[국내논문]Comparison of the effects of muscle stretching exercises and cupping therapy on pain thresholds, cervical range of motion and angle: a cross-over study원문보기
Yim, Jongeun
(Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
,
Park, Junhyuck
(Department of Physical Therapy, School of Health and Welfare, Yeungnam University College)
,
Kim, Hongseop
(Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
,
Woo, Juyeon
(Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
,
Joo, Soyeong
(Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
,
Lee, Sumin
(Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
,
Song, Jewon
(Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
Objective: Computers and smartphones have become a necessity for modern people, and the use of these things in an inappropriate position has increased the number of people who complain about neck problems. The purpose of this study was to compare the changes of cervical angle, range of motion (ROM) ...
Objective: Computers and smartphones have become a necessity for modern people, and the use of these things in an inappropriate position has increased the number of people who complain about neck problems. The purpose of this study was to compare the changes of cervical angle, range of motion (ROM) and pain threshold according to the McKenzie stretching and dry cupping therapy. Design: Cross-over design. Methods: We included 12 male and 6 female college students in their twenties, and conducted a pre- and post-test to evaluate the changes of each variable after the application of the McKenzie stretching and dry cupping therapy. Results: Neither the cervical spine angle nor the turtle neck angle showed any change in both the McKenzie stretching and the dry cupping treatment. In the McKenzie stretching, the pain threshold decreased, and the ROM of the cervical spine increased in all directions but there was no significant difference. The pain threshold was increased in the dry cupping treatment, and the ROM of the cervical spine was significantly increased in all directions (p<0.05). Comparisons of the McKenzie stretching and cupping treatment showed that the cupping treatment produced significantly greater pain thresholds and improvements in ROM of the cervical spine than the McKenzie stretching technique (p<0.05). Conclusions: Cupping treatment is more effective in improving ROM of the cervical spine and pain thresholds than the McKenzie stretching technique. In the future, cupping treatment will be one of the treatment options for pain and ROM impairments of the cervical spine.
Objective: Computers and smartphones have become a necessity for modern people, and the use of these things in an inappropriate position has increased the number of people who complain about neck problems. The purpose of this study was to compare the changes of cervical angle, range of motion (ROM) and pain threshold according to the McKenzie stretching and dry cupping therapy. Design: Cross-over design. Methods: We included 12 male and 6 female college students in their twenties, and conducted a pre- and post-test to evaluate the changes of each variable after the application of the McKenzie stretching and dry cupping therapy. Results: Neither the cervical spine angle nor the turtle neck angle showed any change in both the McKenzie stretching and the dry cupping treatment. In the McKenzie stretching, the pain threshold decreased, and the ROM of the cervical spine increased in all directions but there was no significant difference. The pain threshold was increased in the dry cupping treatment, and the ROM of the cervical spine was significantly increased in all directions (p<0.05). Comparisons of the McKenzie stretching and cupping treatment showed that the cupping treatment produced significantly greater pain thresholds and improvements in ROM of the cervical spine than the McKenzie stretching technique (p<0.05). Conclusions: Cupping treatment is more effective in improving ROM of the cervical spine and pain thresholds than the McKenzie stretching technique. In the future, cupping treatment will be one of the treatment options for pain and ROM impairments of the cervical spine.
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가설 설정
3. The right hand was placed on the opposite side shoulder and head-turning was performed sin a sitting position. This was repeated in the opposite direction.
제안 방법
In this study, pre- and post-intervention evaluations were conducted to determine the changes in the angle of the cervical vertebrae, the changes in the pain thresholds around the cervical vertebrae, and the ROM of the cervical vertebrae following the McKenzie’s stretching exercise and dry cupping therapy.
There are a lack of studies comparing the McKenzie’s stretch and the cupping therapy to the cervical spine. The purpose of this study was to investigate the differences in the angle of the cervical spine and the pain thresholds around the cervical vertebrae by applying the McKenzie exercise and the cupping therapy.
