[논문]Effect of upper thoracic mobilization on cervical alignment in stroke patients with forward head posture: A case study

Park, Sin Jun; Park, Si Eun

doi:10.20540/jiaptr.2018.9.2.1513

Effect of upper thoracic mobilization on cervical alignment in stroke patients with forward head posture: A case study 원문보기

Journal of international academy of physical therapy research, v.9 no.2, 2018년, pp.1513 - 1516

Park, Sin Jun (Gangdong College) , Park, Si Eun (Pohang University)

Abstract ▼ AI-Helper

The purpose of this study was to identify the effect of upper thoracic mobilization on cervical alignment in stroke patients with forward head posture. The subject's of this study were two stroke patients with forward head posture and a cervical curve angle (four-line Cobb's method; FLCM) less than $40^{\circ}$. The intervention, central posterior-anterior (PA) mobilization, was applied to the T1-T4 vertebrae (upper thoracic spine) following the Maitland concept. This mobilization was applied three times per week for four weeks. In the results, the cervical curve angle (FLCM) increased for both subject 1 and 2. However, Jochumsen method score was decreased in subject 1, while it was increased in subject 2. These results demonstrate that upper thoracic mobilization had the positive effect on the cervical curve angle but not on Jochumsen method score. These findings suggest that PA mobilization on the upper thoracic spine could correct cervical curve angle measured by FLMC in stroke patients with FHP.

주제어

AI 본문요약
AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

문제 정의

However, there are few data available concerning the effect of upper thoracic mobilization in stroke patients with FHP. Therefore, the purpose of this study was to examine the effect of upper thoracic mobilization on cervical alignment in stroke patients with FHP.
FHP is often described as an excessive anterior position of the head in relation to a vertical line and rounded shoulders with thoracic kyphosis ¹⁶⁾. This study investigated the effect of central PA mobilization of the upper thoracic vertebrae in stroke patients with FHP. The cervical curve angle (FLCM) increased in both subjects after intervention.
These results demonstrate that upper thoracic mobilization had positive effect on the cervical curve angle but not on Jochumsen method score. Thus, this study suggests to applying various interventions with upper thoracic mobilization in stroke patients with FHP.

제안 방법

. The treatment was performed with the subjects in the prone position. The mobilization applied to improve the upper thoracic extension.

대상 데이터

8°. She was 158 cm in height and weighted 72 kg. The subject was experiencing thoracic pain.
4°. She was 175 cm in height and weighted 90 kg. The subject was experiencing neck pain and stiffness.
Subject 1 was a 62-year-old female who had been diagnosed with a stroke in August 2016. The patient’s cervical curve angle was 33.
Subject 2 was a 58-year-old female who had been diagnosed with a stroke in February 2017. The patient’s cervical curve angle was 36.
The subject’s of this study were two stroke patients with FHP. The subjects were selected from patients at the Paramil Hospital (Anseong, South Korea). The following inclusion criteria were applied: subject should have a cervical curve angle (four-line Cobb’s method; FLCM) less than 40°, and primary complaint of neck pain (posterior part of cervical spine).

이론/모형

The following inclusion criteria were applied: subject should have a cervical curve angle (four-line Cobb’s method; FLCM) less than 40°, and primary complaint of neck pain (posterior part of cervical spine). In this study, pain score assessed using a visual analogue scale (VAS).
Measurements of cervical curve angle (FLCM) and the Jochumsen method (JM) were measured to quantify the cervical alignment. In the case of subject 1, the FLCM angle increased from 33.
We evaluated cervical alignment by measuring the cervical curve angle (FLCM) and via the Jochumsen method (JM) ¹⁵⁾. The angle measurement used the lateral view of a cervical spine X-ray.

후속연구

Previous studies have demonstrated that FHP in stroke patients is related to upper extremity function of the unaffected side ⁵⁾. Therefore, future studies should be conducted using more subjects, and effort should be made to identify the effects on upper extremity function in stroke patients with FHP. However, few studies have been done using stroke patients with FHP.

