[논문]Effect of Cervical Spinal Decompression on the Cervical Muscle Tone and Disc Height in Patients with Cervical Intervertebral Disc Herniation

Kang, Jeong il; Jeong, Dae Keun; Choi, Hyun

doi:10.20540/jiaptr.2018.9.1.1420

Effect of Cervical Spinal Decompression on the Cervical Muscle Tone and Disc Height in Patients with Cervical Intervertebral Disc Herniation 원문보기

Journal of international academy of physical therapy research, v.9 no.1, 2018년, pp.1420 - 1425

Kang, Jeong il (Sehan University) , Jeong, Dae Keun (Sehan University) , Choi, Hyun (Mokpo Mirae Hospital)

Abstract ▼ AI-Helper

The purpose of this study was to investigate the effect of traction and decompression therapies on the cervical muscle tone and disc height. The decompression group (n=16) received decompression therapy and Mckenzie exercises once a day and four times a week respectively, for three weeks. The traction group (n=15) also received traction therapy and Mckenzie exercises for the same period. Muscle tone was measured with a myotonometer, and the disk height was measured using magnetic resonance imaging (MRI), before the interventions. Three weeks later, we investigated the therapeutic effect by repeating these measurements. The difference in disk height between the two groups was not significant. There was a significant difference in the disk herniation index (p<.05). A significant difference was found only in the upper trapezius muscle after comparison of muscle tone and stiffness between the groups (p<.05). Findings from this study suggest that the decompression therapy is a more effective intervention for patients with cervical intervertebral disc herniation.

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문제 정의

In this study, 31 patients with herniated cervical intervertebral disks were divided into the decompression group (n=16), which underwent McKenzie exercises and decompression therapy, and the traction group (n=15), which underwent traction therapy and McKenzie exercises, for three weeks. The discussion that follows will consider the results of this study to investigate the difference in the therapeutic effectiveness of decompression therapy and traction therapy. Results were obtained by comparing the disk height, disk herniation index, and muscle tone of the cervical muscles before and after mediation.
This study has verified that decompression therapy and Mckenzie exercises reduce the tension in herniated disks and surrounding muscles. This study was conducted in only one medical institution, over a short period.
It is considered that a prospective study on the correlation of disk height, disk herniation index, pain, and cervical spine function will be needed. This study showed a meaningful decrease in stiffness and muscle tone of the upper trapezius after undertaking decompression therapy. Kim et al.

제안 방법

In this study, 31 patients with herniated cervical intervertebral disks were divided into the decompression group (n=16), which underwent McKenzie exercises and decompression therapy, and the traction group (n=15), which underwent traction therapy and McKenzie exercises, for three weeks. The discussion that follows will consider the results of this study to investigate the difference in the therapeutic effectiveness of decompression therapy and traction therapy.
The discussion that follows will consider the results of this study to investigate the difference in the therapeutic effectiveness of decompression therapy and traction therapy. Results were obtained by comparing the disk height, disk herniation index, and muscle tone of the cervical muscles before and after mediation.
The decompression group received decompression therapy and McKenzie exercises once a day and four times a week respectively, for three weeks. The traction group received traction therapy and McKenzie exercises for the same period.
In this comfortable posture, Multi-mode, which is the first stage of an automatic program (consisting of five stages) was used. The program is set for multidirectional movement of the cervical vertebral portion. This can cause proper movement of the facet joint and decompression simultaneously, by administering circumduction.
The researcher put a cushion under the subject's knee and had the subject bend the knee at a 90-degree angle.
5T (GE Corporate, USA). The subjects lay in a supine position, with a cushion underneath the knee, and the knee bent at a 25-degree angle. Their heads were immobilized with a fixing device.
For this reason, the use of decompression therapy is on the rise, and research into its effectiveness for patients with a herniated cervical intervertebral disk is needed. This study intends to investigate the difference in therapeutic effect of traction and decompression therapies, by comparing muscle tension of the cervical muscles, disk height, and disk herniation index before and after decompression and traction therapy.
Muscle tone was measured with a myotonometer, and the disk height was measured using MRI, before the intervention. Three weeks later, we investigated the therapeutic effects by repeating the MRI and myotonometer measurements.

대상 데이터

Approval was granted by the Bioethics Committee of Sehan University Center (Approval No 2016-11). The subjects were 31 patients aged from 35 to 50 years, who had unilateral or bilateral radiating upper limb pain [Table 1]. They showed more than one bulging of the intervertebral disks on magnetic resonance imaging (MRI).

이론/모형

The researcher put a cushion under the subject's knee and had the subject bend the knee at a 90-degree angle. In this comfortable posture, Multi-mode, which is the first stage of an automatic program (consisting of five stages) was used. The program is set for multidirectional movement of the cervical vertebral portion.
Measurements of the vertebral height and disk herniation index were obtained using MRI, Signa HDe 1.5T (GE Corporate, USA). The subjects lay in a supine position, with a cushion underneath the knee, and the knee bent at a 25-degree angle.
The disk height and disk herniation index were analyzed through images of the axial section among T2 weighted images. The images were analyzed with the Picture Archiving and Communication System (PACS).
0 for Windows. The normality of the general characteristics of the subjects and the Neck Disability Index of both groups were tested using the Shapiro-Wilk test. ANCOVA was used to compare changes between the groups.

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