대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제13권3호
  • /
  • Pages.121-132
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  • 2018
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
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Effects of Exercise Type on Neck Disability, Pain, and Postural Changes in Subjects with Forward Head Posture: Systematic Review and Meta-Analysis

  • Na, Jeong-Gon (Department of Physical Therapy, Graduate School of Eulji University) ;
  • Lee, Han-Suk (Department of Physical Therapy, Eulji University) ;
  • Park, Sun-Wook (Department of Physical Therapy, Samsung Medical Center)
  • 투고 : 2018.06.13
  • 심사 : 2018.07.14
  • 발행 : 2018.08.31
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초록

PURPOSE: This study was conducted to investigate the effects of type of exercise on neck disability, pain, and postural changes in subjects with forward head posture. METHODS: Two independent researchers conducted a search using KISS, RISS, DBpia (domestic), PubMed, OVID, and Science Direct (overseas) databases. We selected randomized controlled clinical trials by searching using the terms "forward head posture", "exercise therapy", and "therapeutic exercise". Studies published from 2007 to December 2017 were included. PEDro Scale was used to evaluate the quality of the selected studies, and meta-analysis was conducted using the CMA program. This review was registered at PROSPERO (CRD42018068633). RESULTS: Of the total 13768 studies searched, 17 were selected. Positive effects on neck disability were achieved with the base and biomechanical elements (ES=1.63, 95% confidence interval [CI] .49 to 2.75) as well as base, modulator, and biomechanical elements (ES=1.50, 95% [CI] .69 to 2.30). Neck pain improved with the base, modulator, and biomechanical elements (ES=1.96, 95% [CI] 1.08 to 2.82), while postural changes improved with biomechanical elements (ES=1.45, 95% [CI] .64 to 2.25). Additionally, type of exercise had a positive effect. CONCLUSION: The most effective exercises for neck disability are of the base and biomechanical elements, while the most effective types for neck pain are of the base, modulator, and biomechanical elements and the most effective exercise for posture is of biomechanical elements. Combined exercises targeting biomechanical elements were effective at treating disability, pain, and postural changes.

