Journal of The Korean Society of Integrative Medicine (대한통합의학회지)

Korean Society of Integrative Medicine (대한통합의학회)
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The Effects of Cervical Traction on the Pain, Range of Motion and the Quality of Sleep of the Older Women with Tension Headache

목뼈 견인치료가 긴장성 두통을 가진 노인 여성의 통증, 관절가동범위 및 수면의 질에 미치는 영향

  • 김영중 (첨단의원 물리치료실) ;
  • 유병국 (한려대학교 물리치료학과)
  • Received : 2014.01.22
  • Accepted : 2014.03.03
  • Published : 2014.03.31
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Abstract

Purpose : The purpose of this work was to ascertain the effects of cervical traction on the pain, the range of motion and the quality of sleep of the older women with the tension headache. Method : 25 subjects between ages 66 and 82 who agreed on this experiment and diagnosed with tension headache participated in this study. All subjects were treated with air-pressure cervical traction while 20 minutes a day, 3 times per week, for 4 weeks. The effects of air-pressure cervical traction were evaluated by PSQI(Pittsburgh sleep quality index), a pain last a day, VAS, and four ROMs. In order to investigate the effect of age on the treatment, subjects were divided into two groups, of less and of over than age 75. The measured data were analyzed by using one-way repeated ANOVA and two-way repeated ANOVA. Result : 1) The group of less than age 75 showed the significant improvements in all measurement variables, PSQI, a pain last a day, VAS and four ROMs. 2) The group of over than age 75 showed the significant improvements in all measurement variables excluding the flexion ROM of cervical. 3) No significant differences between two groups were showed in all measurement variables, but the interaction effect between group and period was significant in only VAS. Conclusion : From the results of this study, a cervical traction intervention using an air-pressure cervical traction proved to be effective on the reduction of tension headache and the improvement of the quality of sleep.

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References

  1. 김민정(2010). 수면척도를 이용한 두통 환자의 수면양상 연구. 가천의과학대학교 의학전문대학원, 석사학위 논문.
  2. 김형수(2004). 경추의 도수치료와 기계적 견인이 경추, 요추, 발목관절 가동범위에 미치는 영향, 대구대학교 재활과학대학원, 석사학위 논문.
  3. 김호봉, 배성수(1998). Kaltenborn의 관절 가동기법. 대한정형물리치료학회지, 4(1), 35-43.
  4. 박경리(2005). 도수치료가 긴장성 두통에 미치는 영향. 대구대학교 재활과학대학원, 석사학위 논문.
  5. 안용팔, 이근환(1977). 경추의 견인요법과 그 효과. 대한재활의학회지, 1(1), 20-25.
  6. 안지영, 김병건(2009). 긴장형 두통. 한국두통학회지, 10(1), 35-46.
  7. 정태섭, 강성웅, 나영무 등(1999). 휴대용 공기견인장비의 경추간판에 대한 견인효과의 MRI연구. 대한방사선의학회지, 15, 10-23.
  8. 한우호(2010). 긴장성 두통과 편두통에서 수면 양상의 비교. 대구가톨릭대학교 대학원, 석사학위 논문.
  9. Aprill C, Axinn MJ, Bogduk N(2002). Occipital headache stemming from the lateral atlanto-axial (C1-2) joint. Cephalagia, 22(1), 15-22. https://doi.org/10.1046/j.1468-2982.2002.00293.x
  10. Altura BM, Altura BT(2001). Tension headaches and muscle tension: is there a role for magnesium & quest; Medical Hypotheses. 57(6), 705-713. https://doi.org/10.1054/mehy.2001.1439
  11. Bendtsen L, Olesen J, Jensen R(1998). Muscular factors are of importance in tension-type headache. Headache, 38(1), 10-17. https://doi.org/10.1046/j.1526-4610.1998.3801010.x
  12. Bogaards MC, Kuile MM(1994). Treatment or recurrent tension headache: a meta-analytic review. Clin J Pain, 10(3), 174-190. https://doi.org/10.1097/00002508-199409000-00003
  13. Bono G, Anatonaci F(2000). Whiplash injures; clinical picture and diagnostic work-up. Clin Exp Rheumatoid, 18(2), 5-11.
  14. Breslau N, Rasmussen BK(2001). The impact of migraine; epidemiology, risk factor, and comparabilities. Neurol, 56(supp11), S4-12. https://doi.org/10.1212/WNL.56.suppl_1.S4
  15. Choi HL(1999). Approach of outpatient in problem headache suffers. Korea Acad Fam Med, 20(5), 556-565.
  16. Drummond PD(1987). Scalp tenderness and sensitivity to pain in migraine and tension headache. Headache, 27(1), 45-50. https://doi.org/10.1111/j.1526-4610.1987.hed2701045.x
  17. Dumas JP, Arsenault AB, Boudreau G, et al(2001). Physical impairments in cervicogenic headache, traumatic vs. non traumatic onset. Cephalagia, 21(9), 884-893. https://doi.org/10.1046/j.1468-2982.2001.00264.x
  18. Hall T, Robinson K(2004). The flexion-rotation test and active cervical mobility-a comparative measurement study in cervicogenic headache. Man Ther, 9(4), 197-202. https://doi.org/10.1016/j.math.2004.04.004
  19. Harrison DE, Harrison DD, Bets JJ(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 Phys Ther, 26(3), 139 -151. https://doi.org/10.1016/S0161-4754(02)54106-3
  20. Headache classification committee of the international headache society(1988). Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalagia, 8, 1-96. https://doi.org/10.1046/j.1468-2982.1988.0801001.x
  21. Hong CZ, Simons DG(1998). Pathophysiologic and electrophysiologic mechanisms of myofascial trigger points. Arch Phys Med Rehabil, 79(7), 863-872. https://doi.org/10.1016/S0003-9993(98)90371-9
  22. Hsieh CY, Yeung BW(1986). Active neck motion measurements with a tape measure. J Orthop Sports Phys Ther, 8, 88-92. https://doi.org/10.2519/jospt.1986.8.2.88
  23. Jennum P, Jensen R(2002). Sleep and headache. Sleep Med Rev, 6(6), 471-479. https://doi.org/10.1053/smrv.2001.0223
  24. Johns MW(1991). A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep, 14(6), 540-545. https://doi.org/10.1093/sleep/14.6.540
  25. Jull G(2000). Deep cervical flexor muscle dysfunction in whiplash. J Musculoskeletal Pain, 8(12), 143-154.
  26. Jull G, Trott P, Potter H, et al(2002). A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine, 27(17), 1835-1843. https://doi.org/10.1097/00007632-200209010-00004
  27. Kunkel RS(1976). Mixed headache in Appenzeller O Pathogenesis and A Treatment of headache Jamaica, New York, Spectrum Publication.
  28. Lee BI(1992). Headache. J Korean Pain Assoc, 5, 188-198.
  29. Nillson N, Christensen HW, Hartvigsen J(1997). The effect of spinal manipulation in the treatment of cervicogenic headache. J Manipul Physiol Ther, 20(5), 326-330.
  30. Redillas C, Solomon S(2000). Prophylactic pharmacological treatment of chronic daily headache. Headache, 40(2), 83-102. https://doi.org/10.1046/j.1526-4610.2000.00014.x
  31. Watson DH, Trott PH(1993). Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia, 13(4), 272-284. https://doi.org/10.1046/j.1468-2982.1993.1304272.x

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