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

  • 제23권1호
  • /
  • Pages.53-58
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  • 2017
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  • 1226-3680(pISSN)
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  • 2508-7282(eISSN)
대한정형도수물리치료학회 (Korean Academy of Orthopedic Manual Physical Therapy)
권호 표지

동작관찰을 이용한 깊은 목 굽힘근 운동이 통증과 기능에 미치는 효과: 만성 목 통증 환자

The Effect of Action Observation with Deep Neck Flexors Muscle Strengthening Exercise on Pain and Function: Patients with Chronic Neck Pain

  • 박근홍 (첨단우암병원 재활센터) ;
  • 김은비 (첨단우암병원 재활센터) ;
  • 송현승 (첨단우암병원 재활센터)
  • Park, Gun-hong (Dept. of Physical Therapy, Chumdan Wooam Hospital Rehabilitation Center) ;
  • Kim, Eun-bi (Dept. of Physical Therapy, Chumdan Wooam Hospital Rehabilitation Center) ;
  • Song, Hyun-seung (Dept. of Physical Therapy, Chumdan Wooam Hospital Rehabilitation Center)
  • 투고 : 2017.06.18
  • 심사 : 2017.06.30
  • 발행 : 2017.06.30
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초록

Background: The purpose of this study was to effect of action observation with deep neck flexors strengthening exercise on pain and function in patients with chronic neck pain. Methods: Thirty patients with chronic neck pain were randomly action observation with deep neck flexors strengthening exercise group (AOT group; n=15) and deep neck flexors strengthening exercise group (FSE group; n=15). The intervention was applied for 50 minutes a day, 5 times a week for a total of 4 weeks. The intervention effect were evaluated before and after the intervention. visual analogue scale (VAS), pressure pain threshold (PPT), and Korea neck disability index (KNDI). Results: As a result of comparing within group, AOT group showed pre and post test, VAS (p<.01), PPT (p<.01), KNDI (p<.01) and FSE group VAS (p<.01), PPT (p<.05), KNDI (p<.01) significantly. In the comparison between the two groups, AOT group than FSE group in VAS, PPT and KNDI significantly (p<.05). Conclusion: Action observation with deep neck flexors strengthening exercise were founded to effective in reducing pain and improving function in patients with chronic neck pain. It is suggested as basic data of clinical intervention.

