DOI QR코드

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Comparison of Vital Capacity and Balance between Elderly Women and Young Women with Forward Head Postures According to the Use of Figure-8 brace

  • 투고 : 2019.07.11
  • 심사 : 2019.08.29
  • 발행 : 2019.08.31

초록

Purpose: To improve pulmonary function and decrease in balance ability with increasing forward head position and vertebral curvature, we applied Figure-8 brace to confirm the immediate effect on vital capacity and balance and to see if it is applicable. Methods: A total of 34 elderly women aged 65 or older and young women in their 20s with FHP were screened to measure vital capacity, measuring the forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC), and measuring the foot pressure to see the change in balance. For statistical analysis, the difference between pre and post values was compared using pared t-test. Results: As a result of vital capacity measurements, there was no significant difference between FEV1 and FVC for women over 65 years old (p>0.05). Young women in their 20s had no significant difference in FEV1 (p>0.05), and FVC had significant differences (p<0.05). In measuring foot pressure to measure balance, both women aged 65 and above and young women in their 20s had a significant decrease in anterior foot pressure, and a significant increase in posterior foot pressure (p<0.05). Conclusion: The results of this study did not positively affect the vital capacity of elderly women with FHP. However, the significant increase in vital capacity of young women in their 20s suggests that contraction of the abdominal muscle is necessary during forced expiration. Therefore, it is believed that proper application and therapeutic interventions should be combined when applying Figure-8 brace.