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참고문헌

  1. 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):2125-8.
  2. Bansal S, Katzman WB, Giangregorio LM. Exercise for improving age-related hyperkyphotic posture: a systematic review. Archives of physical medicine and rehabilitation. 2014;95(1):129-40. https://doi.org/10.1016/j.apmr.2013.06.022
  3. Borenstein M, Hedges L, Higgins J, et al. Introduction to Meta-Analysis John Wiley & Sons. Ltd, Chichester, UK. 2009.
  4. Cohen J. Statistical power analysis for the behavioral sciences: 1st Editon. Academic press: New York. 1977.
  5. Cramer H, Klose P, Brinkhaus B, et al. Effects of yoga on chronic neck pain: a systematic review and meta-analysis. Clinical rehabilitation. 2017;31(11): 1457-65. https://doi.org/10.1177/0269215517698735
  6. Duval S, Tweedie R. Trim and fill: a simple funnel‐plot–based method of testing and adjusting for publication bias in meta‐analysis. Biometrics. 2000;56(2):455-63. https://doi.org/10.1111/j.0006-341X.2000.00455.x
  7. Falla D, Jull G, Russell T, et al. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007b;87(4):408-17. https://doi.org/10.2522/ptj.20060009
  8. Falla D, Jull G, Russell T, et al. Effect of neck exercise on sitting posture in patients with chronic neck pain. Physical therapy. 2007a;87(4):408-17. https://doi.org/10.2522/ptj.20060009
  9. Ferreira PH, Ferreira ML, Maher CG, et al. Specific stabilisation exercise for spinal and pelvic pain: a systematic review. Journal of Physiotherapy. 2006;52(2):79-88.
  10. Geneen LJ, Moore A, Clarke C, et al. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. The Cochrane database of systematic reviews. 2017.
  11. Good M, Stiller C, Zauszniewski JA, et al. Sensation and distress of pain scales: reliability, validity, and sensitivity. Journal of nursing measurement. 2001; 9(3):219-38. https://doi.org/10.1891/1061-3749.9.3.219
  12. Griegel-Morris P, Larson K, Mueller-Klaus K, et al. 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. 1992;72(6):425-31. https://doi.org/10.1093/ptj/72.6.425
  13. Gross A, Paquin J, Dupont G, et al. Exercises for mechanical neck disorders: A Cochrane review update. Manual therapy. 2016;(24):25-45.
  14. Gupta BD, Aggarwal S, Gupta B, et al. Effect of deep cervical flexor training vs. conventional isometric training on forward head posture, pain, neck disability index in dentists suffering from chronic neck pain. Journal of clinical and diagnostic research: JCDR. 2013; 7(10):2261-4.
  15. Haldeman S, Carroll L, Cassidy JD. Findings from the bone and joint decade 2000 to 2010 task force on neck pain and its associated disorders. Journal of occupational and environmental medicine. 2010; 52(4):424-7. https://doi.org/10.1097/JOM.0b013e3181d44f3b
  16. Han JH, Kim JH, Jeong MG, et al. Correlation between forward head posture and foot pressure according to McKenzie exercise. Korean journal of orthopedic manual therapy. 2016;22(1):65-70.
  17. 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. Journal of Manual & Manipulative Therapy. 2005;13(3):163-76. https://doi.org/10.1179/106698105790824888
  18. Hickey ER, Rondeau MJ, Corrente JR, et al. Reliability of the cervical range of motion (CROM) device and plumb-line techniques in measuring resting head posture (RHP). Journal of Manual & Manipulative Therapy. 2000;8(1):10-7. https://doi.org/10.1179/106698100790811346
  19. Higgins JP, Green S. Cochrane handbook for systematic reviews of interventions. John Wiley & Sons. 2011.
  20. ICT MoSa : Health problems due to overuse of the internet, 2010. Korea National Statistical Office 2015 http://kostat.go.kr. March 13, 2017.
  21. Im B, Kim Y, Chung Y, et al. Effects of scapular stabilization exercise on neck posture and muscle activation in individuals with neck pain and forward head posture. Journal of physical therapy science. 2015;28(3):951-5. https://doi.org/10.1589/jpts.28.951
  22. Kay TM, Gross A, Goldsmith C, et al. Exercises for mechanical neck disorders. Cochrane Database Syst Rev. 2005;3(3):1-105.
  23. Larun L, Brurberg KG, Odgaard-Jensen J, et al. Exercise therapy for chronic fatigue syndrome. Cochrane Database Syst Rev. 2017;23(3):144.
  24. Lau KT, Cheung KY, Chan MH, et al. Relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability. Manual therapy. 2010;15(5):457-62. https://doi.org/10.1016/j.math.2010.03.009
  25. Lee CH. Research Methodology for Physical Therapists and Occupational Therapists 3rd Edition. Seoul: GYECHUK MUNWHASA. 2007.
  26. Lee C-M, Jeong E-H, Freivalds A. Biomechanical effects of wearing high-heeled shoes. International journal of industrial ergonomics. 2001;28(6):321-6. https://doi.org/10.1016/S0169-8141(01)00038-5
  27. Lynch SS, Thigpen CA, Mihalik JP, et al. The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers. Br J Sports Med. 2010;44(5):376-81. https://doi.org/10.1136/bjsm.2009.066837
  28. Maher CS, Christopher G, Robert D Herbert, et al. Reliability of the PEDro Scale for Rating Quality of Randomized Controlled Trials. Physical Therapy. 2003;83(8): 713-21.
  29. Matre D, Arendt-Nielsen L, Knardahl S. Effects of localization and intensity of experimental muscle pain on ankle joint proprioception. European Journal of Pain. 2002;6(4):245-60 https://doi.org/10.1053/eujp.2002.0332
  30. Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;6(7):1-6
  31. Oh SS. Theory and Practice of Meta-Analysis. Seoul: Konkuk University Press. 2002.
  32. Sahrmann S. Diagnosis and treatment of movement impairment syndromes. Elsevier Health Sciences. 2002.
  33. Salahzadeh Z, Maroufi N, Ahmadi A, et al. Assessment of forward head posture in females: observational and photogrammetry methods. J Back Musculoskelet Rehabil. 2014;27(2):131-9. https://doi.org/10.3233/BMR-130426
  34. Sihawong R, Janwantanakul P, Sitthipornvorakul E, et al. Exercise therapy for office workers with nonspecific neck pain: a systematic review. Journal of Manipulative & Physiological Therapeutics. 2011;34(1):62-71. https://doi.org/10.1016/j.jmpt.2010.11.005
  35. Thigpen CA, Padua DA, Michener LA, et al. Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. Journal of Electromyography and kinesiology. 2010;20(4):701-9. https://doi.org/10.1016/j.jelekin.2009.12.003
  36. Wilmarth M, Hilliard T. Measuring head posture via the craniovertebral angle. Orthopaedic Physical Therapy Practice. 2003;14(1):13-5.
  37. Yip CHT, Chiu TTW, Poon ATK. The relationship between head posture and severity and disability of patients with neck pain. Manual therapy. 2008;13(2):148-54. https://doi.org/10.1016/j.math.2006.11.002

피인용 문헌

  1. The Effects of McKenzie Exercise on Forward Head Posture and Respiratory Function vol.31, pp.6, 2019, https://doi.org/10.18857/jkpt.2019.31.6.351