[논문]목빗근에 대한 허혈성 압박법이 위등세모근의 만성 통증에 미치는 영향

심지훈; 박태성; 강종호

doi:10.22156/cs4smb.2021.11.12.194

목빗근에 대한 허혈성 압박법이 위등세모근의 만성 통증에 미치는 영향
Effect of Ischemic Compression on Sternomastoidcleido Muscle on Chronic pain in Upper Trapezius Muscle 원문보기

융합정보논문지 = Journal of Convergence for Information Technology, v.11 no.12, 2021년, pp.194 - 200

심지훈 (부산가톨릭대학교 물리치료학과) , 박태성 (부산대학교병원 의생명연구원) , 강종호 (부산가톨릭대학교 물리치료학과)

초록
AI-Helper

최근 스마트폰 사용 등과 같은 이유로 잘못된 자세가 발생하고 있다. 이로 인하여 근육들의 불균형 단축이 발생하고 있는데 특히 목빗근이 단축되면 더부신경이 압박되어 위등세모근의 허혈성 통증을 일으킬 수 있다. 그리하여 본 연구는 목빗근 1/3지점의 더부신경 포착점에 허혈성 압박법을 중재하여 위등세모근의 통증에 미치는 영향을 알아보았다. 본 연구는 여성 8명을 대상으로 4주간 주 2회 중재하였고, 중재 전, 후 그리고 중재 종료 3주 후 평가하였다. 대상자들의 통증을 알아보기 위해 시각적 사상 척도와 맥길 통증 설문지 그리고 압력 통각계를 사용하였다. 본 연구 결과 치료 후 통증이 유의하게 감소한 것을 확인하였으며, 중재 종료 3주 후 역시 통증 감소에 효과가 있는 것을 확인하여 목빗근의 더부신경 압박점의 중재가 위등세모근의 통증 감소와 지속성이 있음을 확인하였다. 차후 연구에서 대상자를 늘려 위등세모근의 통증 감소뿐만 아니라 목의 기능개선도 확인할 필요성이 있을 것이다.

Abstract ▼ AI-Helper

Recently, incorrect and unhealthy postures have become increasingly prevalent due to reasons such as smartphone use. Consequently, imbalanced muscle contraction occurs. In particular, if the oblique muscle is contracted, the accessory nerve will be compressed, causing ischemic pain in the upper trapezius muscle. To investigate the effect on pain in the upper trapezius muscle, this study applied the ischemic compression method to the accessory nerve capture point at the 1/3-point of the oblique cervical muscle. In this study, the ischemic compression method was applied to eight women twice a week for four weeks, and pain was evaluated before, immediately after, and three weeks after application. The visual analogue scale, McGill Pain Questionnaire, and pressure dynamometer were used to evaluate subjects' pain. As a result of this study, it was confirmed that the pain was significantly reduced after treatment, and that the pain reduction was still effective three weeks after completion of the intervention, indicating that the intervention on the accessory nerve compression point on the oblique cervical muscle was both effective and long-lasting for pain reduction in the upper trapezius muscle. Future studies should increase the number of subjects to check not only pain reduction in the upper trapezius muscle, but also improvement of neck function.

주제어

표/그림 (6)

그림 Fig. 1. Ischemic compression & Press
그림 Fig. 2. Pressure algometer & Pressure test of upper trapzius
표 Table 1. General characteristics of subjects (n=8)
표 Table 2. Visual analogue scale score
표 Table 3. total average of McGill Pain Questionnaire
표 Table 4. Threshold of Pressure algometer

참고문헌 (25)

S. J. Son, S. G. Seo, D. E Song, W. M. Song & S. Y. Kim. (2017) Comparison of Muscle Fatigue and Muscle Activity, Joint Position Sense Around the Neck and Shoulder for University Students According to Smart-phone Usage Time. Natural Science, 28, 1-14
J. H. Park, J. Y. Kang & H. S. Jeon. (2013). The Effect of Using Smart-Phones on Neck and Shoulder Muscle Activities and Fatigue. Physical Therapy Korea, 20(3), 19.26

원문보기 상세보기
P. Janwantanakul, E. Sitthipornvorakul & A. Paksaichol. (2012). Risk Factors for the Onset of Nonspecific Low Back Pain in Office Workers: A Systematic Review of Prospective Cohort Studies. Journal of manipulative and physiological therapeutics, 35(7), 568-577. DOI : 10.1016/j.jmpt.2012.07.008

상세보기
D. G. Simons. (2002) Understanding effective treatments of myofascial trigger points. journal of bodywork and movement therapies, 6(2), 81-88

