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The Impact of Cervical Stretching Exercise and Cervical Traction on Cervical Pain and Muscle Activity among Patients with Cervical Hypolordosis 원문보기

Journal of international academy of physical therapy research, v.6 no.2, 2015년, pp.852 - 858  

An, Ho Jung (Dongnam Health University) ,  Choi, Jung Hyun (Namseoul University)

Abstract AI-Helper 아이콘AI-Helper

The purpose of this study is to provide fundamental clinical data for the treatment plan and rehabilitation of patients with cervical hypolordosis by comparing the cervical headache and muscle activity after cervical stretching exercise and cervical traction, which are generally applied to patients ...

주제어

AI 본문요약
AI-Helper 아이콘 AI-Helper

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제안 방법

  • The research subjects included 20 patients without gender division who were diagnosed with cervical hypolordosis. After applying cervical stretching exercise and cervical traction for six weeks, cervical headache and the activity of the muscles around the cervical vertebra(upper trapezius muscle, sternocleidomastoid muscle, splenius capitis muscle, and anterior temporal muscle) were investigated and the following results were obtained.
  • All subjects voluntarily agreed to participate in the experiment. After sufficiently explaining the purpose and the implementation tasks of this study to all of the subjects, the study proceeded by obtaining participation agreements. The purpose of this study was accurately explained to all of the subjects and the subjects promised that they would not perform any additional treatment or exercise during the research period that could affect the study results.
  • Data on each muscle in a condition of maximal strength against the isometric resistance for three seconds were collected(11). The MVIC values of each of the left and right side of the upper trapezius muscle, sternocleidomastoid muscle, splenius capitis muscle, and anterior temporal muscle were measured before the experiment.
  • The cervical traction group and the cervical stretching exercise group performed the exercise three times a week for a total of six weeks. The implementation method is described below.
  • The purpose of this study is to provide fundamental clinical data for the treatment plan and rehabilitation of patients with cervical hypolordosis by comparing the cervical headache and muscle activity after cervical stretching exercise and cervical traction, which are generally applied to patients with cervical hypolordosis. The research subjects included 20 patients without gender division who were diagnosed with cervical hypolordosis.
  • The purpose of this study is to provide fundamental clinical data for the treatment plan and rehabilitation of patients with cervical hypolordosis by comparing the cervical headache and muscle activity after the cervical stretching exercise and cervical traction that are generally applied to patients with cervical hypolordosis.
  • After sufficiently explaining the purpose and the implementation tasks of this study to all of the subjects, the study proceeded by obtaining participation agreements. The purpose of this study was accurately explained to all of the subjects and the subjects promised that they would not perform any additional treatment or exercise during the research period that could affect the study results.
  • The subjects took a stable posture and maintained each posture for one minute, during which time muscle loading was measured using EMG. Adding four minutes, muscle fatigue was measured over a total of five minutes.
  • Referring to the study by Lee, the cervical stretching exercise group maintained correct head neck posture in a group sitting position. Then, the participants did ascending and descending exercise of the shoulder joint, protraction and retraction exercise, horizontal adduction and abduction exercise along with the addition of bending to the left and the right, flexion, extension, and clockwise and counterclockwise rotation of the neck bone as voluntary exercises, with each exercise performed for 10 seconds followed by three seconds of resting time. Each set was repeated five times and performed for a total of three times(13).
  • A forward head posture refers to a position that generally accompanies the flexion of the lower cervical vertebra and excessive extension of the upper cervical vertebra, which is frequently observed among office workers(19). This study attempts to provide fundamental clinical data for the treatment plan and rehabilitation of patients with cervical hypolordosis by comparing the cervical traction that is generally applied to patients with cervical hypolordosis and the cervical stretching exercise method that patients can perform by themselves.

대상 데이터

  • For the subjects of this study, a total of 20 patients who reported discomfort and were diagnosed with cervical hypolordosis were chosen. The sample was divided into a cervical traction group(CTG) and a cervical stretching exercise group(CSEG).
  • The purpose of this study is to provide fundamental clinical data for the treatment plan and rehabilitation of patients with cervical hypolordosis by comparing the cervical headache and muscle activity after cervical stretching exercise and cervical traction, which are generally applied to patients with cervical hypolordosis. The research subjects included 20 patients without gender division who were diagnosed with cervical hypolordosis. After applying cervical stretching exercise and cervical traction for six weeks, cervical headache and the activity of the muscles around the cervical vertebra(upper trapezius muscle, sternocleidomastoid muscle, splenius capitis muscle, and anterior temporal muscle) were investigated and the following results were obtained.

