[논문]Effects of Dynamic Exercise Program Using Thera-Band on Craniovertebral Angle in Adults with Forward Head Posture

Shin, Hyungsoo; Kim, Kihyun; Jung, Namjin

doi:10.20540/jiaptr.2020.11.1.1960

Effects of Dynamic Exercise Program Using Thera-Band on Craniovertebral Angle in Adults with Forward Head Posture 원문보기

Journal of international academy of physical therapy research, v.11 no.1, 2020년, pp.1960 - 1968

Shin, Hyungsoo (Department of Physical Therapy, Kyungwoon University) , Kim, Kihyun (Department of Physical Therapy, Kyungwoon University) , Jung, Namjin (Department of Physical Therapy, Kyungwoon University)

Abstract ▼ AI-Helper

Background: The alignment of the neck and shoulder is important in people with forward head posture. However, previous studies have mainly conducted fragmentary studies on the neck and shoulders, and studies on the combined movement of the neck and shoulders are incomplete. Objective: To investigate the effects of 6 week dynamic exercise program using Thera-band on craniovertebral angle (CVA) in adults with forward head posture. Design: Quasi-experimental study. Methods: The study was conducted on 24 adults with forward head posture and experimented with neck and shoulder exercises and divided them into groups of neck exercises, shoulder exercises, and neck and shoulder exercises to measure CVA values before and after the experiment. The neck exercise program included flexion and extension muscles of the neck and shoulder exercises included dynamic exercise of the upper extremities such as the trapezius muscles and serratus anterior muscle. The CVA results were measured using PA200. Results: Following the interventions, neck exercise group showed significant improvement in CVA (P.05). However, both groups showed some positive results. Significant differences were seen in the comparisons between the three groups (P<.05), and the results of the post-hoc test showed significant differences in neck exercise group and shoulder exercise, neck exercise and combine exercise group. Conclusion: This study suggested that the Thera-band neck exercise is beneficial for foward head posture patients and is expected to be used in clinical trials.

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제안 방법

In order to enhance the reliability of this experiment, one researcher averaged out the results obtained from two shots and used the following methods of measurement.
In this study, we applied neck and shoulder dynamic exercises, a typical modern treatment for common musculoskeletal disorders, to patients with forward head posture to discover their effects. Later, the CVA was measured and analyzed in order to discover the kinetic effects of the forward head position.
In this study, we applied neck and shoulder dynamic exercises, a typical modern treatment for common musculoskeletal disorders, to patients with forward head posture to discover their effects. Later, the CVA was measured and analyzed in order to discover the kinetic effects of the forward head position. As a result, GroupⅠ showed a significant difference, but there was no significant difference in GroupⅡ or GroupⅢ.
This study was conducted for six weeks to find out how it affected neck, shoulders, and complex dynamic exercise using Thera-band affects the CVA with forward head posture. The results were compared and analyzed by measuring them through PA200 in order to compare the pre- and post- exercise of CVA.
Therefore, in this study, we would like to explore the effect of dynamic stabilization movements on the neck exercise, shoulder exercise, complex exercise in adults with forward head posture, comparing the changes in CVA to the effect on front head posture change.
This study was conducted for six weeks to find out how it affected neck, shoulders, and complex dynamic exercise using Thera-band affects the CVA with forward head posture. The results were compared and analyzed by measuring them through PA200 in order to compare the pre- and post- exercise of CVA.

대상 데이터

In this study,²⁴ adults were selected by randomly sorting the target group and name into opaque box. Each group was divided into a group of dynamic exercise group on the neck, shoulder and complex (neck and shoulder).
The study was conducted on²⁴ adults who were experiencing a forward head posture. The subjects were assigned eight persons each in the groups, and there was no significant difference in the general characteristics of the subjects (P>.

데이터처리

05. To compare the average difference before and after the CVA of the subjects in each group, the paired t-test were performed, and the one-way ANOVA was performed to compare the difference before and after the intergroup. In the event of significant statistical differences, the Bonferroni method was performed as a post-hoc test.

이론/모형

To compare the average difference before and after the CVA of the subjects in each group, the paired t-test were performed, and the one-way ANOVA was performed to compare the difference before and after the intergroup. In the event of significant statistical differences, the Bonferroni method was performed as a post-hoc test.

성능/효과

There was a significant difference between the pre and post difference between each group in the neck exercise group. A one-way ANOVA to compare the difference by group showed significant difference in the three group, there was no significant difference between shoulder exercise group and the complex exercise group.
Based on the results of this study, it is believed that the dynamic exercise program using the Thera-band has had a positive effect on neck alignment of patients with forward head posture, and that it can be recommended as a home exercise program using the Thera-band after treatment of the manual therapy in hospital.
Kim et al²⁶ found that the combined sling exercise on the neck and shoulders affected the muscle activity of the forward head posture and the alignment of the cervical. There was a significant difference in both the CVA and the head rotation angle before and after intervention, and there was a significant muscle activity difference in both the serratus anterior and lower trapezius muscles. In addition, when the results of each week were compared with McKenzie’s exercise and traditional physical therapy to combat forward head posture, the McKenzie’s exercise was more effective than traditional physical therapy.

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