Participants in this study were 12 males and 6 females students in their twenties who were studying at Sahmyook University. The subjects who participated in the experiment were selected as those who voluntarily agreed to the experiment and those who had no restrictions on the ROM of the neck, those without disk disorder, and those who had no open wounds at the sites where the cupping therapy was applied.
In this experiment, a cross-over design was used in which each treatment was sequentially applied at a time interval to each of the experimental groups. In this design, subjects were subjected to continuous intervention, and the effects of each intervention were compared.
In this design, subjects were subjected to continuous intervention, and the effects of each intervention were compared. The advantage of this experimental design is that it can compare the effects of the intervention within the subjects of one group rather than comparing the results between different groups and can reduce the measurement variance. In this study, pre- and post-intervention evaluations were conducted to determine the changes in the angle of the cervical vertebrae, the changes in the pain thresholds around the cervical vertebrae, and the ROM of the cervical vertebrae following the McKenzie’s stretching exercise and dry cupping therapy.
Cervical ROM (CROM) was measured by the Cervical Range of Motion Instrument (CROM3, Performance Attainment Associates and MedNet Technologies, New York, USA) and was applied for cervical flexion, extension, left lateral flexion, and right lateral flexion. Active ROM of the subject was measured by placing the foot on a fixed chair and attaching it to the floor with both hands stretched out lightly towards the knees.
Cervical ROM (CROM) was measured by the Cervical Range of Motion Instrument (CROM3, Performance Attainment Associates and MedNet Technologies, New York, USA) and was applied for cervical flexion, extension, left lateral flexion, and right lateral flexion. Active ROM of the subject was measured by placing the foot on a fixed chair and attaching it to the floor with both hands stretched out lightly towards the knees. Measurements were done once before and after.
To cope with these problems, Sling exercises [17], McKenzie exercises [11], and the hold-relax method of proprioceptive neuromuscular stimulation [18] have been used and are effective on cervical spine angles, in maximizing muscle strength of deep neck flexors, and controlling the level of pain. In this study, the effects of the McKenzie stretching and cupping treatments were assessed after a single intervention, which resulted in minimal effects on the structural changes of the skeleton. It is anticipated in the future studies that a long-term repeated treatment would be more effective.
대상 데이터
Participants in this study were 12 males and 6 females students in their twenties who were studying at Sahmyook University. The subjects who participated in the experiment were selected as those who voluntarily agreed to the experiment and those who had no restrictions on the ROM of the neck, those without disk disorder, and those who had no open wounds at the sites where the cupping therapy was applied.
The cupping technique was applied to each subject’s levator scapular and upper trapezius one by one, respectively. A plastic cup of 25 to 50 mm size was selected according to the application area of the subject. After applying the plastic cup to the site, air was taken out by the compressor to create a vacuum state.
This study consisted of 18 subjects including 12 males and 6 females. The average age of subjects was 22.
This study consisted of 18 subjects including 12 males and 6 females. The average age of subjects was 22.66 years, with a height of 166.58 cm and a body weight of 59.5 kg (Table 1).
데이터처리
, Armonk, NY, USA). To investigate the effect of each treatment method on the dependent variables, the paired t-test was used to calculate and compare the mean values of the measurements. Independent t-test was performed to verify the difference between before and after intervention.
To investigate the effect of each treatment method on the dependent variables, the paired t-test was used to calculate and compare the mean values of the measurements. Independent t-test was performed to verify the difference between before and after intervention. The statistical significance level was set at α=0.
성능/효과
Although pain does not cause neurotrophic muscle weakness, such as cervical neuromuscular lesions, it limits not only the ROM of the joints, but also causes many obstacles to daily activities [19]. In this study, after the McKenzie stretches, pain thresholds decreased with no significant difference in the upper right trapezius and a significant decrease in the upper left trapezius. This was due to poor blood supply and muscle ischemia.
Tension headaches also have been reported to be inversely correlated with the ROM of the cervical vertebrae [26]. In this study, although the ROM of the cervical vertebrae tended to increase in all directions in the McKenzie stretching group, cervical flexion and left lateral flexion increased significantly but extension and right lateral flexion were not significantly different. Personal differences in strength and characteristics may have accounted for this.