참고문헌 (16)

Jaraczewska, E, Long C: Kinesio(R) taping in stroke: improving functional use of the upper extremity in hemiplegia. Topics in Stroke rehabilitation 2006; 13(3): 31-42.

상세보기
Kim EJ, Lee KB, Hwang BY. Effects of upper extremity training in a standing position on trunk alignment in stroke patients. J Phys Ther Sci 2016; 28: 2426-2429.

상세보기
Ryerson S, Levit K. Functional movement reeducation: a contemporary model for stroke rehabilitation, New York: Churchill Livingstone, 1997.
Page P, Frank CC, Lardner R. Assessment and Treatment of Muscle Imbalance: The Janda Approach. Illinois. Human Kinetics, 2010: 53-56.
Lim HC, Kong SW, Jung YW, et al. The effect of forward head posture on upper extremity function, pain, depression in patients with stroke. The Korean Entertainment Industry Association 2016: 5; 199-204.
Lee KS, Jung HY. Analysis of the change of the forward head posture according to computer using time. Korean Soc Phys Med 2009: 4; 117-124.
Kim EJ, Lee KB, Hwang BY: Effects of upper extremity training in a standing position on trunk alignment in stroke patients. J Phys Ther Sci 2016; 28: 2426-2429.

상세보기
Fernandez-de-Las-Penas C, Alonso-Blanco C, Cuadrado ML, Pareja JA. Forward head posture and neck mobility in chronic tension-type headache: a blinded, controlled study. Cephalalgia 2006; 26(3): 314-319.

상세보기
Quek J, Pua YH, Clark RA, Bryant AL. Effect of thoracic kyphosis and forward head posture on cervical range of motion in older adults. Man Ther 2013; 18(1): 65-71.

상세보기
Jang SH, Bang HS. Effect of thoracic and cervical joint mobilization on pulmonary function in stroke patients. J Phys Ther Sci 2016; 28: 257-260.

상세보기
Puentedura EJ, Landers MR, Cleland JA, et al. Thoracic spine thrust manipulation versus cervical spine thrust manipulation in patients with acute neck pain: a randomized clinical trial. J Orthop Sports Phys Ther 2011; 41: 208-220.

상세보기
Cross KM, Kuenze C, Grindstaff TL, et al. Thoracic spine thrust manipulation improves pain, range of motion, and self reported function in patients with mechanical neck pain: a systematic review. J Orthop Sports Phys Ther 2011; 41: 633-642.

상세보기
Cho J, Lee E, Lee S. Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: a randomized clinical trial. BMC musculoskeletal disorders 2017; 18(1): 525.

상세보기
Jena S, Pattnaik M, Mohanty P. Effect of cervico-thoracic mobilization on hemiplegic shoulder pain with supraspinatus tendonitis due to impingement syndrome: an experimental study. Int J Physiother Res 2016; 4(3): 1510-1517.
Oh WK, Lee E, Shin BC. Clinical effect of bong chuna manual therapy and acupuncture treatment for improving cervical curvature of turtle neck syndrome and measurement method of radiography. J Oriental Rehab Med 2009; 19(1): 113-124.
Harman K, Hubley-Kozey CL, Butler H. Effectiveness of an exercise program to improve forward head posture in normal adults: a randomized, controlled 10-week trial. J Man Manip Ther 2005; 13(3): 163-176.

상세보기

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Effect of upper thoracic mobilization on cervical alignment in stroke patients with forward head posture: A case study 원문보기

Abstract ▼ AI-Helper

주제어

AI 본문요약
AI-Helper

문제 정의

제안 방법

대상 데이터

이론/모형

후속연구

참고문헌 (16)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

연합인증

Effect of upper thoracic mobilization on cervical alignment in stroke patients with forward head posture: A case study 원문보기

Abstract ▼ AI-Helper

주제어

AI 본문요약 엑셀 다운로드 AI-Helper

문제 정의

제안 방법

대상 데이터

이론/모형

후속연구

참고문헌 (16)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

AI 본문요약
AI-Helper