Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
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The Effect of Neck Angle and Relative Neck Muscle Activation of Forward Head Posture following Neck Exercise Method

목운동방법이 앞머리자세의 목각도와 주위근육의 근활성도에 미치는 영향

  • An, Jung-Ae (Dept. of Physical Therapy, Seoul Now Hospital) ;
  • Bang, Hyun-Soo (Dept. of Physical Therapy, Gimcheon University)
  • 안정애 (서울나우병원 물리치료실) ;
  • 방현수 (김천대학교 물리치료학과)
  • Received : 2019.10.01
  • Accepted : 2019.11.13
  • Published : 2019.12.31
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Abstract

Background: The purpose of this study was to compare and analyze the effects of neck and trunk combined exercise program and single exercise on neck angle and neck and shoulder muscle activity. Design: Randomized controlled trial. Methods: In the single exercise group, the basic stretching, head bending and neck bending exercises were performed. The neck and trunk combined exercise group performed torso strength and trunk stability exercises to stabilize the trunk, and then performed the same neck exercise as the single exercise group. The exercise program was conducted 5 days per week for 2 weeks. One-way repeated ANOVA was used to investigate the statistical analysis of neck angle, neck and upper and middle trapezius muscle activity. Results: 1) There was no significant difference in neck angle degree after exercise in neck single exercise group. 2) In the neck and trunk combined exercise, the neck angle degree decreased continuously with the increase of the experimental period and showed a significant difference. 3) In the single exercise group, the muscles which showed significant difference compared to the post-exercise were the right upper, left and right middle trapezius. 4) In the neck and trunk combined exercise group, the right neck muscles showed significant difference after the exercise before the experiment. Conclusion: It was found that the neck and trunk combined exercise was more effective in reducing neck angle and the muscle activity of the subjects with forward head posture was decreased and increased. However, both exercises showed positive effects.

