PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Effects of Proprioceptive Neuromuscular Facilitation Exercises on the Neck Disability Index and Deep Neck Flexor Endurance of Patients with Acute Whiplash Injury

고유수용성신경근촉진법 운동이 급성 목부염좌 환자의 통증과 목 장애지수 및 심부목굽힘근 지구력에 미치는 영향

  • Kang, Tae-Woo (Department of Physical Therapy, Wonkwang University Hospital) ;
  • Jeong, Wang-Mo (Department of Physical Therapy, Jeong In Body Exercise Trading Center) ;
  • Kim, Beom-Ryong (Department of Physical Therapy, Design Hospital)
  • Received : 2018.04.26
  • Accepted : 2018.06.01
  • Published : 2018.08.31
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Abstract

Purpose: The purpose of this study is to examine the effects of proprioceptive neuromuscular facilitation (PNF) exercises on the neck disability index and deep neck flexor endurance of acute whiplash injury patients and to provide basic data for PNF exercises for musculoskeletal system disorder patients. Methods: Twenty acute whiplash injury patients were randomly assigned to an experimental group (n=10) and were treated with PNF exercises whereas a control group (n=10) underwent general exercises. Each session lasted 15 minutes and was performed five times a week for two weeks. The degree of pain was assessed using a visual analogue scale (VAS) and the degree of neck disability was measured by the neck disability index (NDI). Craniocervical flexor endurance (CCFE) tests were conducted to measure deep neck flexor endurance. Results: In terms of the intragroup changes in VAS, NDI, and CCFE, there were significant decreases in both the experimental and the control groups. After intervention, there were significant differences between the experimental group and the control group in terms of intergroup changes in VAS, NDI and CCFE. Conclusion: Although the exercises that are generally applied to acute whiplash injury patients are effective on the whole, PNF exercises are considered to be beneficial, given the improvements in the neck disability index and deep neck flexor endurance.