참고문헌 (27)
Lee S, Kang H, Shin G. Head flexion angle while using a smartphone. Ergonomics 2015;58:220-6.
Xie Y, Szeto GP, Dai J, Madeleine P. A comparison of muscle activity in using touchscreen smartphone among young people with and without chronic neck-shoulder pain. Ergonomics 2016;59:61-72.
Lauche R, Cramer H, Choi KE, Rampp T, Saha FJ, Dobos GJ, et al. The influence of a series of five dry cupping treatments on pain and mechanical thresholds in patients with chronic non-specific neck pain--a randomised controlled pilot study. BMC Complement Altern Med 2011;11:63.
Gelb DE, Lenke LG, Bridwell KH, Blanke K, McEnery KW. An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers. Spine (Phila Pa 1976) 1995;20:1351-8.
Straker LM, Coleman J, Skoss R, Maslen BA, Burgess-Limerick R, Pollock CM. A comparison of posture and muscle activity during tablet computer, desktop computer and paper use by young children. Ergonomics 2008;51:540-55.
Krauss J, Creighton D, Ely JD, Podlewska-Ely J. The immediate effects of upper thoracic translatoric spinal manipulation on cervical pain and range of motion: a randomized clinical trial. J Man Manip Ther 2008;16:93-9.
Tousignant M, de Bellefeuille L, O'Donoughue S, Grahovac S. Criterion validity of the cervical range of motion (CROM) goniometer for cervical flexion and extension. Spine (Phila Pa 1976) 2000;25:324-30.
Chi LM, Lin LM, Chen CL, Wang SF, Lai HL, Peng TC. The effectiveness of cupping therapy on relieving chronic neck and shoulder pain: a randomized controlled trial. Evid Based Complement Alternat Med 2016;2016:7358918.
Clare HA, Adams R, Maher CG. Reliability of McKenzie classification of patients with cervical or lumbar pain. J Manipulative Physiol Ther 2005;28:122-7.
de Koning CH, van den Heuvel SP, Staal JB, Smits-Engelsman BC, Hendriks EJ. Clinimetric evaluation of active range of motion measures in patients with non-specific neck pain: a systematic review. Eur Spine J 2008;17:905-21.
Mohammed S. Myofascial pain and fibromyalgia syndromes: a clinical guide to diagnosis and management. London: LWW; 2003.
Vikne J, Oedegaard A, Laerum E, Ihlebaek C, Kirkesola G. A randomized study of new sling exercise treatment vs traditional physiotherapy for patients with chronic whiplash-associated disorders with unsettled compensation claims. J Rehabil Med 2007;39:252-9.
Loew M, Heichel TO, Lehner B. Intraarticular lesions in primary frozen shoulder after manipulation under general anesthesia. J Shoulder Elbow Surg 2005;14:16-21.
Kim SJ. Influences of cryotherapy and intermittent compression on experimental delayed onset muscle soreness [Master thesis]. Daegu: Daegu University; 2001.
Schulte E. Acupuncture: where east meets west. RN 1996;59: 55-7.
Michalsen A, Bock S, Ludtke R, Rampp T, Baecker M, Bachmann J, et al. Effects of traditional cupping therapy in patients with carpal tunnel syndrome: a randomized controlled trial. J Pain 2009;10:601-8.
Kim EJ, Kim JW, Park BR. Effects of sling exercise program on muscle activity and cervical spine curvature of forward head posture. J Digit Contents Soc 2011;11:213-20.
Sohn JH, Choi HC, Lee SM, Jun AY. Differences in cervical musculoskeletal impairment between episodic and chronic tension-type headache. Cephalalgia 2010;30:1514-23.
Musial F, Spohn D, Rolke R. Naturopathic reflex therapies for the treatment of chronic back and neck pain-part 1: neurobiological foundations. Forsch Komplementmed 2013;20:219-24.
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