DOI QR코드

DOI QR Code

The Effects of Air-Pressure Cervical Traction Treatment on Forward Head Posture, ROM and Pain in the Tension Headache in the Adults

성인의 긴장성 두통에 에어견인요법이 앞쪽머리자세와 ROM 및 통증에 미치는 영향

  • Cho, Namjeong (Dept. of Physical Therapy, Hanlyo University) ;
  • Lee, Soljae (Dept. of Physical Therapy, Jeonju Jesus Hospital)
  • 조남정 (한려대학교 물리치료학과) ;
  • 이솔재 (전주예수병원 물리치료실)
  • Received : 2014.11.20
  • Accepted : 2014.12.15
  • Published : 2014.12.31

Abstract

Purpose : The purpose of this study was to ascertain the effects of air-pressure cervical traction on the tension headache in the adults. Method : All subjects were treated with air-pressure cervical traction while 15 minutes a day, 3 times per week, for 4 weeks. The effects of air-pressure cervical traction were evaluated by HIT-6(headache impact test), VAS, and flexion, extension, left right flexion, left right rotation of cervical ROM. The measured data were analyzed by using repeated ANOVA. Especially in order to investigate the effect of air-pressure cervical traction. The comparison with among three measurement time. Results : The results of this study were as follows; 1) Prior and two weeks measurement did not show significant differences. The head forward posture than before the experiment, each experimental group was significantly increased(p<.05). 2) Prior and two weeks measurement did not show significant differences. The experimental group than ever cervical ROM of the movable range increased significantly(p<.05). 3) The experimental group was significantly lower than before the VAS(p<.05). 4) HIT score of the experimental group was significantly lower than before(p<.05). Conclusion : These findings suggest that air-pressure cervical traction had effect on the tension headache in the adults.

