The Effects of Kinesio Taping and Neuromuscular Rehabilitation Exercise for Patients with Acute Whiplash-Associated Disorder

급성 편타성-관련손상 환자에게 키네지오 테이핑과 신경근 재활 운동이 미치는 영향

  • Lee, Yun-sang (Dept. of Physical Therapy, Dongguk University International Hospital In Ilsan) ;
  • Ahn, Seung-won (Dept. of Physical Therapy, Dongguk University International Hospital In Ilsan)
  • 이윤상 (동국대학교 일산병원 물리치료실) ;
  • 안승원 (동국대학교 일산병원 물리치료실)
  • Received : 2016.07.08
  • Accepted : 2016.11.03
  • Published : 2016.12.31

Abstract

Background: The purpose of this study was to investigate the effects of kinesio taping and neuromuscular rehabilitation exercise for patients with acute whiplash-associated disorders. Methods: Twenty acute whiplash-associated disorders patients were recruited for the study. Subjects were randomly allocated into two groups. Neuromuscular rehabilitation group (NRG) received neuromuscular rehabilitation exercise, kinesio taping group (KTG) received kinesio taping. All subject was evaluated before and after intervention by their range of motion (ROM), neck disability index (NDI), numeric pain rating scale (NPRS) and fatigability. Results: First, the ROM was significantly increased in all group (p<.05). The NDI, NPRS and fatigability were significantly decreased in all group (p<.05). Secondly, NRG had significantly more increased ROM (flexion, both rotation) than KTG (p<.05). NRG had significantly more decreased NDI, NPRS and fatigability than KTG (p<.05). Conclusion: According to the results above, increased in range of motion in the neck, decreased in NDI, NPRS, fatigability were more effective in the NRG that received neuromuscular rehabilitation exercise than the KTG that received kinesio taping.

