The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
권호 표지

Effects of Deep Cervical Flexors Strengthening Exercise on Cervical-Shoulder Angle, Disability index and pain and in Patients with Chronic Neck Pain

깊은목굽힘근 강화운동이 만성 목통증 환자의 통증과 목-어깨각도, 장애지수 및 통증에 미치는 영향

  • 김진영 (호원대학교 작업치료학과)
  • Received : 2015.11.16
  • Accepted : 2015.12.17
  • Published : 2015.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The purpose of this study on the effects of deep cervical flexors strengthening exercise to forward head posture and pain of neck in patients with chronic neck pain. Method: We selected 30 subjects among neck pain patients and carried out measurements. The subjects' forward head posture was measured including head tilt angle (HTA), neck flexion angle (NFA) and forward shoulder angle (FSA), neck disability index (NDI), numeric rating scale (NRS). The subjects underwent deep cervical flexors muscle strengthening with pressure bio-feedback device for 4 weeks. Then, after intervention, the subjects' forward head posture was measured again. It was performed Wilcoxon signed-ranks test for confirming the effect of deep cervical flexor muscles strengthening exercise. Results: As a result of comparison of measurements before and after intervention, we found that there were statistically significant improvement in the subjects' NDI, NRS and forward head posture including head tilt angle, neck flexion angle and forward shoulder angle. Conclusion: We concluded that deep cervical flexors strengthening exercise has the effect of alleviation of neck pain patients and is effective for forward head posture.

Keywords

References

  1. 김명준, 남덕현, 이한경. 경추 레이져 시술 후 신전운동 프로그램이 경추근력과 통증에 미치는 효과. 제38회 한국체육학회 학술발표회. 2010;38:351-359.
  2. 김성호, 권봉만, 이완희. 경부안정화 운동이 민간 경비원의 목통증, 경부장애지수, 관절가동범위에 미치는 효과. 한국경호경비학회지. 2010;13(25):89-107.
  3. 김은주, 김지원, 박병래. 슬링 운동 프로그램이 머리전방자세의 근 활성도와 목뼈 배열에 미치는 영향. 한국콘텐츠학회논문지. 2011;11(11):213-220.
  4. 김재철, 전해선, 이충휘, 등. 경부 통증 유무에 따른 심부 경부 굴곡근의 근력과 지구력 비교. 대한인간공학회지. 2007;26(4):25-31.
  5. 최영준, 황룡. 경추 및 흉추부 스트레칭 운동과 근력강화 운동프로그램이 머리전방자세에 미치는 효과. 한국콘텐츠학회논문지. 2011;11(10):293-300.
  6. 허진강. 목 안정화 운동이 만성 목 통증 환자에 미치는 효과. 한국스포츠리서치. 2006;17(1):121-133.
  7. Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longuscolli and multifidus muscles of the cervical spine. Spine. 2002;27(7):694-701. https://doi.org/10.1097/00007632-200204010-00005
  8. Chiu TT, Lam TH, Hedley AJ. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine. 2005;30(1):E1-E7. https://doi.org/10.1097/01.brs.0000149082.68262.b1
  9. Falla DL, Jull GA, Hodge PW, et al. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine. 2004;29(19):2108-2114. https://doi.org/10.1097/01.brs.0000141170.89317.0e
  10. Falla DL, Jull GA, Russel T, et al. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007;87(4):408-417. https://doi.org/10.2522/ptj.20060009
  11. Herrison DE, Harrison DD, Bets JJ, et al. Increasing the cervical lordosis with chiropractic biophysics seated combined extension-compression and transverse load cervical traction with cervical manipulation: nonrandomized clinical control trial, J Manipulate Physiol Ther. 2003;26(3):139-51. https://doi.org/10.1016/S0161-4754(02)54106-3
  12. Jull GA, Falla DL, Hodges PW, et al. Cervical flexor muscle retraining: Physiological mechanisms of efficacy, 2nd International Conference on Movement Dysfunction. 2005.
  13. Jull G, Sterling M, Kenardy J, et al. Does the presence of sensory hypersensitivity influence outcomes of physical rehabilitation for chronic whiplash? A preliminary RCT. Pain. 2007;129(1):28-34. https://doi.org/10.1016/j.pain.2006.09.030
  14. Kay T, Gross A, Goldsmith C, et al. Exercises for mechanical neck disorders. Chochrane Database Syst Rev. 2005;3:CD004250.
  15. Lee MH, Park SJ, Kim JS. Effect of neck exercises on high-school students' neck- shoulder posture. J Phys Ther Sci. 2013;25(5):571-74. https://doi.org/10.1589/jpts.25.571
  16. O'Leary S, Jull G, Kim M, et al. Cranio-cervical flexor muscle impairment at maximal, moderate, and low loads is a feature of neck pain. Man Ther. 2007;12(1):34-39. https://doi.org/10.1016/j.math.2006.02.010
  17. Rubini EC, Costa AL, Gomes PS. The effects of stretching on strength performance. Sports Med. 2007;37(3):213-224. https://doi.org/10.2165/00007256-200737030-00003
  18. Szeto GP, Straker L, Raine S. A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers. Appl Ergon. 2002;33(1):75-84. https://doi.org/10.1016/S0003-6870(01)00043-6
  19. Thigpen CA, Padua DA, Michener LA, et al. Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. J Electromyogra Kinesiol. 2010;20(4):701-709. https://doi.org/10.1016/j.jelekin.2009.12.003