Keywords

References

  1. 김민정(2009). 만성 긴장성 두통 환자의 경추 방사선 소견과 일반적 특성과의 상관관계 연구. 대전대학교 대학원, 석사학위 논문.
  2. 김병모, 노재규, 박성호 등(2001). 두통의 진단과 치료. 서울, 현대의학사.
  3. 김성호, 김명준(2001). 경추부 견인이 경추부 통증 환자의 증세 및 통증에 미치는 영향. 대한정형물리치료학회지, 7(1), 67-75.
  4. 김영중(2013). 노인 여성의 긴장성 두통에 대한 공기압 목뼈 견인치료의 효과. 한려대학교 대학원, 석사학위 논문.
  5. 김형수(2004). 경추의 도수치료와 기계적 견인이 경추, 요추, 발목관절 가동범위에 미치는 영향. 대구대학교 재활과학대학원, 석사학위 논문.
  6. 박경리(2005). 도수치료가 긴장성 두통 회복에 미치는 영향. 대구대학교 재활과학대학원, 석사학위 논문.
  7. 박성빈, 박세진, 정은희 등(2008). 경추 형상과 신체적 특성을 고려한 경추 견인기 개발. 대한인간공학회학술대회논문집, 210-214.
  8. 안용팔, 이근환(1977). 경추의 견인요법과 그 효과. 대한재활의학회지, 1(1), 20-25.
  9. 안지영, 김병건(2009). 긴장형 두통. 한국두통학회지, 10(1), 35-46.
  10. 윤정호, 성동진(1998). McKenzie 운동요법이 만성 경부통 환자의 머리, 어깨자세에 미치는 영향. 한국체육대학교 체육과학연구소, 17(1), 79-90.
  11. 정태섭, 강성웅, 나영무 등(1999). 휴대용 공기견인장비의 경추간반에 대한 견인효과의 MRI 연구. 대한자기공명의과학회 추계학술대회초록집, 86.
  12. 주민경, 임형준, 주영수 등(2009). 한국어판 두통영향 검사(Headache Impact Test-6)의 타당도 및 신뢰도 조사. 대한신경과학회지, 27(1), 1225-7044.
  13. 채윤원(2009). 대학생에서의 만성 및 특발성 긴장성 두통이 두부전방자세와 경추가동범위에 미치는 영향. 대한물리치료학회지, 21(2), 71-77.
  14. 황성준(2012). 경부 안정화 운동이 만성 긴장성 두통의 사무직 근로자에 앞쪽 머리 자세와 ROM 및 일상생활에 미치는 영향. 한려대학교 대학원, 석사학위 논문.
  15. 허진강(2006). 목 안정화 운동이 만성 목통증 환자에 미치는 효과. 한국스포츠리서치, 17(1), 121-133.
  16. Bevilaqua GD, Pegoretti KS, Goncalves MC et al(2009). Cervical mobility in women with migraine. Headache, 49(5), 726-731. https://doi.org/10.1111/j.1526-4610.2008.01233.x
  17. Cailliet R(1996). Soft tissue pain and disability. 3rd ed, Philadelphia, FA Davis.
  18. Fernandez de Las Penas C, Alonso BC, Cuadrado ML et al(2006a). Forward head posture and neck mobility in chronic tension type headache: A blinded controlled study. Cephalagia, 26(3), 314-319. https://doi.org/10.1111/j.1468-2982.2005.01042.x
  19. Fernandez de Las Penas C, Alonso BC, Cuadrado ML et al(2006b). Myofascial trigger point and their relationship to headache clinical parameters in chronic tension-type Headache. Headache, 46(8), 1264-1272. https://doi.org/10.1111/j.1526-4610.2006.00440.x
  20. Fernandez de Las, Penas C, Alonso BC et al(2006c). Trigger points in the suboccipital muscles and forward head posture in tension type headache. Headache, 46(3), 454-460. https://doi.org/10.1111/j.1526-4610.2006.00288.x
  21. Fernandez de Las Penas C, Caudrado ML, Pareja JAl(2006). Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. Cephalalgia, 26(9), 1061-1070. https://doi.org/10.1111/j.1468-2982.2006.01162.x
  22. Harris PR(1977). Cervical Traction: Review of Literature and Treatment Guidelines. Phys Ther, 57(8), 910-914. https://doi.org/10.1093/ptj/57.8.910
  23. Harrison DE, Harrisson DD, Betz JJ et al(2003). Increasing the cervical lordosis with chiropractic biophysics seated combined extension compression and transverse load cervical traction with cervical manipulation: Nonrandomized clinical control trial. J Manipulative Physiol Ther, 26(3), 139-151. https://doi.org/10.1016/S0161-4754(02)54106-3
  24. Janda V(1996). Evaluation of muscular imbalance in liebenson. Rehabilitation of the spine. Baltimore, Williams & Wilkins, 97-112.
  25. Jennum P, Jensen R(2002). Sleep and headache. Sleep Med Rev, 6(6), 471-480. https://doi.org/10.1053/smrv.2001.0223
  26. Johnson GM(1998). The correlation between surface measurement of head and neck posture and the anatomic position of the upper cervical vertebra. Spine, 23(8), 921-927. https://doi.org/10.1097/00007632-199804150-00015
  27. Jull GA, Falla D, Vicenzino B et al(2009). The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther, 14(6), 696-701. https://doi.org/10.1016/j.math.2009.05.004
  28. Jull GA(2000). Deep cervical flexor muscle dysfunction in whiplash. J musculoskeletal Pain, 8(1/2), 143-154.
  29. Jull G, Trott P, Potter H et al(2002). A randomized controlled trail of exercise and manipulative therapy for cervicogenic headache. Spine, 27(17), 1835-1843. https://doi.org/10.1097/00007632-200209010-00004
  30. Kulig K, Landel R, Powers CM(2004). Assessment of lumbar spine kinematics using dynamic MRI: A proposed mechanism of sagittal plane motion induced by manual posterior-to-anterior mobilization. J Orthop Sports Phys Ther, 34(2), 57-64.
  31. Lipchik GL, Holroy KA, France CR et al(1996). Central and peripheral mechanism in chronic tension-type headache. Pain, 64, 467-475. https://doi.org/10.1016/0304-3959(95)00174-3
  32. McDonnell MK, Sahrmann SA, Van Dillen L(2005). Specific exercise program and modification of postural alignment for treatment of cervicogenic headache: A case report. J Orthop Sports Phys Ther, 35(1), 3-15. https://doi.org/10.2519/jospt.2005.35.1.3
  33. Melchart D, Linde K, Fischer P et al(1999). Acupuncture for recurrent headaches: A systematic review of randomized controlled trials. Cephalagia, 19(9), 779-786. https://doi.org/10.1046/j.1468-2982.1999.1909779.x
  34. Raine S, Twomey LT(1997). Head and shoulder posture variations in 160 asymptomatic women and men. Arch Phys Med Rehabil, 78(11), 1215-1223. https://doi.org/10.1016/S0003-9993(97)90335-X
  35. Silberstein SD, Lipton RB, Solomon S et al(1994). Classification of daily and near-daily Headaches: Proposed revisions to the IHS Criteria. Headache, 34(1), 1-7.
  36. Stovner LJ, Zwart JA, Hagen K et al(2006). Epidemiology of headache in Europe. Eur J Neurol, 13(4), 333-345. https://doi.org/10.1111/j.1468-1331.2006.01184.x
  37. Waris P(1979). Occupational cervicobrachial syndromes. A review. Scand J Work Environ Health, 5(sup3), 3-14. https://doi.org/10.5271/sjweh.2688

Cited by

  1. 대학생들의 긴장성 두통 유무에 따른 스마트폰 중독, 전방 머리 자세, 삶의 질, 두통 영향 및 두통 장애 지수 비교 vol.8, pp.4, 2014, https://doi.org/10.15268/ksim.2020.8.4.117