한국전자통신학회논문지 (The Journal of the Korea institute of electronic communication sciences)

한국전자통신학회 (Korea Institute of Electronic Communication Science)
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스마트폰 사용에 의한 경추부 만곡이 감소된 성인의 경부 자세에 따른 관절가동범위와 목장애지수에 대한 연구

Study for Range of Motion, Neck Disability Index According to Cervical Posture in Adults with Reduced Cervical Lordosis Due to Smartphone Use

  • 김수형 (인천대학교 대학원) ;
  • 한상철 (인천대학교 예술체육대학 운동건강학부) ;
  • 문종훈 (인천사랑병원 재활의학과 작업치료실)
  • 투고 : 2017.05.17
  • 심사 : 2017.08.01
  • 발행 : 2017.08.31
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초록

본 연구는 경부 전만이 감소된 성인을 대상으로 경부 자세에 따른 관절가동범위와 목 장애지수의 비교 및 상관관계를 알고자 하였다. 본 연구를 경부 전만이 감소된(Cobb's 각도 35도 이하) 젊은 성인 34명을 선별하였다. 평가자는 경부 관절가동범위 측정기구를 사용하여 모든 대상자의 굴곡, 신전, 좌측굴곡, 우측굴곡, 좌측회전, 우측회전, 전방 변위를 측정하였으며, 설문을 통하여 목 통증지수를 평가하였다. 모든 평가 후, 경부 전만이 감소된 대상자를 하위집단(전만의 심각한 감소)과 상위집단(전만의 경미한 감소)으로 나누어 관절가동범위와 목 통증지수를 비교하였다. 연구 결과, 하위집단은 상위집단과 비교하여 Cobb's 각도, 신전, 좌측굴곡, 우측굴곡, 좌측회전, 우측회전, 전방 변위에서 유의하게 더 높았으며(p<.05), 굴곡과 목 장애지수는 유의한 차이가 없었다(p>.05). 목 장애지수의 하위항목 비교에서 하위집단은 상위집단보다 통증, 들어올리기, 두통에서 유의하게 더 높았다(p<.05). 평가 간에 상관분석에서 Cobb's 각도는 굴곡, 신전, 좌측굴곡, 우측굴곡, 좌측회전, 우측회전과 유의한 양의 상관이 있었으며(p<.05), 전방 변위, 목 통증지수와 유의한 음의 상관이 있었다(p<.05). Cobb's 각도는 목 통증지수의 하위항목인 통증, 들어올리기, 두통과 유의한 음의 상관을 보였다(p<.05). 본 연구의 결과는 경부의 자세가 관절가동범위와 통증에 영향을 줄 수 있음을 시사한다.

The purpose of this study was to investigate the relationship between neck posture and range of motion and neck disability index(NDI) in young adults with reduced cervical lordosis. This study selected 34 young adults with cervical lordosis reduced (Cobb's angle less than 35 degrees). The assessor measured neck flexion, extension, left lateral flexion, right lateral flexion, left rotation, right rotation and forward displacements of all subjects using cervical of range motion instrument, Then, the NDI was evaluated. After all assessments, degree for cervical lordosis was divided into two groups: bottom group(severe cervical lordosis) and top group(mild cervical lordosis). The bottom group was significantly higher in Cobb's angle, extension, left lateral flexion, right lateral flexion, left rotation, right rotation and forward displacement compared to the top group (p<.05). There was no significant difference between the two groups in flexion, NDI(p >.05). In comparison of subscale of NDI, top group was significantly higher in pain, lifting, and headache than bottom group (p <.05). In correlation analysis, Cobb's angle showed significant positive correlation with flexion, extension, left lateral flexion, right lateral flexion, left rotation and right rotation(p<.05), and showed significant negative correlation with forward displacement, NDI(p<.05). Cobb's angle showed a significant negative correlation with pain, lifting, and headache of subscale of NDI(p<.05). The findings of this study potentially suggest that neck posture may affect the cervical range of motion and pain.