키워드

참고문헌

  1. Katzman WB, Sellmeyer DE, Stewart AL et al. Changes in flexed posture, musculoskeletal impairments, and physical performance after group exercise in community-dwelling older women. Arch Phys Med Rehabil. 2007;88(2)192-9. https://doi.org/10.1016/j.apmr.2006.10.033
  2. Briggs AM, van Dieen JH, Wrigley TV et al. Thoracic kyphosis affects spinal loads and trunk muscle force. Phys Ther. 2007;87(5):595-607. https://doi.org/10.2522/ptj.20060119
  3. Kim JS, Choi JH, Lee MY. Effect of self-postural control with visual feedback in the foot pressures in the subject with forward head posture. J Kor Phys Ther. 2017;29(4):153-7. https://doi.org/10.18857/jkpt.2017.29.4.153
  4. Kim EK, Lee DK. Effect of scapular brace on the pulmonary function and foot pressure of elderly women with forward head posture. J Kor Phys Ther. 2018:30(4):141-5. https://doi.org/10.18857/jkpt.2018.30.4.141
  5. Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008; 13(2):148-54. https://doi.org/10.1016/j.math.2006.11.002
  6. Nishiwaki Y, Kikuchi Y, Araya K et al. Association of thoracic kyphosis with subjective poor health, functional activity and blood pressure in the community-dwelling elderly. Environ Health Prev Med. 2007;12(6): 246-50. https://doi.org/10.1007/BF02898031
  7. Kapreli E, Vourazanis E, Strimpakos N. Neck pain causes respiratory dysfunction. Med Hypothese. 2008:70(5):1009-13. https://doi.org/10.1016/j.mehy.2007.07.050
  8. Priftis KN, Hager J, Vlachou M et al. Effects of bracing on lung function in idiopathic juvenile kyphosis. Pediatr Pulmonol. 2003;35(2):83-6. https://doi.org/10.1002/ppul.10220
  9. Seacrist T, Saffioti J, Balasubramanian S et al. Passive cervical spine flexion: the effect of age and gender. Clin Biomech (Bristol, Avon). 2012; 27(4):326-33. https://doi.org/10.1016/j.clinbiomech.2011.10.012
  10. Aslan UB, Cavlak U, Yagci N et al. Balance performance, aging and falling: a comparative study based on a Turkish sample. Arch Gerontol Geriatr. 2008;46(3):283-92. https://doi.org/10.1016/j.archger.2007.05.003
  11. Ailon T, Shaffrey CI, Lenke LG et al. Progressive spinal kyphosis in the aging population. Neurosurgery. 2015;77(Suppl 4):S164-72. https://doi.org/10.1227/NEU.0000000000000944
  12. Han JT, Go MJ, Kim YJ. Comparison of forced vital capacity and maximal voluntary ventilation between normal and forward head posture. J Korean Soc Phys Med. 2015:10(1):83-9. https://doi.org/10.13066/kspm.2015.10.1.83
  13. Azadinia F, Kamyab M, Behtash H et al. The effects of two spinal orthoses on balance in elderly people with thoracic kyphosis. Prosthet Orthot Int. 2013;37(5):404-10. https://doi.org/10.1177/0309364612474487
  14. Lee JH, Cynn HS, Yoon TL et al. The effect of scapular posterior tilt exercise, pectoralis minor stretching, and shoulder brace on scapular alignment and muscles activity in subjects with round-shoulder posture. J Electromyogr Kinesiol. 2015;25(1):107-14. https://doi.org/10.1016/j.jelekin.2014.10.010
  15. Salahzadeh Z, Maroufi N, Ahmadi A, et al. Assessment of forward head posture in female: Observational and photogrammetry methods. J Back Musculoskelet Rehabil. 2014;27(2):131-9. https://doi.org/10.3233/BMR-130426
  16. Kim EK, Kim SG. The effect of an active vibration stimulus according to different shoulder joint angles on functional reach and stability of the shoulder joint. J Phys Ther Sci. 2016;28(3):747-51. https://doi.org/10.1589/jpts.28.747
  17. Cole AK, McGrath ML, Harrington SE et al. Scapular bracing and alteration of posture and muscle activity in overhead athletes with poor posture. J Athl Train. 2013;48(1):12-24 https://doi.org/10.4085/1062-6050-48.1.13
  18. Lima IN, Fregonezi GA, Melo R et al. Acute effects of volume-oriented incentive spirometry on chest wall volumes in patients after a stroke.Respir Care. 2014;59(7):1101-7. https://doi.org/10.4187/respcare.02651
  19. Pau M, Leban B, Collu G et al. Effect of light and vigorous physical activity on balance and gait of older adults. Arch Gerontol Geriatr. 2014; 59(3):568-73. https://doi.org/10.1016/j.archger.2014.07.008
  20. Lee MH, Chu M. Correlations between craniovertebral angle(CVA) and cardiorespiratory function in young-adults. J Korean Soc Phys Med. 2014:9(1):107-13. https://doi.org/10.13066/kspm.2014.9.1.107
  21. Legrand A, Schneider E, Gevenois PA et al. Respiratory effects of the scalene and sternomastoid muscles in humans. J Appl Physiol. 2003; 94(4):1467-72. https://doi.org/10.1152/japplphysiol.00869.2002
  22. Ovechkin A, Vitaz T, de Paleville DT et al. Evaluation of respiratory muscle activation in individuals with chronic spinal cord injury. Respir Physiol Neurobiol. 2010;173(2):171-8. https://doi.org/10.1016/j.resp.2010.07.013
  23. Hodges PW, Gandevia SC. Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm. J Appl Physiol. 2000:89(3):967-76. https://doi.org/10.1152/jappl.2000.89.3.967
  24. Bae WS, Lee KC, Park SW et al. Effect of the changes in forward head posture and neutral head posture on respiratory. KSIM. 2017;5(1):67-74.
  25. Chang JS, Lee MH. The comparison of plantar foot pressure distribution in adult and elderly according obstacle heights. J Kor Phys Ther. 2014; 26(4):257-61.
  26. Aslan UB, Cavlak U, Yagci N et al. Balance performance, aging and falling: a comparative study based on a Turkish sample. Arch Gerontol Geriatr. 2008;46(3):283-92. https://doi.org/10.1016/j.archger.2007.05.003
  27. Sinaki M, Lynn SG. Reducing the risk of falls through proprioceptive dynamic posture training in osteoporotic women with kyphotic posturing: a randomized pilot study. Am J Phys Med Rehabil. 2002;81(4):241-6. https://doi.org/10.1097/00002060-200204000-00001
  28. Kim YH, Jun SC, Jung DY. Jung et al. Biomechanical analysis of different thoracolumbar orthosis designs using finite element nethod. J. of RWEAT. 2012:6(1):45-50.