Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Combination Patterns of Proprioceptive Neuromuscular Facilitation on Cervical Alignment, Self-Awareness and Physique in Patients with Forward Head Posture

  • Received : 2016.06.03
  • Accepted : 2016.09.13
  • Published : 2016.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to identify the effects of cervical alignment, pain, and physique to apply proprioceptive neuromuscular facilitation(PNF) techniques in patients with forward head posture (FHP). The subjects of this study were 24 patients diagnosed with FHP. They were randomly divided into two groups: a PNF group(n=12) and a control group(n=12). The intervention was performed a total of 24 times, 30 min a day, six times a week for four weeks. Data on cervical alignment(forward head displacement, FHD), pain(visual analog scale, VAS), and physique(height, weight, and body mass index) were obtained pre- and post-intervention. Two-way repeated measures ANOVA was used to compare the groups and time. For FHD, the VAS, and physique(height and BMI), there was an interaction effect for the groups and time(p<.001, BMI: p<.05) and main effects for time(p<.001, BMI: p<.05). For weight, there were main effects of time(p<.01). For FHD(p<.01) and the VAS(p<.05), there were main effects for the groups. In the PNF group, there were significant improvements in FHD, VAS, and physique. In the control group, there was a significant increase in FHD. The results of this study indicated that PNF intervention using scapular and upper extremity patterns effective in FHP positively. The use of a therapeutic intervention on physique changes may also be effective in improving poor posture and help to better patients' quality of life.

