Effect on Morphological Change of Cervical Spine to Apply to Neck Retraction and Extension Regarding the Straight Deformity of Cervical Spine: Case Study

경추 일자목 변형에 대한 경추 후인과 신전 움직임이 경추 시상면의 형태학적 변화에 미치는 영향: 사례연구

  • Received : 2017.05.01
  • Accepted : 2017.06.01
  • Published : 2017.06.30

Abstract

Background: The purpose of this study was to identify the effects of morphological Change of cervical spine to apply to neck retraction and extension regarding the straight deformity of cervical spine. Methods: A 40-year male subject with straight deformity of cervical spine participated in this study. The study subject underwent a cervical lateral radiography on the static position, neck retraction and neck extension on standing. Measurement method were using computer-based digital radiogram on a picture achieving computer system forthe centroid method, Cobb's angle and Jackson's angle. Results: Neck retraction was increased kyphosis on the C2-4 with lordosis on the C5-7. Neck extension was increased lordosis on the C2-7. Conclusions: These findings suggest that neck retraction was increased kyphosis and neck extension was increased lordosis based on the straight deformity of cervical spine. Therefore, we should be consider that neck extension exercise when increased lordosis for the patients of straight deformity of cervical spine.

Keywords

References

  1. Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine. 2002;27(7):694-701. https://doi.org/10.1097/00007632-200204010-00005
  2. Cagnie B, Dirks R, Schouten M, et al. Functional reorganization of cervical flexor activity because of induced muscle pain evaluated by muscle functional magnetic resonance imaging. Man Ther. 2011;16(5):470-475. https://doi.org/10.1016/j.math.2011.02.013
  3. Chiu TT, Hui-Chan CW, Chein G. A randomized clinical trial of TENS and exercise for patients with chronic neck pain. Clin Rehabil. 2005;19(8):850-860. https://doi.org/10.1191/0269215505cr920oa
  4. Gore DR, Sepic SB, Gardner GM. Roentgenographic findings of the cervical spine in asymptomatic people. Spine. 1986;11(6):521-524. https://doi.org/10.1097/00007632-198607000-00003
  5. Harrison DD, Janik TJ, Troyanovich SJ, et al. Comparisons of lordotic cervical spine curvatures to a theoretical ideal model of the static sagittal cervical spine. Spine. 1996;21(6):667-675. https://doi.org/10.1097/00007632-199603150-00002
  6. Harrison DE, Harrison DD, Cailliet R, et al. 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
  7. Harrison DE, Cailliet R, Harrison DD, et al. A new 3-point bending traction method for restoring cervical lordosis and cervical manipulation: a non-randomized clinical controlled trial. Arch Phys Med Rehabil. 2002;83(4):447-453. https://doi.org/10.1053/apmr.2002.30916
  8. Harrison DE, Harrison DD, Betz JJ, et al. Increasing the cervical lordosis with chiropractic biophysics seated combined extension-compression and transverse load cervical traction with cervical manipulation: nonrandomized clinical control trial. J Manipulative Physiol Ther. 2003;26(3):139-151. https://doi.org/10.1016/S0161-4754(02)54106-3
  9. Harman K, Hubley-Kozey CL, Butler H. Effectiveness of an exercise program to improve forward head posture in normal adults: A randomized, controlled 10-week trial. J Man Manip Ther. 2005;13(3):163-176. https://doi.org/10.1179/106698105790824888
  10. Hardacker JW, Shuford RF, Capicotto PN, et al. Radiographic standing cervical segmental alignment in adult volunteers without neck symptoms. Spine. 1997;22(13):1472-1480. https://doi.org/10.1097/00007632-199707010-00009
  11. Helewa A, Goldsmith CH, Smythe HA, et al. Effect of therapeutic exercise and sleeping neck support on patients with chronic neck pain: A randomized clinical trial. J Rheumatol 2007;34(1): 151-158.
  12. Jackson R. The classic: the cervical syndrome. Clin Orthop Relat Res. 2010;468(7):1739-1745. https://doi.org/10.1007/s11999-010-1278-8
  13. Jull G, Trott P, Potter H, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine. 2002;27(17):1835-1843. https://doi.org/10.1097/00007632-200209010-00004
  14. Moustafa IM, Diab AA, Taha S, et al. Addition of a sagittal cervical posture corrective orthotic device to a mltimodal rehabilitation program improves short and long-term outcomes in patients with discogenic cervical radiculopathy. Arch Phys Med Rehabil. 2016;97(12):2034-2044. https://doi.org/10.1016/j.apmr.2016.07.022
  15. Neumann DA. Kinesiology of the Musculoskeletal System. Mosby. 2002.
  16. Ohara A, Miyamoto K, Naganawa T, et al. Reliabilities of and correlations among five standard methods of assessing the sagittal alignment of the cervical spine. Spine. 2006;31(22):2585-2591. https://doi.org/10.1097/01.brs.0000240656.79060.18
  17. Oktenoglu T, Ozer AF, Ferrara LA, et al. Effects of cervical spine posture on axial load bearing ability: A biomechanical study. J Neurosurg. 2001;94(1):108-114. https://doi.org/10.3171/spi.2001.94.1.0108
  18. Scheer JK, Tang JA, Smith JS, et al. Cervical spine alignment, sagittal deformity, and clinical implications: A review. J Neurosurg Spine. 2013;19(2):141-159. https://doi.org/10.3171/2013.4.SPINE12838
  19. Shin JK, Lee JS, Kang SS, et al. The reliabilities of radiographic measurements of cervical sagittal alignment in ankylosing spondylitis. Clin Spine Surg. 2016;29(6):E282-287. https://doi.org/10.1097/BSD.0000000000000105
  20. Yu M, Silvestre C, Mouton T, et al. Analysis of the cervical spine sagittal alignment in young idiopathic scoliosis: A morphological classification of 120 cases. Eur Spine J. 2013;22(11):2372-2381. https://doi.org/10.1007/s00586-013-2753-1