상세보기
D. H. Kim, J. D. Choi & J. S. Oh. (2004). Analysis of Muscle Activity of the Scapular Rotators With Changes of Shoulder Abduction Angle in Both Erect and Slouched Trunk Position. Physical Therapy Korea, 11(1), 45-52
S. S. Lynch, C. A. Thigpen, J. P. Mihalik, W. E. Prentice & D. Padua. (2010). The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers. British journal of sports medicine, 44(5), 376-381. DOI : 10.1136/bjsm.2009.066837

상세보기
A. Tantanatip & K. V. Chang. (2021). Myofascial Pain Syndrome. StatPearls (Online). http://www.statpearls.com
D. H. Lee et al. (2015). Change in Musculoskeletal Pain in Patients With Work-Related Musculoskeletal Disorder After Tailored Rehabilitation Education: A One-Year Follow-Up Survey. Annals of Rehabilitation Medicine, 39(5), 726-734. DOI : 10.5535/arm.2015.39.5.726

상세보기
P. W. Buckle & D. J. Jason. (2002). The nature of work-related neck and upper limb musculoskeletal disorders. Applied ergonomics, 33(3), 207-217. DOI : 10.1016/s0003-6870(02)00014-5

상세보기
A. Hussain & R. I. Winterton. (2016). Peripheral nerve entrapment syndromes of the upper limb. Surgery -Oxford-, 34(3), 134-138.
J. R. Meadows & J. T. Finnoff. (2014). Lower Extremity Nerve Entrapments in Athletes. CURRENT SPORTS MEDICINE REPORTS, 13(5), 299-306. DOI : 10.1249/JSR.0000000000000083

상세보기
T. Rezaeian, Z. Mosallanezhad, M. R. Nourbakhsh & M. Noroozi. (2020). Effects of Dry Needling Technique Into Trigger Points of the Sternocleidomastoid Muscle in Migraine Headache: A Randomized Controlled Trial. american journal of physical medicine and rehabilitation, 99(12), 1129-1137. DOI : 10.1097/PHM.0000000000001504

상세보기
B. P. Gema, P. M. Daniel, G. I. Tomas, S. M. Jaime, F. P Cesar & O. S. Ricardo. (2013). Manual treatment for cervicogenic headache and active trigger point in the sternocleidomastoid muscle: a pilot randomized clinical trial. journal of manipulative and physiological therapeutics, 36(7), 403-411. DOI : 10.1016/j.jmpt.2013.05.022

상세보기
D. G. Simons & J. G. Travell. (1993). Myofascial Pain and Dysfunction:the Trigger Point Manual, Monticello : Williams & Wilkins, Inc.
J. M. Wiater & L. U. Bigliani. (1999). Spinal accessory nerve injury. Clinical Orthopaedics and Related Research, 368, 5-16.

상세보기
J. W. Seong. (2015). Principles and Insights into Pain. Seongnam : koonja.
J. H. Choi. (2019). Treatment Effects of Muscle Energy Technique on Upper Trapezius for Patients with Myofascial Pain Syndrome. master's dissertation Inje University, Gimhae.
Y. S. Park. (2010). Comparison of the effects of massage, stretching exercise, and scapular stability exercises in patients with upper trapezius myofascial pain syndrome. master's dissertation. Daejeon University, Daejeon.
H. T. Byyeon, S. H. Park, M. H. Ko & J. H. Seo. (2003). Effects of Intramuscular Stimulation in Myofascial Pain Syndrome of Upper Trapezius Muscle. Journal of Korean Academy of Rehabilitation Medicine, 27(5), 753-756.

상세보기
S. J. Kim. (2018). Effects of the sternocleidomastoid muscle and suboccipital muscle's soft tissue release on the muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle. master's dissertation. Dong-eui University, Busan.
G. Hains. (2002). Chiropractic management of shoulder pain and dysfunction of myofascial origin using ischemic compression techniques. The Journal of the Canadian Chiropractic Association, 46(3), 192.

상세보기
The Korean Pain Society. (2000). Pain Medicine. Seongnam : koonja.
E. J. Kim. (2004). Reliability and Validity of the Short-form McGill Pain Questionnaire (SF-MPQ) korean Version for Measuring the Old Adult's Pain. Journal of Korean Clinical Nursing Research, 10(1), 20-27.
A. A. Fischer. (1986). Pressure threshold meter: its use for quantification of tender spots. Archives of physical medicine and rehabilitation, 67(11), 836-838.

상세보기
Y. S. An. (2013). Effects of Inschemic Compression and Super Lizer Treatments on Nyofascial Trigger Points of Upper Trapezius. master's dissertation. Inje University, Gimhae.

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