Development of a Rehabilitation Robot for Mckenzie Cervical Exercise

경부 맥킨지 운동용 재활로봇의 개발

  • 신상효 (동의대학교 대학원 지능시스템공학과) ;
  • 문인혁 (동의대학교 메카트로닉스공학과)
  • Received : 2016.02.17
  • Accepted : 2016.02.19
  • Published : 2016.02.29

Abstract

In this paper a cervical rehabilitation robot for Mckenzie exercises to be effective to neck pain relief is proposed. The robot has two degrees of freedom (DOF) for Lateral flexion and extension, Dorsal and Vental flexion which enable user to perform cervical stretching and isometric exercises for neck muscles. The mechanical parts of the cervical rehabilitation robot can be mounted on a back- or head-rest of chair, and user can perform the Mckenzie exercise with seated. In experiments we measured the range of motion of cervical part, EMG signals from neck muscles and the contact forces of a head bracket fixing the head part of user, and then evaluated their performances. From the experimental results, we showed a feasibility of the cervical rehabilitation robot proposed in this study.

본 논문에서는 경부통증완화에 효과적인 맥킨지 운동(Mckenzie exercise)이 가능한 경부 재활로봇(cervical rehabilitation robot)을 제안한다. 이 로봇은 목의 좌우 측방굴곡, 전방향의 굴곡 및 후방향의 신전이 가능하도록 2자유도를 가지며, 맥킨지의 경부 스트레칭과 등척성 운동이 가능하다. 재활로봇의 기구부는 의자에 거치할 수 있어 가정에서 의자에 앉은 채로 맥킨지 운동을 할 수 있도록 설계하였다. 실험에서는 피험자가 프로토타입 경부 재활로봇을 착용하고 맥킨지 운동을 수행시 전후좌우의 굴곡과 신전 각도를 측정하고, 동시에 목주위의 표면 근전도와 머리부착부위의 압력을 측정하여 로봇의 성능을 평가하였다. 이 실험의 결과로부터 본 연구에서 제안한 경부 맥킨지 운동용 재활로봇이 적용가능함을 보였다.

Keywords

References

  1. In-Hyuk CHUNG, Human Anatomy, Academy book, pp. 322-337, 2001.
  2. Donald A. Neumann, Kinosiology of the Musculoskeletal System, Mosby, pp. 328-354, 2011.
  3. Ki Ok Kim, Jong soo Lee, "The Clinical Effects of Chuna Treatment in Painful Neck Disease", The Journal of Korea Manual Medicine, vol. 1, No. 1, pp. 67-82, 2000.
  4. S. H Shin, "A Study on Rehabilitation Devices for Cervical Musculoskeletal System", Dong-Eui University, 2015.
  5. H. P. Faugli, Medical Exercise therapy, Course note, 1996.
  6. D. Falla, J. Gwendolen, P. Dall'Alba et al, "An electromyographic analysis of the deep cervical flexor muscles during performance of craniocervical flexion", Physical Therapy, vol. 83, no. 10, pp. 899-906, 2003.
  7. A. H. Wheeler, "Diagnosis and management of low back pain and sciatica", American Family Physician, vol. 52, no. 5, pp. 1333-1341, 1995.
  8. S. M. Mclearn, J. K. Moffett, D. M. Sharp, "An investigation to determine the association between neck pain and upper disability for patients with non-specific neck", Manual Therapy, vol. 16, no. 5, pp. 434-439, 2011. https://doi.org/10.1016/j.math.2011.01.003
  9. Posner J, Glew C, "Neck pain", Ann Intern Med, vol. 21, no. 136, pp. 758-759, 2002.
  10. D. Falla, "Unravelling the complexity of muscle impairment in chronic neck pain", Manual Therapy, vol. 9, no. 3, pp. 125-133, 2004. https://doi.org/10.1016/j.math.2004.05.003
  11. The Korean Pain Society, Textbook of Pain Medicine, SW Medicine Book, 2012.
  12. J. Ylinen, "Physical exercises and functional rehabilitation for the management of chronic neck pain", European Journal of Physical and Rehabilitation Medicine, vol. 43, no. 1, pp. 119-132, 2007.
  13. R. McKenzie, Treat Your Own Neck, Orthopedic Physical Therapy Products, 2011.