in a week for 20 minutes per day. To perform the exercise, the subjects were instructed with a demonstration and explanation, and for the accurate exercise performance, the subjects were assisted at each time of exercise.
These 2 exercises of the 4 exercises in the program were relevant in this setting. The first technique is that the subject lying in the supine position supported the head by an inelastic sling and the therapist held the cervical vertebral portion softly with two hands(Figure 1).
The following exercises were performed: head retraction and neck extension in sitting position, head retraction and neck extension in supine position, left and right lateral bending, head turning, and neck flexion in sitting position. Subject's maximal muscle contraction in each exercise was maintained for 7 seconds, and was repeated for 10 to 20 times [15].
To accomplish this, the subjects were divided into two groups; sling exercise group and McKenzie exercise group, which performed the exercise program for 4 weeks. The following parameters were measured: VAS, electronic algometer, muscle strength test system, threshold of pressure and pain and the NDI, the difference in cervical pain, the improvement of the ROM, and improvement of the muscle strength before and after training. The sling exercises group showed a significant decrease in the disability index from 7.
The fourth technique was that in the supine position, two air cushions were placed under the head, the scapula, pelvis and ankle were supported with a sling, and the bed was lowered slowly to lift the body up and allow natural closed-chain exercise on the cervical portion. This was also called Copperfield exercise, which is good in cervical sensory integration training (Figure 4) [14].
This study examined subjects who had a mild neck disability scoring 5-14 from the total of the 50 using the NDI. The sling exercise and McKenzie exercise was performed, and the following parameters were assessed: VAS, level of cervical pain, neck pain level using an algometer head and neck ROM using an electronic goniometer and muscle strength of the deep muscle using electronic manual muscle. The results are as follows.
This instrument was used to determine the difference in the head-neck ROM before and after the sling exercise and McKenzie exercise. The use of an electrogoniometer is more subjective and accurate than the initial diagnosed state of the joints.
This study examined subjects who had a mild neck disability scoring 5-14 from the total of the 50 using the NDI. The sling exercise and McKenzie exercise was performed, and the following parameters were assessed: VAS, level of cervical pain, neck pain level using an algometer head and neck ROM using an electronic goniometer and muscle strength of the deep muscle using electronic manual muscle.
This study focused on the effects of isometric exercises and stretching on retraining the deep muscles. To accomplish this, the subjects were divided into two groups; sling exercise group and McKenzie exercise group, which performed the exercise program for 4 weeks. The following parameters were measured: VAS, electronic algometer, muscle strength test system, threshold of pressure and pain and the NDI, the difference in cervical pain, the improvement of the ROM, and improvement of the muscle strength before and after training.
A pressure algometer can quantify the pressure sensitivity of a specific point of the initial point of pain that it is used specifically to measure the pressure point [12]. To identify the maximum pressure point, the subject was placed in the prone position, all pressure points in the nuchal part were measured and the least pressure point was determined to be the experimental area for the pressure pain threshold measuring area. The pressure pain level is measured when the subject is relaxed, and the pressure algometer is applied to the point of the initial pain point vertically to the skin.
In this study, neck self exercise was performed for 4 weeks, 3 times in a week for 20 minutes per day. To perform the exercise, the subjects were instructed with a demonstration and explanation, and for the accurate exercise performance, the subjects were assisted at each time of exercise. Each movement was repeated 10 times, which is 6 to 7 seconds of contraction and 5 seconds of relaxation, as confirmed by checking the check list.
This study was conducted on Students at S-University of Seoul. To reduce the selection bias, the 20 selected subjects who suffered from neck pain were assigned randomly to the sling exercise group and McKenzie exercise group using a method of mediation. Before and after mediation, the subjects were tested for pain, muscle strength, head-neck ROM.
대상 데이터
This study was conducted on 20 students with an average age of 20-27, who were studying at Seoul S University. The research was conducted from May 9, 2011 to June 3, 2011 over a four week period. This study selected 20 students who answered the neck disability index (NDI) questionnaire.
This study was conducted on 18 subjects, whose general characteristics are listed in Table 2. The subjects in the sling exercise group consisted of 6 males and 4 females, and the McKenzie exercise group consisted of 4 males and 4 females. The mean age of the sling exercise and McKenzie exercise group was 23.
This study was conducted on 20 students with an average age of 20-27, who were studying at Seoul S University. The research was conducted from May 9, 2011 to June 3, 2011 over a four week period.
이론/모형
A visual analogue scale(VAS), which was designed on 1966 by Bond and Pilowsky, was used to test the range of pain that the patients rate themselves by a mark on the scale. The patients were asked to mark on a horizontal scale from no pain(0) to terrible pain(10) the severity of their pain.
All the subjects were satisfied with the process of the official test results of Kolmogorov-Smirnov, general characteristics of the individuals were analyzed by frequency analysis and descriptive statistical analysis. The before and after training results were compared using t-test methods. The analytical significance level was set to 0.
성능/효과
lateral flexion. Fourth, both sling exercise and McKenzie exercise helped reduce the level of pain, increase the ROM and muscle strength, but there was no significant difference between two groups. Therefore, both sling exercise and McKenzie exercise can be therapeutic methods for cervical pain.
05) but the increases in the McKenzie exercise group was not significant. Second, the ROM, extension and lateral flexion increased significantly in the sling exercise group(p＜0.05), whereas the change in flexion and rotation was not significant. In McKenzie exercise group, flexion, extension and Lt.
lateral flexion. Third, the MMT, rotation and lateral flexion of the sling exercise group increased significantly (p＜0.05) but there was no significant change in Flexion and Extension. In the McKenzie exercise group, the Lt.
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