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참고문헌

  1. Li, G. and Buckle, P., "Current techniques for assessing physical exposure to work-related musculoskeletal risks, with emphasis on posture-based methods," Ergonomics, vol. 42, no. 5, 1999, pp. 674-695. https://doi.org/10.1080/001401399185388
  2. Winter, D. A., "Human balance and posture control during standing and walking," Gait & posture, vol. 3, no. 4, 1995, pp. 193-214. https://doi.org/10.1016/0966-6362(96)82849-9
  3. Bovim, G., Schrader, H., and Sand, T., "Neck pain in the general population," Spine, vol. 19, no. 12, 1994, pp. 1307-1309. https://doi.org/10.1097/00007632-199406000-00001
  4. Hogg-Johnson, S., Van Der Velde, G., Carroll, L. J., Holm, L. W., Cassidy, J. D., Guzman, J., and Hurwitz, E., "The burden and determinants of neck pain in the general population," European Spine J., vol. 17, no. 1, 2008, pp. 39-51. https://doi.org/10.1007/s00586-008-0624-y
  5. Hogg-Johnson and Sheilah, "The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders," J. of Manipulative and Physiological Therapeutics, vol. 32, no.2, 2009, pp. 46-60. https://doi.org/10.1016/j.jmpt.2008.11.010
  6. Haldeman, S., Carroll, L., Cassidy, J. D., Schubert, J., and Nygren, A., "The bone and joint decade 2000-2010 task force on neck pain and its associated disorders," European Spine J., vol. 17, no.3, 2008, pp. 5-7. https://doi.org/10.1007/s00586-008-0619-8
  7. Borden, A. B., Rechtman, A. M., and Gershon-Cohen, J., "The Normal Cervical Lordosis 1," Radiology, vol. 74, no. 5, 1960, pp. 806-809. https://doi.org/10.1148/74.5.806
  8. Gonzalez, H. E. and Manns, A., "Forward head posture: its structural and functional influence on the stomatognathic system, a conceptual study," CRANIO, vol. 14, no. 1, 1996, pp. 71-80. https://doi.org/10.1080/08869634.1996.11745952
  9. U. Kim, "An Image Denoising Algorithm for the Mobile Phone Cameras," J. of the Korea Institute of Electronic Communication Sciences, vol. 9, no. 5, 2014, pp. 601-607. https://doi.org/10.13067/JKIECS.201.9.5.601
  10. J. Moon and Y. Won, "Effects of orofacial exercises training program using smart phone on swallowing function and tongue strength in acute stroke patients with dysphagia," J. of the Korea Institute of Electronic Communication Sciences, vol. 11, no. 10, 2016, pp. 995-1002. https://doi.org/10.13067/JKIECS.2016.11.10.995
  11. Janwantanakul, P., Pensri, P., "Jiamjarasrangsri, V., and Sinsongsook, T., "Prevalence of self-reported musculoskeletal symptoms among office workers," Occupational Medicine, vol. 58, no. 6, 2008, pp. 436-438. https://doi.org/10.1093/occmed/kqn072
  12. Demirci, K., Akgönül, M., and Akpinar, A., "Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students," J. of Behavioral Addictions, vol. 4, no. 2, 2015, pp. 85-92. https://doi.org/10.1556/2006.4.2015.010
  13. Nejati, P., Lotfian, S., Moezy, A., and Nejati, M., "The study of correlation between forward head posture and neck pain in Iranian office workers," Int. J. Occupational Medicine Environmental Health, vol. 28, no. 2, 2015, pp. 295-303.
  14. Fletcher, J. P. and Bandy, W. D., "Intrarater reliability of CROM measurement of cervical spine active range of motion in persons with and without neck pain," J. of Orthopaedic & Sports Physical Therapy, vol. 38, no. 10, 2008. pp. 640-645. https://doi.org/10.2519/jospt.2008.2680
  15. Griegel-Morris, P., Larson, K., Mueller-Klaus, K., and Oatis, C. A., "Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects," Physical Therapy, vol. 72, no. 3, 1992, pp. 420-425.
  16. Szeto, G. P., Straker, L., and Raine, S., "A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers," Applied Ergonomics, vol. 33, no. 1, 2002, pp. 75-84. https://doi.org/10.1016/S0003-6870(01)00043-6
  17. Yip, C. H. T., Chiu, T. T. W., and Poon, A. T. K., "The relationship between head posture and severity and disability of patients with neck pain," Manual Therapy, vol. 13, no. 2, 2008, pp. 148-154. https://doi.org/10.1016/j.math.2006.11.002
  18. Harrison, D. E., Harrison, D. D., Cailliet, R., Troyanovich, S. J., Janik, T. J., and Holland, B., "Cobb method or Harrison posterior tangent method: which to choose for lateral cervical radiographic analysis," Spine, vol. 25, no. 16, 2000, pp. 2072-2078. https://doi.org/10.1097/00007632-200008150-00011
  19. Vernon, H. and Mior, S., "The Neck Disability Index: a study of reliability and validity," J. of Manipulative and Physiological Therapeutics, vol. 14, no. 7, 1991, pp. 409-415.
  20. De-La-Llave-Rincon, A. I., Fernsndez De-Las-PeNas, C., Palacios-CeNa, D., and Cleland, J. A., "Increased forward head posture and restricted cervical range of motion in patients with carpal tunnel syndrome," J. of Orthopaedic & Sports Physical Therapy, vol. 39, no. 9, 2009, pp. 658-664. https://doi.org/10.2519/jospt.2009.3058
  21. Haughie, Laura J., Ira M. Fiebert, and Kathryn E. Roach., "Relationship of forward head posture and cervical backward bending to neck pain," J. of Manual & Manipulative Therapy, vol. 3, no. 3, 1995, pp. 91-97. https://doi.org/10.1179/jmt.1995.3.3.91
  22. Linton, S. J., "A review of psychological risk factors in back and neck pain," Spine, vol. 25, no. 9, 2000, pp. 1148-1156. https://doi.org/10.1097/00007632-200005010-00017
  23. Fernandez-de-Las-Penas, C., Alonso-Blanco, C., Cuadrado, M. L., andPareja, J. A., "Forward head posture and neck mobility in chronic tension-type headache: a blinded, controlled study," Cephalalgia, vol. 26, no. 3, 2006, pp. 314-319. https://doi.org/10.1111/j.1468-2982.2005.01042.x
  24. Moore, M. K., "Upper crossed syndrome and its relationship to cervicogenic headache," J. of Manipulative and Physiological Therapeutics, vol. 27, no. 6, 2004, pp. 414-420. https://doi.org/10.1016/j.jmpt.2004.05.007
  25. Silbert, P. L., Mokri, B., and Schievink, W. I., "Headache and neck pain in spontaneous internal carotid and vertebral artery dissections," Neurology, vol. 45, no. 8, 1995, pp. 1517-1522. https://doi.org/10.1212/WNL.45.8.1517
  26. K. Hwang, Y, Yoo, and O, Cho, "Smartphone Overuse and Upper Extremity Pain, Anxiety, Depression, and Interpersonal Relationships among College Students," The J. of the Korea Contents Association, vol. 12, no. 10, 2012, pp. 365-375. https://doi.org/10.5392/JKCA.2012.12.10.365
  27. G. Kim and J. Kim, "Intelligent Self Learning System for Keyboard Instrument using a Smartphone," J. of the Korea Institute of Electronic Communication Sciences, vol. 9, no. 9, 2014, pp. 999-1004. https://doi.org/10.13067/JKIECS.2014.9.9.999