Keywords

References

  1. 김명준. Medx 운동치료 프로그램이 경추근력과 통증에 미치는 효과[석사학위논문]. 용인대학교 체육과학대학원; 2000.
  2. 김명준, 남덕현, 이한경. 경추레이져 시술후 신전운동 프로그램이 경추근력과 통증에 미치는 효과. 제 38회 한국체육학회 학술 발표회. 2000;351-359.
  3. 김명준, 김성호. 경추부 견인이 경추부 통증 환자의 증세 및 통증에 미치는 영향. 대한물리치료학회지. 2001;7(1):67-75.
  4. 김병욱, 한경수. 두부자세에 따른 근활성과 측모두부 방사선계측치의 변화에 관한 연구. 원광대학교치의학연구소 학회지. 1998;8(3):1-20.
  5. 김성호, 권봉안, 이완희. 경부 안정화 운동이 민간 경비원의 목통증, 경부장애지수, 관절가동범위에 미치는 효과. 한국경호경비학회지. 2010;25:89-108.
  6. 김시은. 깊은목굽힘근 강화 운동과 교각 운동이 경직형 뇌성마비 아동의 앉은 자세 균형에 미치는 영향[석사학위논문]. 대구대학교 재활과학대학원; 2012.
  7. 김종균, 이승주. 업무관련 근골격계 질환 중 목과 어깨의 통증에 대한 스트레칭 운동의 효과 분석. 한국체육학회지. 2004;43(3):655-662.
  8. 김진산, 이창현 등. 만성요통환자의 복부심부근과 표재근을 중심으로 한 운동 효과 비교. 대한정형도수치료학회지. 2005;11(1):1-10.
  9. 김현아. 체간 신전운동이 만성적 경부통증의 치료에 미치는 효과[석사학위논문]. 충남대학교 보건대학원; 2012.
  10. 박기덕. MMT프로그램이 경부통 환자의 경추 신전근력과 통증에 미치는 효과. 한국체육학회지. 2005;44(5):861-869.
  11. 송창권, 한경수. 두부자세에 따른 두경부 근활성 및 교합접촉양태의 변화. 원광대학교 치의학연구소학회지. 1996;6(2):97-113.
  12. 이강우, 권정이, 김현숙, 이병섭, 강재병, 박원하. 만성요통 환자들에서 요추부 저항운동을 포함한 요통 운동의 효과. 대한물리의학회지. 2000;24(3):536-541.
  13. 이경순, 정학영. 컴퓨터 사용시간에 따른 두부전방자세(forward head posture)의 변화 분석. 대한물리의학회지. 2000;4(2):117-124.
  14. 이규리, 방현수. 심부목굽힘근 운동이 VDT증후군이 유발된 대학생의 등세모근 근활성도에 미치는 영향 2010.
  15. 이명효. 목 운동이 고교생의 목, 어깨자세와 통증에 미치는 효과[석사학위논문]. 대구대학교 대학원; 2010.
  16. 정선영, 박애숙, 백준우, 신혜란, 이은영, 유병규. 슬링운동과 요부혼합운동이 체간 근력과 정적균형에 미치는 효과. 대한스포츠물리치료학회지. 2008;4(1):29-39.
  17. 허진강. 목 심부 굴곡근의 정적 근력과 근지구력이 만성 목통증에 미치는 영향. 한국스포츠리서치. 2005;16(5):215-226.
  18. Anne, K., Jens, I. B., & Ragnhild, G. Trunk muscle strength, cross-sectional area, and density in patients with chronic low back pain randomized to lumbar fusion or cognitive intervention and exercise. Spine. 2003;29:3-8. https://doi.org/10.1097/01.BRS.0000103946.26548.EB
  19. Baldry, P., Yunus, M.. B., Inanici, F. Myofascial Pain and Fibromyalgin Syndromes; A Clinical Guide to Diagnosis and Management. Edinburgh. Scotland: Churchill Livingstone; 2001.
  20. Cote P, Cassidy JD, CarrollLJ, et al. The annualincidence and course of neck pain in the general population, apopulation based cohort study. Pain. 2004;112:267-27. https://doi.org/10.1016/j.pain.2004.09.004
  21. Chun, H. L., Kim, K. H., & Choi, B. R. The Effects of Sitting Posture on Cervical Flexion Angle and Pain during Smart Phone Use in Young Adults. J Kor Phys Ther Sci. 2017;24(3):56-63. https://doi.org/10.26862/jkpts.2017.12.24.3.55
  22. Erik Dalton. Strategies to Address Forward Head Postures Part 1: Sacrificing Compelxity for Stability. Massage Magazine 2006.
  23. Falla, D.L., Jull, G.A. and Hodges, P.W. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical fexor muscles during performance of the craniocervical flexion test. Spine. 2004;29(19):2008-2114.
  24. Feffari, R.& Russell, A. S. Regional musculoskeletal conditions: Neck pain. Best Practice & Research. Clinical Rheumatology. 2003;17(1):57-70.
  25. Felipe, P. C., Fernanda, B. R., & Carlos, B.M. Effects of program for trunk strength and stability on pain, low back and pelvis kinemetics, and body balance: a pilot study. Journal of Bodywork and Movement Therapies. 2007.
  26. Grace, E. G., Sarlani, E, Reid, B. The use of an oral exercise device in the treatment muscular TMD. Craniology. 2002;20(3):139-151.
  27. Jull, G., Kristjansson, E. and Dall's alba, P. Impairment in the cervical flexor: a comparison of whiplash and insidious onset neck pain patients. Man Ther. 2004;9(2):89-94. https://doi.org/10.1016/S1356-689X(03)00086-9
  28. Kendall, F. P., McCreary, E. K., Provance, P. & Rogers, M. M.. Muscles: Testing and Function, with Posture and Pain(5th edition). Lippincott Williams & Wikins. 2000.
  29. Kladny, B., Fischer, F. C., & Haase, I. Evaluation of specific stabilizing exercise in the treatment of low back pain and lumbar disk disease in outpatient rehabilitation. Z Orthopedics. 2003;141:401-405.
  30. Mekhora, K. ListonCB, Nanthavanij S, et al. The effect of ergnomic intervention on discomfort in computer users with tension neck syndrome. Int J Industrial Ergonomics. 2000;16:367-379. https://doi.org/10.1016/0169-8141(95)00019-D
  31. Moseley, L. Combined physiotherapy and education is efficacious for chroinc low back pain. Austrain Journal of Physiotherapy. 2002;48:297-302. https://doi.org/10.1016/S0004-9514(14)60169-0
  32. Niemisto, L., Lahtinen-Suopanki, T., & Rissanen, P. A randomized trial of combined consultation compared to physition consultation alone for chronic low back pain. Spine. 2003;28:2185-91. https://doi.org/10.1097/01.BRS.0000085096.62603.61
  33. Rasmussen- Barr, E., Nilsson-Wikmar, L., & Arvidsson, I. Stabilizing training compared with manual treatment in subacute and chronic low-back pain. Manual Therapy. 2003;8:223-41. https://doi.org/10.1016/S1356-689X(03)00017-1
  34. Wright, E., Domenech, M. & Fisher, J. Usefulness of posture training for patients with temporomandibular disorders. Journal of American dentiology association. 2000;131:202-210. https://doi.org/10.14219/jada.archive.2000.0148
  35. Yoo, W. g., Yi, C. h., Kim, M. h. Effects of a proximity-sensing feedback chair in head, shoulder, and trunk postures when working at a visual display terminal. Journal of Occupation Rehabilitation. 2006;16:631-637. https://doi.org/10.1007/s10926-006-9059-7