데이터처리

  • A two way repeated measures ANOVA was conducted to compare the differences in the cervical pain and neck muscle activity variables according to group(cervical stretching exercise group and cervical traction group) and time (before and after the intervention). A paired t-test was used to test for significant differences between the pretest and posttest. A statistically significant level was set at α=.
  • Levene’s F-test was used to test the homogeneity of the subjects and a Kolmogorov– Smirnov test was used to test normal distribution. A two way repeated measures ANOVA was conducted to compare the differences in the cervical pain and neck muscle activity variables according to group(cervical stretching exercise group and cervical traction group) and time (before and after the intervention). A paired t-test was used to test for significant differences between the pretest and posttest.

이론/모형

  • Levene’s F-test was used to test the homogeneity of the subjects and a Kolmogorov– Smirnov test was used to test normal distribution.
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참고문헌 (25)

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  3. Na BJ. The study of chiropractic technique on cervical disorder patients with military neck. Kyonggi University 2008. 

  4. Park HS. Effects of head posture on the rotational torque movement of mandible in patients with temporomandibular disorders. J Oral Med Pain 2000; 25(2): 173-189. 

  5. Hanten WP, Lucio RM, Russell JL, Brunt D. Assessment of total head excursion and resting head posture. Arch Phys Med Rehabil 1991; 72(11): 877-880. 

  6. Lee H, Lee BR, Park TG. Clinical studies on 50 cases of patient with cervical pain. J Kor acu moxi med soc 1999; 16(2): 69-82. 

  7. Park KD. The effect of MTT to neck pain patient's cervical extension muscle strength and pain. Kor Alliance for Health, Physical education, Recreation, and Dance 2005; 44(5): 861-869. 

  8. Harris PR: Cervical traction : review of the literature and treatment guidelines. Phys Ther 1977; 57: 910-914. 

  9. Crue BL, Todd EM: The importance of flexion in cervical halter traction. Bull Los Angeles Neurol Soc 1965; 30: 95-98. 

  10. Brodie DJ, Burnett JV, Walker JM, Lydes-Reid D. Evaluation of low back pain by patient questionnaires and therapist assessment. J Orthop Sports Phys Ther 1990; 11(11): 519-529. 

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  12. Jung WJ. Effects of a wallet in the back trouser pocket on paraspinal muscle activity in sitting. Yonsei University 2009. 

  13. Lee DH. The effects of Balance Exercise and Stretching Exercise on Forward Head Posture. Daegu University 2011. 

  14. Barton PM, and Hayes KC. Neck flexor muscle strength, efficiency, and relaxation times in normal subjects and subjects with unilateral neck pain and headache. Arch Phys Med Rehabil 1996; 77(7): 680-687. 

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  19. Hanten WP1, Lucio RM, Russell JL, Brunt D. Assessment of total head excursion and resting head posture. Arch Phys Med Rehabil 1991; 72(11): 877-880. 

  20. Park HJ, Lee SN. The Effect on the Posture and Neck Pain in Head Backward Extension Exercise. Kor Soc Sport Leisure Studies 2002, 17; 223-231. 

  21. Highland TR1, Dreisinger TE, Vie LL, Russell GS. Changes in isometric strength and range of motion of the isolated cervical spine after eight weeks of clinical rehabilitation. Spine 1992; 17: 77-82. 

  22. Ottawa. Mattresses for chronic back or neck pain: a review of the clinical effectiveness and guidelines. Canadian Agency for Drugs and Technologies in Health 2014. 

  23. Thuresson M, Ang B, Linder J, Harms-Ringdahl K.Mechanical load and EMG activity in the neck induced by different head-worn equipment and neck postures. Int J Ind Ergon 2008; 35: 13-18. 

  24. Straker L, Mekhora K. An evaluation of visual display unit placement by electromyography, posture, discomfort and preference. Int J Ind Ergon 2000; 26: 389-398. 

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