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Comparison of Sensorimotor Training using Chin-Tuck Exercise with Therapeutic Stretching Training on Neck Pain and Mobility in Individuals with Chronic Non-Specific Neck Pain: A pilot randomized controlled trial 원문보기

대한물리의학회지 = Journal of the korean society of physical medicine, v.14 no.2, 2019년, pp.29 - 40  

Kim, Chang-Yong (Scientific Instruments Reliability Assessment Center, Korea Basic Science Institute) ,  Kim, Hyeong-Dong (Department of Physical Therapy and School of Health and Environmental Science, College of Health Science, Korea University)

Abstract AI-Helper 아이콘AI-Helper

PURPOSE: Despite the widespread occurrence in the general population, few studies have directly evaluated the effects of shingles on non-specific neck pain (NSNP). This study investigated whether sensory training or therapeutic stretching exercises are more effective in increasing neck mobility and ...

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제안 방법

  • The home exercise for the HEG was performed under periodic supervision (three times a week). All participants received a half-hour training session, three times weekly.
  • Each exercise caused automatic and reflex muscle stabilization, allowing part icipants to maintain postural control in a variety of situations. At each stage, participants made unstable surfaces using TOGU equipment such as AeroStep XL, Air Cushion, and Gym Ball (TOGU Co., Germany) [24-26]. (i) Maintain static steps (5 minutes) of posture stability on unstable surfaces focused on sagittal and frontal alignment in AeroStep XL.
  • Based on the above treatment approach, subjects participating in this study conducted various stages of SMT with progressive challenges to posture stability through the basis of support, centering, or external issues.
  • 1 outlines the test procedures. Group allocation of the participants was determined using a randomization procedure, in which each participant drew a ball from a basket containing three balls marked with 1 (sensorimotor training group; STG), 2 (therapeutic stretching group; TSG), or 3 (home exercise group; HEG), without looking at the ball. Consequently, the participants and therapists were unaware of their grouping.
  • Therefore, two experimental programs of sensorimotor and stretching training were designed in the chin tuck position. Over a six-week period, the participants in the STG received sensorimotor training and the participants in the TSG performed therapeutic neck stretching training. Training sessions for both the STG and TSG were carried out at the university laboratory.
  • This procedure was completed in accordance with the guidelines reported by Abraham [34]. Participants in the HEG assessed three investigators per week to determine whether exercise was necessary.
  • This study is unique because the improvements were addressed as a result of combining the chin tuck position, a sensorimotor control system, and stretching factors with an exercise program and measurements that captured the aspects of NSNP.
  • Over a six-week period, the participants in the STG received sensorimotor training and the participants in the TSG performed therapeutic neck stretching training. Training sessions for both the STG and TSG were carried out at the university laboratory. The home exercise for the HEG was performed under periodic supervision (three times a week).

대상 데이터

  • The PROM measurements on the cervix were averaged over three experiments. Test-retest testing for cervical PROM measurements was performed on 81 test participants. The results show high reliability (ICC = .
  • NSNP develops over time as soft tissues, including muscles, are tightened with the excessive work required to hold the head [7]. Therefore, the participants involved in the present study were college students who performed chin tuck postural exercises to combat neck pain.

데이터처리

  • Parametric methods were used because the samples involved in the present study were represented by normal distribution curves in the Kolmogorov-Smirnov test. A chi-square test (gender) and one-way ANOVA (age, weight, height, pain duration, and average pain) were used to compare the demographic characteristics for the categorical data of the subjects among the three groups. Comparisons of the differences in the NDI scores and cervical PROM changes among the groups’ pre- and post-test were investigated using one-way ANOVA for continuous data, followed by a Bonferroni’s post-hoc test, to identify the differences among the groups for each intervention time.
  • Comparisons of the differences in the NDI scores and cervical PROM changes among the groups’ pre- and post-test were investigated using one-way ANOVA for continuous data, followed by a Bonferroni’s post-hoc test, to identify the differences among the groups for each intervention time. A paired t-test was performed to compare the same parameters before and after the intervention within each group. The significance level of the data collected from the subjects set to p < .
  • Comparisons of the differences in the NDI scores and cervical PROM changes among the groups’ pre- and post-test were investigated using one-way ANOVA for continuous data, followed by a Bonferroni’s post-hoc test, to identify the differences among the groups for each intervention time.

이론/모형

  • The values in each group are expressed as the mean ± standard deviation and number (n). Parametric methods were used because the samples involved in the present study were represented by normal distribution curves in the Kolmogorov-Smirnov test. A chi-square test (gender) and one-way ANOVA (age, weight, height, pain duration, and average pain) were used to compare the demographic characteristics for the categorical data of the subjects among the three groups.
  • The recorder records both the beginning and the end of the range of cervical manual motion from the back of the UG goniometer. The recorder records both the starting and ending points of the cervical PROM on the back of the UG shunt scale. The PROM measurements on the cervix were averaged over three experiments.
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