Keywords

References

  1. Greene BL, DeJoy DM, Olejnik S. Effects of an active ergonomics training program on risk exposure, worker beliefs, and symptoms in computer users. Work 2005; 24(1): 41-52.
  2. Shaghayegh Fard B, Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. Eur Spine J 2015; 17: 1-6.
  3. Yip CH, Chiu, TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther 2008; 13(2): 148-154. https://doi.org/10.1016/j.math.2006.11.002
  4. Harrison DD, Janik TJ, Troyanovich SJ, Holland B. Comparisons of lordotic cervical spine curvatures to a theoretical ideal model of the static sagittal cervical spine. Spine 1996;21(22): 667-675. https://doi.org/10.1097/00007632-199603150-00002
  5. Moore MK. Upper crossed syndrome and its relationship to cervicogenic headache. J Manipulative Physiol Ther 2004; 27(6): 414-420. https://doi.org/10.1016/j.jmpt.2004.05.007
  6. Grace ES, Sarlani E, Reid B. The use of an oral exercise device in the treatment of muscular TMD. Cranio 2002; 20(3): 204-208. https://doi.org/10.1080/08869634.2002.11746212
  7. Lee JH, Park SY, Yoo WG. Changes in craniocervical and trunk flexion angles and gluteal pressure during VDT work with continuous cross-legged sitting. J Occup Health 2011;53(5): 350-355. https://doi.org/10.1539/joh.11-0050-OA
  8. Oh DG, Sung SC, Lee MG. Effects of elastic band exercise using PNF and CNS-stimulating exercise on functional fitness and EMG in hemiplegic stroke patients. The Korea Society of Sports Science 2011; 20(2): 815-827.
  9. Oh DG, Sung SC, Lee M. Effects of Chiropractic and PNF Exercise on Pain Self-Awareness and Autonomic Nervous Function in Forward Head Posture Patients. The Korea Journal of Physical Education 2015; 54(4):539-549.
  10. Ribeiro T, Britto H, Oliveira D, Silva E, Galvao E, Lindquist A. Effects of treadmill training with partial body weight support and the proprioceptive neuromuscular facilitation method on hemiparetic gait: a randomized controlled study. Eur J Phys Rehabil Med 2013, 49(4):451-461.
  11. Park SE, Wang JS. Effect of joint mobilization using KEOMT and PNF on a patient with CLBP and a lumbar transitional vertebra: a case study. J Phys Ther Sci 2015; 27(5): 1629-1632. https://doi.org/10.1589/jpts.27.1629
  12. Adler SS, Beckers D, Buck M. PNF in Practice: an Illustrated Guide, 3rd Ed. Berlin, NY, Springer; 2008.
  13. Dolan KJ, Green A. Lumbar spine reposition sense: The effect of a 'slouched' posture. Man Ther 2006; 11(3): 202-207. https://doi.org/10.1016/j.math.2006.03.003
  14. Stokes IA. Stature and growth compensation for spinal curvature. Stud Health Technol Inform 2008; 140: 48-51.
  15. Ylikoski M. Height of girls with adolescent idiopathic scoliosis. Eur Spine J 2003; 12(3):288-291. https://doi.org/10.1007/s00586-003-0527-x
  16. Harrison DE, Harrison DD, Colloca CJ, Betz J, Janik TJ, Holland B. Repeatability over time of posture, radiograph positioning, and radiograph line drawing: an analysis of six control groups. J Manipulative Physiol Ther 2003;26(2): 87-98. https://doi.org/10.1067/mmt.2003.15
  17. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med 2001; 8(12): 1153-1157. https://doi.org/10.1111/j.1553-2712.2001.tb01132.x
  18. Wewers ME, Lowe NK: A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health, 1990, 13(4): 227-236. https://doi.org/10.1002/nur.4770130405
  19. Lohman TG, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. Abridged Ed, Champaign, IL, Human Kinetics Books; 1991.
  20. Harrison DE, Harrison DD, Calliet R, Troyanovich SJ, Janik TJ, Holland B. Cobb method or harrison posterior tangent method: which to choose for lateral cervical radiographic analysis. Spine 2000; 25(16): 2072-2078. https://doi.org/10.1097/00007632-200008150-00011
  21. McAviney J, Schulz D, Bock R, Harrison DE, Holland B. Determining the relationship between cervical lordosis and neck complaints. J Manipulative Physiol Ther 2005; 28(3): 187-193. https://doi.org/10.1016/j.jmpt.2005.02.015
  22. Pearson ND, Walmsley RP. Trial into the effects of repeated neck retractions in normal subjects. Spine 1995; 20(11): 1245-1250. https://doi.org/10.1097/00007632-199506000-00006
  23. Harrison DD, Jackson BL, Troyanovich S, Robertson G, de George D, Barker WF. The efficacy of cervical extension-compression traction combined with diversified manipulation and drop table adjustments in the rehabilitation of cervical lordosis: a pilot study. J Manipulative Physiol Ther 1994; 17(7): 454-464.
  24. Lee CW, Hwangbo K, Lee IS. The effects of combination patterns of proprioceptive neuromuscular facilitation and ball exercise on pain and muscle activity of chronic low back pain patients. J Phys Ther Sci 2014; 26(1): 93-96. https://doi.org/10.1589/jpts.26.93
  25. Bronfort G, Evans R, Nelson B, Aker PD, Goldsmith CH, Vernon H. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine 2001; 26(7): 788-799. https://doi.org/10.1097/00007632-200104010-00020
  26. Hoving JL, Koes B W, de Vet HC, van der Windt DA, Assendelft WJ, van Mameren H et al. Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. a randomized controlled trial. Ann Intern Med 2002; 136(10):713-722. https://doi.org/10.7326/0003-4819-136-10-200205210-00006
  27. Ylinen J, Salo P, Nykanen M, Kautiainen H, Hakkinen A. Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements. Arch Phys Med Rehabil 2004; 85(8):1303-1308. https://doi.org/10.1016/j.apmr.2003.09.018
  28. Guo JM, Zhang GQ, Alimujiang. Effect of BMI and WHR on lumbar lordosis and sacrum slant angle in middle and elderly women. China journal of orthopaedics and traumatology 2008; 21(1): 30-31. https://doi.org/10.3969/j.issn.1003-0034.2008.01.011
  29. Schuller S, Charles YP, Steib JP. Sagittal spinopelvic alignment and body mass index in patients with degenerative spondylolisthesis. Eur Spine J 2011; 20(5): 713-719. https://doi.org/10.1007/s00586-010-1640-2
  30. Johnston V, Souvlis T, Jimmieson NL, Jull G. Associations between individual and workplace risk factors for self-reported neck pain and disability among female office workers. Appl Ergon 2008; 39(2): 171-182. https://doi.org/10.1016/j.apergo.2007.05.011
  31. Szeto GP, Straker LM, O'Sullivan PB. A comparison of symptomatic and asymptomatic 1. office workers performing monotonous keyboard work--2: neck and shoulder kinematics. Man Ther 2005; 10(4): 281-291. https://doi.org/10.1016/j.math.2005.01.005
  32. Jang JH, Kim TH, Oh JS. Effects of visual display terminal works on cervical movement pattern in patients with neck pain. J Phys Ther Sci 2014; 26(7): 1031-1032. https://doi.org/10.1589/jpts.26.1031
  33. Caula A, Metmer G, Havet E. Anthropometric approach to lumbar vertebral body volumes. Surg Radiol Ana 2016; 38(3): 303-308. https://doi.org/10.1007/s00276-015-1552-2
  34. Silva AG, Punt TD, Sharples P, Vilas-Boas JP, Johnson MI. Head posture and neck pain of chronic nontraumatic origin: a comparison between patients and pain-free persons. Arch Phys Med Rehabil 2009; 90(4): 669-674. https://doi.org/10.1016/j.apmr.2008.10.018