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References

  1. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide, 4th ed. Heidelberg. Springer. 2016.
  2. Ahn SW. The effects of modality, taping and joint mobilization for patients with acute whiplash-associated disorder: case study. The Journal of Korean Academy of Orthopedic Manual Physical Therapy. 2012:18(1);73-82.
  3. Chiu TT, Law EY, Chiu TH. Performance of the craniocervical flexion test in subjects with and without chronic neck pain. Journal of Orthopaedic and Sports Physical Therapy. 2005;35(9):567-571. https://doi.org/10.2519/jospt.2005.35.9.567
  4. Domenech MA, Sizer PS, Dedrick GS, et al. The deep neck flexor endurance test: Normative data scores in healthy adults. PM&R. 2011;3(2):105-110. https://doi.org/10.1016/j.pmrj.2010.10.023
  5. 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. 2004;29(19):2108-2114. https://doi.org/10.1097/01.brs.0000141170.89317.0e
  6. Fishbane DA. A group of cranio-cervical acceleration/ deceleration trauma patients who developed chronic post-traumatic headache. European Spine Journal. 2002;11(6):606. https://doi.org/10.1007/s00586-002-0457-z
  7. Harris KD, Heer DM, Roy TC, et al. Reliability of a measurement of neck flexor muscle endurance. Physical therapy. 2005;85(12):1349-1355.
  8. Im JG, Lee JB, Lee HG, et al. Effects of the acupuncture therapy in combination with soyeom pharmacopuncture therapy on acute whiplash injury by traffic accident. The Journal of Korean Acupuncture and Moxibustion Society. 2011;28(4):9-18.
  9. Jeong HJ. Effects of different levator scapula stretching positions on scapular kinematics and muscle activities in subjects with short levator scapula. Yonsei University. Dissertation of Master's Degree. 2015.
  10. Jeong WM, Kim BR, Kang MG. Effect of treadmill training and proprioceptive neuromuscular facilitation lower leg taping on balance and gait ability in stroke patients. PNF and Movement. 2016;14(2):83-91. https://doi.org/10.21598/JKPNFA.2016.14.2.83
  11. Jeong WM, Kim BR. The effects of proprioceptive neuromuscular facilitation exercise on the pain and functional disability index of patients with chronic lower back pain. PNF and Movement. 2017;15(2):195-200.
  12. Jo HY, Choi HS. Effect of combined exercise program applying cervical joint mobilization on functional variables and pain scale of patients with acute neck pain caused by whiplash injury. Korean Society of Sport and Leisure Studies. 2015;59(2):773-784.
  13. Jung SY, Kim SH, Seo YS, et al. The effect comparison of Mckenzie exercise and conservative physical therapy on acute neck pain. Archives of Orthopedic and Sports Physical Therapy. 2011;7(1):9-16.
  14. Kendall FP, McCreary EK, Provance PG. Muscles: testing and function, 4th ed. Baltimore. Williams and Wilkins. 1993.
  15. Kim BR, Lee HJ. Effects of proprioceptive neuromuscular facilitation-based abdominal muscle strengthening training on pulmonary function, pain, and functional disability index in chronic low back pain patients. Journal of Exercise Rehabilitation. 2017;13(4):486-490. https://doi.org/10.12965/jer.1735030.515
  16. Kim CH, Kim BR. The effects of abdominal strength training using proprioceptive neuromuscular facilitation on the balance ability and pain of patients with chronic lower back pain. PNF and Movement. 2017;15(2):141-148.
  17. Kim JY, Kim MS, Kim JJ. The effects of proprioceptive neuromuscular facilitation for pain, grip strength on cervical herniated intervertebral disc (HIVD). Journal of Korea Proprioceptive Neuromuscular Facilitation Association. 2015;13(3):145-153.
  18. Klein DA, Stone WJ, Phillips WT, et al. PNF training and physical function in assisted-living older adults. Journal of aging and physical activity. 2002;10(4):476-488. https://doi.org/10.1123/japa.10.4.476
  19. Lee EW, Shin WS, Jung KS, et al. Reliability and validity of the neck disability index in neck pain patients. Physical Therapy Korea. 2007;14(3):97-103.
  20. Lee GC, Lee DY. The effects of deep neck flexor exercise on pain and neck disability index of the patients with chronic neck pain. Journal of the Korea Academia-Industrial cooperation Society. 2010;11(11):4331-4337. https://doi.org/10.5762/KAIS.2010.11.11.4331
  21. Lingjaerde O, Foreland AR. Direct assessment of improvement in winter depression with a visual analogue scale: high reliability and validity. Psychiatry Research. 1998;81(3):387-392. https://doi.org/10.1016/S0165-1781(98)00119-X
  22. MacDonald G, Button DC, Drinkwater E, et al. Foam rolling as a recovery tool after an intense bout of physical activity. Medicine and Science in Sports and Exercise. 2014;46(1):131-142. https://doi.org/10.1249/MSS.0b013e3182a123db
  23. MacDonald G, Penney MD, Mullaley ME, et al. An acute bout of self-myofascial release increases range of motion without a subsequent decrease in muscle activation or force. The Journal of Strength and Conditioning Research. 2013;27(3):812-821. https://doi.org/10.1519/JSC.0b013e31825c2bc1
  24. Miettinen T, Leino E, Airaksinen O, et al. The possibility to use simple validated questionnaires to predict long-term health problems after whiplash injury. Spine. 2004;29(3):47-51. https://doi.org/10.1097/01.BRS.0000103941.50129.66
  25. Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation, 2nd ed. St Louis. MO: Mosby/Elsevier. 2010.
  26. No BR, Lee EY. The clinical study on 34 admission patients due to sequela of traffic accident. Journal of Korean pharmacopuncture institute. 2006;9(2):129-134. https://doi.org/10.3831/KPI.2006.9.2.129
  27. Patrick DW, Ronald M. Text book of pain. Seoul. Jungdam Publishing Co. 2002.
  28. Perrone E. Whiplash injury secondary to a motor vehicle accident. Journal of Pediatric Health Care. 2003;17(3):148. https://doi.org/10.1016/S0891-5245(02)88308-0
  29. Ravichandran H, Balamurugan J. Effect of proprioceptive neuromuscular facilitation stretch and muscle energy technique in the management of adhesive capsulitis of the shoulder. Saudi Journal of Sports Medicine. 2015;15(2):170-175. https://doi.org/10.4103/1319-6308.156363
  30. Shah S, Bhalara A. Myofascial release. International Journal of Health Sciences and Research. 2012;2(2):69-77.
  31. Sherrington CS. Observations on the scratch-reflex in the spinal dog. The Journal of Physiology. 1906;34(1-2):1-50. https://doi.org/10.1113/jphysiol.1906.sp001139
  32. Song BY. A clinical study on the effects of Sweet Bee Venom herbal acupuncture for patients with whiplash injury. Journal of Korean pharmacopuncture institute. 2007;10(3):77-83. https://doi.org/10.3831/KPI.2007.10.3.077
  33. Song JH, Cho JH, Lee HE, et al. A clinical study on the effect of eo-hyeol bang for patients with whiplash injury caused by a traffic accident. The Journal of Korean Acupuncture and Moxibustion Society. 2007;24(6):97-104.
  34. Song MS, Kim BR, Kim CH, et al. A case report of a proprioceptive neuromuscular facilitation intervention strategy applied with an ICF tool in a patient with anterior cruciate ligament reconstruction. PNF and Movement. 2017;15(1):1-11. https://doi.org/10.21598/JKPNFA.2017.15.1.1
  35. Spitzer WO, Skovron ML, Salmi LR, et al. Scientific monograph of the quebec task force on whiplash-associated disorders: redefining "whiplash" and its management. Spine. 1995;20(8):1-73. https://doi.org/10.1097/00007632-199501000-00001
  36. Sullivan MJ, Thibault P, Simmonds MJ, et al. Pain, perceived injustice and the persistence of post-traumatic stress symptoms during the course of rehabilitation for whiplash injuries. Pain. 2009;145(3):325-331. https://doi.org/10.1016/j.pain.2009.06.031
  37. Yildiz TI, Turgut E, Duzgun I. Neck and scapula-focused exercise training on patients with non-specific neck pain: a randomized controlled trial. Journal of Sport Rehabilitation. 2017;0(0):1-21.
  38. Yoo CU. Eletromyographic activity of the neck and shoulder muscles while watching a DMB phone with the neck flexed. Yonsei University. Dissertation of Master's Degree. 2008.