Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
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Effects of Occipital Bone Stimulation by Cervical Stabilizing Exercise on Muscle Tone, Stiffness, ROM and Cervical Lordosis in Patient with Forward Head Posture: Single System Design

  • Received : 2016.07.14
  • Accepted : 2016.09.02
  • Published : 2016.10.30
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Abstract

The purpose of this study was to investigate the effects of occipital bone stimulation by cervical stabilizing exercise on the muscle tone, stiffness, ROM, and cervical lordosis in patient with forward head posture(FHP). This study was a case study of a single patient with forward head posture. This study used a ABA' design, A and A' were the baseline phases and B was the intervention phase. The intervention was occipital bone stimulation by cervical stabilization exercise. It was administered once daily for 7 days. The therapist kept hands together, and placed the two index fingers under the subject's occipital bone. The subject performed the chin-in exercise with a maximum isometric contraction for 20 sec.The exercise was implemented by performing the movements 10 times as a set and repeating the set three times. The muscle tone was not significantly changed after intervention. However, the stiffness was decreased and lasted the effect lasted without intervention. The cervical flexion angle was increased, but the cervical extension angle was not significantly changed after the intervention. The left and right lateral flexion angles were increased and the effect lasted without any intervention. However, the left and right rotation angles were significantly changed after the intervention. Cervical lordosis increased not from $37^{\circ}$ to $41^{\circ}$ after the intervention. These results suggest that occipital bone stimulation by cervical stabilizing exercise had a positive effect on cervical stiffness, flexion and lateral flexion ROM, and lordosis in a patient with forward head posture.

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References

  1. Kim SY, Kim NS, Kim LJ. Effects of cervical sustained natural apophyseal glide on forward head posture and respiratory function. Journal of Physical Therapy Science 2015;27:1851-1854. https://doi.org/10.1589/jpts.27.1851
  2. Fernandez-de-las-Penas, Alonso-Blanco C, Cuadrado ML, Gerwin RD. Trigger Points in the Suboccipital Muscles and Forward Head Posture in Tension-Type Headache. The Journal of Head and Face Pain 2006;46(3):454-460. https://doi.org/10.1111/j.1526-4610.2006.00288.x
  3. Craig L. Rehabilitation of the spine: a practitioner's manual, 2nd ed. Philadelphia: Lippincott William & Wilkins. 2007.
  4. Yoo WG. Effect of the neck retraction taping (NRT) on forward head posture and the upper trapezius muscle during computer work. Journal of Physical Therapy Science 2013;25:581-582. https://doi.org/10.1589/jpts.25.581
  5. Harman K, Hubley-Kozey C, Butler H. Effectiveness of an exercise programe to improve forward head posture in normal adults: A randomized, controlled 10-week trial. The Journal of Manual & Manipulative Therapy 2005;13:163-176. https://doi.org/10.1179/106698105790824888
  6. Harris KD, Heer DM, Roy TC, Santos DM, Whitman JM, Wainner RS. Relaibility of a measurement of neck flexor muscle endurance. Phy Ther 2005;85(12):1349-1355.
  7. Lee SY, Park JS, Lee DH. The effects of cervical stabilization exercises on the electromyographic activity of shoulder stabilizers. Journal of Physical Therapy Science 2013;25: 1557-1560. https://doi.org/10.1589/jpts.25.1557
  8. Kang DY. Deep cervical flexor training with a pressure biofeedback unit is an effective method for maintaining neck mobility and muscular endurance in college students with forward head posture. Journal of Physical Therapy Science 2015;27:3207-3210. https://doi.org/10.1589/jpts.27.3207
  9. Falla D, Jull G, Hodges P, Vicenzino. An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain. Clin Neurophysiol 2006;117:828-837. https://doi.org/10.1016/j.clinph.2005.12.025
  10. Oh SH, Yoo KT. The effects of stabilization exercises using a sling and stretching on the range of motion and cervical alignment of straight neck patients. Journal of Physical Therapy Science 2016;28:372-377. https://doi.org/10.1589/jpts.28.372
  11. Chung SH, Her JG, Ko TS, You YY, Lee JS. Effects of exercise on deep cervical flexors in patients with chronic neck pain. Journal of Physical Therapy Science 2012;24:629-632. https://doi.org/10.1589/jpts.24.629
  12. Falla D, Jull G, Russell T, Vicenzino B, Hodges P. Effect of neck exercise on sitting posture in patients with chronic neck pain. Physical Therapy 2007;87:408-417. https://doi.org/10.2522/ptj.20060009
  13. Hinman MR. Comparison of thoracic kyphosis and postural stiffness and older women. The Sine Journal 2004;4:413-417.
  14. Gao F, Ren Y, Roth E, Roth EJ, Zhang LQ. Effects of repeated ankle stretching on calf muscle-tendon and ankle biomechanical properties in stroke survivors. Clinical Biomechanics 2011;26(5):516-522. https://doi.org/10.1016/j.clinbiomech.2010.12.003
  15. Maher C, Adams R. Reliability of pain and stiffness assessments in clinical manual lumbar spine examination. Physical Therapy 1994;74:801-809. https://doi.org/10.1093/ptj/74.9.801
  16. Chaves TC, Turci AM, Pinheiro CF, Sousa LM, Grossi DB. Static body postural misalignment in individuals with temporomandibular disorders: a systemic review. Brazilian Journal of Physical Therapy 2014;18(6):481-501. https://doi.org/10.1590/bjpt-rbf.2014.0061
  17. Hickey ER, Rondeau MJ, Corrente JR, Seymour JAC. Reliability of the cervical range of motion (CROM) device and plumb-line techniques in measuring resting head posture (RHP). The Journal of Manual & Manipulative Therapy 2000:8:10-17. https://doi.org/10.1179/106698100790811346