Keywords

References

  1. 김명종, 이준희, 최원호. 근막통증후군에 대한 경피신경전기자극과 간섭전류치료의 효과 비교. 대한임상전기생리학회. 2004;2(1):1-8.
  2. 김민아, 박용진. 교통사고후유증(편타성 손상)에 대한침구치료의 접근. 대한침구학회지. 2000;17(3):75-86.
  3. 김연정, 채원식, 이민형. 등속성 운동시 스포츠 테이핑이 하지 근육 활동에 미치는 영향. 한국체육학회지. 2004;43(5):369-375.
  4. 대한정형외과학회. 정형외과학2. 최신의학사. 3 chapter 척추의 병변, 2013.
  5. 민경옥. 전기치료학. 현문사. 11chapter 간섭전기치료, 2001.
  6. 박근상, 김홍재. 인간공학. 청문각. p101-114, 1997.
  7. 박래준, 이문환. 근막이완술과 테이핑이 경부 손상환자의 통증감소에 미치는 효과. 대구대학교 국제재활연구소, 2004.
  8. 박성일, 김용권. 견관절 통증에 대한 테이핑 적용 증례. 대한물리치료사학회지. 2000;1:60-67.
  9. 안승원. 전기치료, 테이핑과 관절가동기법이 급성기 편타증 손상환자에게 미치는 영향-사례연구. 대한정형도수치료학회지. 2012;18(1):73-82.
  10. 안승원, 정영준. 만성 경부통을 가진 시내버스 운전기사에게 복합 운동프로그램의 효과: 사례연구. 대한정형도수물리치료학회지. 2015;21(1):49-56.
  11. 유병규, 오경환, 이재갑. 동결견 환자에 대한 키네시오테이프 적용이 관절가동범위 및 통증에 미치는 영향. 대한물리치료사학회지. 2001;8(1):143-151.
  12. 이용식, 허만동, 송창훈. 밸런스테이핑 적용이 등속성운동능력에 미치는 영향. 한국체육과학회지. 2006;15(3):495-502.
  13. 이은우, 신원섭, 정경심 등. 경통 환자 평가를 위한 Neck Disability lndex의 신뢰도와 타당도. 한국전문물리치료학회지. 2007;14(3):97-103.
  14. 이재학, 함용운, 장수경. 측정 및 평가. 서울: 대학서림, p234-239, 1988.
  15. Carroll LJ, Cassidy JD, Cote P. The role of pain coping strategies in prognosis after whiplash injury: Passive coping predicts slowed recovery. Pain. 2006;124(1):18-26. https://doi.org/10.1016/j.pain.2006.03.012
  16. Dall''Alba, Sterling, Paul T, et al. Cervical range of motiondiscriminates between asymptomatic persons andthose with whiplash. Spine. 2001; 26(19):2090-2094 https://doi.org/10.1097/00007632-200110010-00009
  17. Elliott J, Jull G, Noteboom J, et al. Fatty infiltration in the cervical extensor muscles in persistent whiplashassociated disorders: A magnetic resonance imaging analysis. Spine. 2006;31(22): 847-855 https://doi.org/10.1097/01.brs.0000240841.07050.34
  18. Farrar JT, Young JP, LaMoreaux L, et al. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94(2): 149-158. https://doi.org/10.1016/S0304-3959(01)00349-9
  19. Greenman PE. Priciples of Manual Medicine. Williams & Wilkins Inc. 2nd ed. 1996.
  20. Hides J, Jull G, Richardson C. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine. 2001;26(11):243-248. https://doi.org/10.1097/00007632-200106010-00004
  21. Jang SY, Jung HY, Go SS. A Study for cost of road trafficaccident taken offender''s PTSD in consideration. Journal of Korean Society of Transportation. 2010;28(5):17-29.
  22. Jull G, Falla D, Treleaven J, et al. Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res. 2007;25(3):404-412. https://doi.org/10.1002/jor.20220
  23. Kogler A, Lindfors J, Odkvist LM, et al. Postural stability using different neck positions in normal subjects and patients with neck trauma. Acta Otolaryngol. 2000;120(2):151-155. https://doi.org/10.1080/000164800750000801-1
  24. Kristjansson E. Reliability of ultrasonography for the cervical multifidus muscle in asymptomatic and symptomatic subjects. Man Ther. 2004;9(2):83-88. https://doi.org/10.1016/S1356-689X(03)00059-6
  25. Lafond D, Champagne A, Cadieux R, et al. Rehabilitation program for traumatic chronic cervical pain associated with unsteadiness: a single case study. Chiropr Osteopat. 2008;16:15. https://doi.org/10.1186/1746-1340-16-15
  26. Liebenson C. Sensory-motor training. Journal Bodywork and movement therapist. 2001;5(1): 21-27. https://doi.org/10.1054/jbmt.2000.0206
  27. Rosenfeld M, Seferiadis A, Carlsson J, et al. Active intervention in patients with whiplash associated disorders improves long-tem prognosis. Spine. 2003;28(22):2491-2498. https://doi.org/10.1097/01.BRS.0000090822.96814.13
  28. Meeus M, Nijs J, Meirleir KD. Chronic musculoskeletal pain in patients with the chronic fatigue syndrome: a systematic review. Eur J Pain. 2007; 11(4):377-386. https://doi.org/10.1016/j.ejpain.2006.06.005
  29. Miettinen T, Leino E, Airaksinen, et al. The possibility to use simple validated questionnaires to predict long-term health problems after whiplash injury. Spine. 2004;29:47-51. https://doi.org/10.1097/01.BRS.0000103941.50129.66
  30. Murphy DR. Conservative management of cervical spine syn. McGraw-Hill Companies Inc. 2000; 60-64.
  31. Peeters, Gwendolijne GM, Arianne PV, et al. The efficacy of conservative treatment in patients with whiplash injury: A systematic review of clinical trials. Spine. 2001;26(4):64-73. https://doi.org/10.1097/00007632-200102150-00006
  32. Rezasoltani A, Khaleghifar M, Tavakoli A, et al. The effect of a proprioceptive neuromuscular facilitation program to increase neck muscle strength in patients with chronic non-specific neck pain. World Journal of Sport Sciences. 2010;3(1):59-63.
  33. Riemann BL, Schmitz RJ, Gale M, et al. Effest of ankle taping and bracing on vertical ground reaction forces during drop landings before and after treadmill jogging. J Orthop Sports Phys Ther. 2002;32(12):628-635. https://doi.org/10.2519/jospt.2002.32.12.628
  34. Samy S, Susan H, Martin V. The relation between initial symptoms and signs and the prognosis of whiplash. Eur Spine J. 2001;10:44-49. https://doi.org/10.1007/s005860000220
  35. Shankar K. Exercise prescription. Hanley & Belfus Inc. 2chapter Movement effect on the relationship, 1999.
  36. Spitzer W. Scientific monograph of the quebec task force on whiplash-associated disorders: redefining 'whiplash' and its management. Spine. 1995;20:1-73. https://doi.org/10.1097/00007632-199501000-00001
  37. Sterling M, Jull G, Vicenzino B, et al. Development of motor system dysfunction following whiplash injury. Pain, 2003;103(1):65-73. https://doi.org/10.1016/S0304-3959(02)00420-7
  38. Sterling M. A proposed new classification system for whiplash associated disorders-implications for assessment&management. Man Ther. 2004;9(2):60-70 https://doi.org/10.1016/j.math.2004.01.006
  39. The Korea Orthopedic Association. Orthopedic Surgery, Seoul, Choicin Medical Publisher, 1997:555.
  40. Tinetti ME. Clinical practice. Preventing falls in elderly person. The New England Journal of Medicine, 2003;348(1):42-49. https://doi.org/10.1056/NEJMcp020719
  41. Vernon H, Humphreys K, Hagino C. Chronic mechanical neck pain in adults treated by manual therapy: A systematic review of change scores in randomized clinical trials. J Manipulative Physiol Ther. 2007;30(3):215-227. https://doi.org/10.1016/j.jmpt.2007.01.014
  42. Vernon H, Mior S. The neck disability index: A study of reliability and validity. J. Manipulative Physiol Ther. 1991;14(7):409-415.