한국전문물리치료학회지 (Physical Therapy Korea)

  • 제19권3호
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  • Pages.51-60
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  • 2012
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  • 1225-8962(pISSN)
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  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
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수동 견갑골 거상 검사에 따라 분류된 경부통 환자의 견갑골 안정화운동 효과 비교

Effect of Scapular Stabilization Exercise on Patients With Neck Pain Classified According to Passive Scapular Elevation Test

  • 김하연 (대전대학교 둔산한방병원 물리치료팀) ;
  • 김선엽 (대전대학교 자연과학대학 물리치료학과) ;
  • 장현정 (대전대학교 대학원 물리치료학과) ;
  • 주명규 (대전대학교 둔산한방병원 물리치료팀)
  • Kim, Ha-Yeon (Dept. of Physical Therapy, Dunsan Oriental Hospital, Daejeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Natural Science, Daejeon University) ;
  • Jang, Hyun-Jeong (Dept. of Physical Therapy, The Graduate School, Daejeon University) ;
  • Joo, Myung-Kyu (Dept. of Physical Therapy, Dunsan Oriental Hospital, Daejeon University)
  • 투고 : 2012.06.05
  • 심사 : 2012.07.02
  • 발행 : 2012.09.17
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초록

This study aimed to determine the usefulness of classifying patients with neck pain on the basis of the results of passive scapular elevation test. We classified 21 patients with neck pain into positive (n=12) and negative (n=9) groups on the basis of passive scapular elevation test; the 2 groups then equally performed scapular stabilization exercise program for 30 min, 3 times a week, for 4 weeks. Visual analogue scale (VAS), neck disability index (NDI), and range of motion (ROM) were recorded both before and after the intervention for both groups. Paired t-test was used to determine that there were significant changes between before and after the intervention, and independent t-test was used for analyzing changes between two groups of dependent variables. After 4 weeks of training, we observed significant decrease in pain and disability (p<.05) and a significant increase in rotation, flexion, extension, and side-bending ROM (p<.05) in both groups. Further, between pre- and post-intervention evaluations, we observed a significant decrease in pain and disability and a significant increase in rotation and flexion ROM in the positive group than in the negative group (p<.05). These results indicate that passive scapular elevation test may be used to identify mechanical disorders of the cervicoscapular muscle in patients with neck pain. Therefore, we recommend the use of passive scapular elevation test to determine appropriate treatment intervention when treating patients with neck pain.

키워드

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