키워드

참고문헌

  1. 김태호, 박상범, 하준호. 골프퍼팅에 대한 운동심상과 활동관찰시의 뇌 활성화 패턴 차이. 한국체육학회, 2009;48(3):157-165.
  2. 김선진, 운동학습과 제어. 서울. 대한미디어. 2000
  3. 김성호, 권봉안, 이완희. 경부안정화 운동이 민간 경비원의 목통증, 경부장애지수, 관절가동범위에 미치는 효과. 한국경호경비학회지. 2010;25:89-107.
  4. 김진영. 깊은목굽힘근 강화운동이 만성 목통증 환자의 목-어깨각도, 장애지수 및 통증에 미치는 영향. 대한정형도수물리치료학회. 2015;21(2):33-37.
  5. 김재철, 이충휘, 권오윤 등. 경부 통증 유무에 따른 심부 경부 굴곡근의 근력과 지구력 비교. 대한인간공학회지. 2007;26(4):25-31.
  6. 손명주. 동작관찰훈련을 통한 자세교육이 머리전방자세와 둥근어깨자세에 미치는 영향. 한서대학교 대학원. 석사학위논문. 2012.
  7. 윤정호. Mckenzie 운동요법이 만성 경부통 환자의 머리, 어개 자세에 미치는 영향. 한국체육대학교. 석사학위논문. 1998.
  8. 최영준. 경흉부 신장 및 근력강화 운동이 머리전방자세에 미치는 영향. 고려대학교 의용과학대학원. 석사학위논문. 2007.
  9. 허진강, 양영애. 만성 목 통증 환자의 인간공학 베개 효과. 대한인간공학회지. 2006;25(1):17-25.
  10. Ashford D, Bennett SJ, Davids K. Observational modeling effects for movement dynamics and movement outcome measures across differing task constraints: A meta-analysis. J Motor Behav. 2006;38(3):185-205. https://doi.org/10.3200/JMBR.38.3.185-205
  11. Bellelli G, Buccino G, Bernardini B, et al. Action observation treatment improves recovery of postsurgical orthopedic patients: Evidence for a top-down effect? Arch Phys Med Rehabil. 2010;91(10):1489-1494. https://doi.org/10.1016/j.apmr.2010.07.013
  12. Boyd-Clark LC, Briqqs CA, Galea MP. Muscle spindle distribution, morphology, and density in longuscolli and multifidus muscles of the cervical spine. Spine. 2002;27:694-701. https://doi.org/10.1097/00007632-200204010-00005
  13. 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
  14. Classen J, Liepert J, Wise SP, et al. Rapid plasticity of human cortical movement representation induced by practice, J Neurophysiol. 1998;79(2):1117-1123. https://doi.org/10.1152/jn.1998.79.2.1117
  15. Dusunceli Y, Ozturk C, Atamaz F, et al. Efficacy of neck stabilization exercises for neck pain: A randomized controlled study. J Rehabil Med. 2009;41:626-631. https://doi.org/10.2340/16501977-0392
  16. Falla D, Jull G, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine. 2004;23:2108-2114.
  17. Falla D, Jull G, Russell T, et al. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007;87:408-417. https://doi.org/10.2522/ptj.20060009
  18. Fogassi L, Ferrari PF, Gesierich B, et al. Parietal lobe: From action organization to intention understanding. Science. 2005;308(5722):662. https://doi.org/10.1126/science.1106138
  19. Iacoboni M. Neural mechanisms of imitation. Curr Opin Neurobiol. 2005;15(6):632-637. https://doi.org/10.1016/j.conb.2005.10.010
  20. Jull G, Falla D, Vicenzino B, et al. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther. 2009;14:696-701. https://doi.org/10.1016/j.math.2009.05.004
  21. Jull G, Falla D, Hodges P, et al. Cervical flexor muscle retraining: Physiological mechanisms of efficacy. Paper presented at: 2nd International Conference on Movement Dysfunction. 2005;23-25.
  22. Jull G, Kristjansson E, Dall'alba P. Impairment in the cervical flexors: A comparison of whiplash and insidious onset neck pain patients. Man Ther. 2004;9:89-94. https://doi.org/10.1016/S1356-689X(03)00086-9
  23. Machado LA, Azevedo DC, Capanema MB, et al. Client-centered therapy vs exercise therapy for chronic low back pain: A pilot randomized controlled trial in brazil. Pain Med. 2007;8(3):251-258. https://doi.org/10.1111/j.1526-4637.2006.00225.x
  24. Nemmers TM, Miller JW, Hartman MD. Variability of the forward head posture in healthy community-dwelling older women. J Geriatr Phys Ther. 2009;32:10-14. https://doi.org/10.1519/00139143-200932010-00003
  25. Page SJ, Levine P, Sisto S, et al. A Randomized Efficacy and Feasibility Study of Imagery in Acute Stroke, Clin Rehabil. 2001;15(3):233-240. https://doi.org/10.1191/026921501672063235
  26. Rubini EC, Costa AL, Gomes PS. The effects of stretching on strength performance. Sports Med. 2007;37:213-224. https://doi.org/10.2165/00007256-200737030-00003
  27. Simons DG, Travell JG, Simons LS. Travell & Simons' Myofascial Pain And Dysfunction: Upper Half Of Body. Lippincott Williams & Wilkins. 1999.
  28. Sterling M, Jull G, Vicenzino B, et al. Development of motor system dysfunction following whiplash injury. Pain. 2003;103:65-73. https://doi.org/10.1016/S0304-3959(02)00420-7
  29. Stefan K, Cohen LG, Duque J, et al. Formation of a motor memory by action observation. J Neurosci. 2005;25(41):9339-9346. https://doi.org/10.1523/JNEUROSCI.2282-05.2005
  30. Szeto GPY, Straker L, Raine S. A field comparison of neck and shoulder postures in symptomatic and asymptomatic office worker. Appl Ergon. 2002;33:75-84. https://doi.org/10.1016/S0003-6870(01)00043-6
  31. Vernon H, Mior S. The neck disability index: A study of reliability and validity. J Manipulative Physiol Ther. 1991;14:409-415.
  32. Urgesi C, Candidi M, Fabbro F, et al. Motor facilitation during action observation: topographic mapping of the target muscle and influence of the onlooker's posture. Eur J Neurosci. 2006;23(9):2522-2530. https://doi.org/10.1111/j.1460-9568.2006.04772.x
  33. Wells R. Why have we not solved the MSD problem. Work. 2009;34:117-121.
  34. Weinberg RS, Gould D. Foundations of Sport and Exercise Psychology, 6E. Human Kinetics. 2014;308-311.