DOI QR코드

DOI QR Code

Effect of Cervical Spinal Decompression on the Cervical Muscle Tone and Disc Height in Patients with Cervical Intervertebral Disc Herniation

  • Received : 2018.01.03
  • Accepted : 2018.02.12
  • Published : 2018.03.31

Abstract

The purpose of this study was to investigate the effect of traction and decompression therapies on the cervical muscle tone and disc height. The decompression group (n=16) received decompression therapy and Mckenzie exercises once a day and four times a week respectively, for three weeks. The traction group (n=15) also received traction therapy and Mckenzie exercises for the same period. Muscle tone was measured with a myotonometer, and the disk height was measured using magnetic resonance imaging (MRI), before the interventions. Three weeks later, we investigated the therapeutic effect by repeating these measurements. The difference in disk height between the two groups was not significant. There was a significant difference in the disk herniation index (p<.05). A significant difference was found only in the upper trapezius muscle after comparison of muscle tone and stiffness between the groups (p<.05). Findings from this study suggest that the decompression therapy is a more effective intervention for patients with cervical intervertebral disc herniation.

Keywords

References

  1. Suk SI. Third edition textbook of spinal surgery. Seoul: Newest Medical Publishing Company, 2011.
  2. Robinson J, Kothari M, Shefner JM, et al. Clinical features and diagnosis of cervical radiculopathy. Accessed, 27, 2014.
  3. Kim YH, Mun DY, Park J, et al. Case reports: The spontaneous resorption of herniated lumbar disc. Korean J Pain, 2005; 18(1): 56-9. https://doi.org/10.3344/kjp.2005.18.1.56
  4. Macario A, Pergolizzi JV. Systematic literature review of spinal decompression via motorized traction for chronic diskogenic low back pain. Pain Pract, 2006; 6(3): 171-8. https://doi.org/10.1111/j.1533-2500.2006.00082.x
  5. Kwon WA, Lee SH, Lee JH. Effects of decompression therapy for 6 cases with lumbar herniated disc. Journal of the Korea Academia-Industrial Cooperation Society, 2012; 13(5): 2133-41. https://doi.org/10.5762/KAIS.2012.13.5.2133
  6. Kang JI, Jeong DK, Choi H. Effect of spinal decompression on the lumbar muscle activity and disk height in patients with herniated intervertebral disk. J Phys Ther Sci, 2016, 28(11): 3125-30. https://doi.org/10.1589/jpts.28.3125
  7. Gong W, Ma S, Ro H. Effect of whole body cryotherapy with spinal decompression on cervical disc herniation by digital infrared thermal imaging. J Phys Ther Sci, 2011; 23(1): 107-10. https://doi.org/10.1589/jpts.23.107
  8. Jung YW. Effects of Mckenzie exercise on the function recovery and forward head posture of chronic neck pain patients. J Korean Soc Phys Med, 2006; 1: 93-108.
  9. Fagerlund MK, Thelander U, Friberg S. Size of lumbar disc hernias measured using computed tomography and related to sciatic symptoms. Acta Radiol, 1990; 31: 555-8. https://doi.org/10.1177/028418519003100604
  10. Agyapong S, Aird L, Bailey L, et al. Interrater reliability of muscle tone, stiffness and elasticity measurements of rectus femoris and biceps brachii in healthy young and older males. Working Papers Health Sci, 2013; 1(4):1-11.
  11. Kim JH. The effects of ischemic compression and active release technique on trigger point of upper trapezius in patients with chronic neck pain. Dissertation, Eulji university, 2016; 2
  12. Bailey L, Samuel D, Warner M, et al. Parameters representing muscle tone, elasticity and stiffness of biceps brachii in healthy older males. J Neurol Disord, 2013; 1:116.
  13. Park JG, Kim DG. Effects of decompression therapy for the treatment of a herniated lumbar disc. Korean J Pain, 2008; 21(2): 143-9. https://doi.org/10.3344/kjp.2008.21.2.143
  14. Oh KO. The effects of manual therapy and decompression therapy for treatment of lumbar herniation disc. Dissertation, Inje University, 2016; 6
  15. Kim DH, Jung YJ, Song YE, et al. Measurement of characteristic change using Myoton PRO in low back muscles during long-term driving; Pilot Study. The Japanese Journal of Ergonomics, 2015; 51(Supplement): 450-3. https://doi.org/10.5100/jje.51.S450
  16. Yang H, Bae S. Effects of shortening of pectoralis minor muscle on muscle activity of trapezius and pectoralis major muscles. Journal of The Korean Society of Integrative Medicine, 2013; 1(4): 85-92. https://doi.org/10.15268/ksim.2013.1.4.085
  17. Carr JH, Shepherd RB: Stroke rehabilitation: Guidelines for exercise and training to optimize motor skill. Oxford: Elsevier Limited, 2004.