The Effect of Rectus Abdominis Functional Massage on Forward head posture and Pain in Patients with Chronic Neck Pain

복직근 기능적 마사지가 만성 목통증 환자의 머리전방자세와 통증에 미치는 영향

  • Lee, Jae-nam (Dept. of Physical Therapy, Kyoung-in Rehabilitation Center) ;
  • Jung, Sang-mo (Dept. of Physical Therapy, Kyoung-in Rehabilitation Center) ;
  • Jeon, Jae-hyung (Dept. Service Support Team, Ssangyoung Motor Company)
  • 이재남 (경인의료재활센터병원 재활치료실) ;
  • 정상모 (경인의료재활센터병원 재활치료실) ;
  • 전재형 (쌍용자동차 서비스지원팀)
  • Received : 2018.02.09
  • Accepted : 2018.04.03
  • Published : 2018.06.30

Abstract

Background: The purpose of this study was to determine the effects of cervical deep muscle flexion exercise (CCFE) on craniovertebral angle, pain, and neck disability for patients with chronic neck pain Methods: The subjects of this study were randomly divided into three groups of 30 patients with chronic neck pain: rectus abodominis functional massage (n=10), cervical deep muscle flexion exercises group (n=10), and the control group(n=10). To assess visual analog scale (VAS) was used to test the neck pain, To assess neck posture was used to craniovertebral angle, VAS was used to test the neck pain, neck disability index (NDI) was used to test the neck dysfunction. All measurements were performed before and after each intervention was applied 3 times a week for 4 weeks. Results: In the results of all measurements, 2 groups except for the control group showed a significant change in the recovery of posture, neck pain, neck disability index (p<.05). Conclusions: Our results of this study showed that applying cervical deep muscle flexion exercise and rectus abodominis functional massage to patients with chronic neck pain improved cervical posture, neck pain, neck disability.

Keywords

References

  1. 이은우, 신원섭, 정경심, 등. 경통환자 평가를 위한 Neck Disability Index의 신뢰도와 타당도. 한국전문물리치료학회지. 2007;14(3):97-103.
  2. Akhter S, Khan M, Ali SS, et al. Role of manual therapy with exercise regime versus exercise regime alone in the management of non-specific chronic neck pain. Pak J Pharm Sci. 2014;27(6):2125-2128.
  3. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001;8(12):1153-1157. https://doi.org/10.1111/j.1553-2712.2001.tb01132.x
  4. 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
  5. Chiu TT, Sing KL. Evaluation of cervical range of motion and isometric neck muscle strength: Reliability and validity. Clin Rehabil. 2002;16(8):851-858. https://doi.org/10.1191/0269215502cr550oa
  6. Evjenth O, Hamberg J. Auto Stretching: The Complete Manual of Specific Stretching. Sweden. Alfta Rehab Forlag. 2004
  7. Falla DL, Jull GA, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine(Phila Pa 1976). 2004;29(19):2108-2114. https://doi.org/10.1097/01.brs.0000141170.89317.0e
  8. Fernandez-de-las-Penas C, Perez-de-Heredia M, Molero-Sanchez A, et al. Performance of the craniocervical flexion test, forward head posture, and headache clinical parameters in patients with chronic tension-type headache: A pilot study. J Orthop Sports Phys Ther. 2007;37(2):33-39. https://doi.org/10.2519/jospt.2007.2401
  9. Hajihosseini E, Norasteh A, Shamsi A, et al. The Effects of Strengthening, Stretching and Comprehensive Exercises on Forward Shoulder Posture Correction. PTJ. 2014;4(3):123-132.
  10. Harrison DE, Harrison DD, Betz JJ, et al. Increasing thecervicallordosis with chiropractic biophysics seated combined extension-compression and transverse load cervical traction with cervical manipulation: Nonrandomized clinical control trial.Journal of manipulative and physiological therapeutics. J Mani Physiol Ther. 2003;26(3):139-151. https://doi.org/10.1016/S0161-4754(02)54106-3
  11. James H, Clay, David M. Pounds. Basic Clinical Massage Therapy: Integrating Anatomy and Treatment. 248-265, 2003.
  12. Jull G. Deep Cervical Flexor Muscle Dysfunction in Whiplash. 2010;8(1-2):143-154.
  13. Jull G, Falla D, Treleavan J, et al. A Therapeutic Exercise Approach for Cervical Disorders. Grieve's Modern Manual Therapy. edited by J. Boyling and G. Jull. Edinburgh, UK: Churchill Livingstone, Elsevier Science. 2004;451-470.
  14. Jull G, Falla D, Treleaven J, et al. Cervical Flexor Muscle Retraining Physiological Mechanism of Efficacy, 2nd international conference on movement dysfunction. 2005.
  15. Jull GA, 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(6):696-701. https://doi.org/10.1016/j.math.2009.05.004
  16. Kado DM, Huang MH, Karlamangla, et al. Hyperkyphotic posture predicts mortality in older community- dwelling men and women: A prospective study. J Am Geriatr Soc. 2004;52(10):1662-1667. https://doi.org/10.1111/j.1532-5415.2004.52458.x
  17. Krauss J, Creighton D, Ely JD. The immediate effects of upper thoracic spinal manipulation on cervical pain and range of motion: A randomized clinical trial. J Man Manip Therapy. 2008;16(2):93-99. https://doi.org/10.1179/106698108790818530
  18. Kendall FP, McCreary EK, Provance PG, et al. Muscles, testing and function: With posture and pain. Baltimore, MD: Williams & Wilkins. 2013
  19. Nahhas Rodacki CL, Luiz Felix Rodacki A, Ugrinowitsch C, et al. Spinal unloading after abdominal exercises. Clin Biomech. 2008;23:8-14. https://doi.org/10.1016/j.clinbiomech.2007.08.022
  20. Nejati P, Lotfian S, Moezy A, et al. The study of correlation between forward head posture and neck pain in Iranian office workers. Int J of Occupational Medicine & Environmental Health. 2015;28(2):295-303.
  21. 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
  22. Oneal RM, Mulka JP, Shapiro P, et al. Wide abdominal rectus plication abdominoplasty for the treatment of chronic intractable low back pain. Plast Reconstr Surg. 2011;127:225-231. https://doi.org/10.1097/PRS.0b013e3181fad2f7
  23. Sahrmann SA. Diagnosis and Treatment of movement Impairment Syndromes. 2010.
  24. Szeto GP, Straker L, Raine S. A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers. Applied ergonomics. 2002;33(1):75-84. https://doi.org/10.1016/S0003-6870(01)00043-6
  25. Temel M, Turkmen A, Berberoglu O. Improvements in vertebral-column angles and psychological metrics after abdominoplasty with rectus plication. Aesthet Surg J. 2016;36(5):577-587. https://doi.org/10.1093/asj/sjv257
  26. Vera-Garcia FJ, Elvira JL, Brown SH, et al. Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk perturbations. J Electromyogr Kinesiol. 2007;17:556-567. https://doi.org/10.1016/j.jelekin.2006.07.004
  27. Vernon H, Mior S. The neck disability index : A study of reliability and validity. J Manip Physiol Ther. 1991;14:409-415.