디지털융복합연구 (Journal of Digital Convergence)

  • 제16권11호
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  • Pages.543-551
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  • 2018
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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교정 운동과 TECAR 치료가 전방머리자세를 가진 환자의 목정렬과 통증에 미치는 영향

The Effect of Corrective Exercise and TECAR therapy on neck alignments and pain in Forward Head Posture Patients

  • 박시은 (우송대학교 물리치료학과) ;
  • 이형렬 (상계 바론 정형외과) ;
  • 박신준 (강동대학교 물리치료과)
  • 투고 : 2018.08.20
  • 심사 : 2018.11.20
  • 발행 : 2018.11.28
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초록

본 연구는 교정 운동이 전방머리자세 환자의 목뼈 정렬, 압력통증 역치, 통증에 미치는 영향에 대해 알아보았다. 대상자는 목 부위의 통증을 주로 호소하는 환자 중 전방머리자세로 판정되는 30명을 대상으로 연구를 실시하였다. 중재방법으로는 연구군은 등뼈 폄 운동, 네발기기 자세에서 뒤쪽락킹, 그리고 능동 목뼈 돌림 운동과 TECAR치료를 융합하였으며, 대조군은 등뼈 및 목뼈 교정운동만을 적용하였다. 평가는 목 척추 각도, 압력 통증 역치, 목장애지수, 시각적상사척도를 측정하였다. 중재는 2주간 주 6회 실시하였다. 연구결과 두 군 모두 목 척추각도, 압력통증 역치, 목장애 지수, 시각적상사척도에 유의한 차이를 나타내었다. 또한 목 척추각도를 제외한 압력통증역치, 목장애지수, 시각적상사척도에 연구군이 대조군 보다 유의하게 개선되었다. 이러한 결과는 교정 운동과 TECAR 치료를 융합하는 중재 방법이 전방머리자세 환자의 머리 정렬과 통증 및 일상생활능력에 보다 긍정적인 영향을 미친다고 사료된다.

This study investigated the effects of corrective exercise and TECAR on cervical alignment, pain threshold, and pain in forward head posture patients. The subject includes 30 forward head posture patients. In the intervention methods, the experimental group combined corrective exercise and TECAR treatment. Only the corrective exercise was applied to the control group. Assessments were made on cervico vertebra angle (CV angle), pain pressure threshold (PPT) and neck disability index (NDI) visual analog scale (VAS). The intervention was conducted six times a week for two weeks. Both groups showed significant differences in CV angle, PPT, NDI, and VAS. Also, PPT, NDI, and VAS excluding CV angle were significantly improved in the study group compared to the control group. These results suggest that the intervention method that combines corrective exercise and TECAR treatment has a more positive effect on pain and ADL ability of forward head posture patient.

키워드

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Fig. 1. Thoracic extension strengthening exercise

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Fig. 2. Backward locking in quadruped position

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Fig. 3. Quadruped active cervical rotation

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Fig. 4. Application of TECAR Therapy. Physical therapist weared the mobile electrode in the middle of forearm(circle) and fixed electrode was positioned under patients upper back(square)

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Fig. 5. Intensity of radio frequence therapeutique.

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Fig. 6. Neck angle measurement

Table 1. General characteristics of subjects

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Table 2. Comparison of the outcome of CVA and PPT in pre and post-test among groups

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Table 3. Comparison of the outcome of VAS and NDI in pre and post-test among groups

DJTJBT_2018_v16n11_543_t0003.png 이미지

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