Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The effects of 8-week spinal stabilization exercise program on NDI, postural balance and body shape change in patients with chronic neck pain

8주간의 척추 안정화 운동 프로그램이 만성 경부통 환자의 NDI, 균형 능력 및 자세 변화에 미치는 영향

  • Kim, Ju Eun (Department of Sports Science, Dongguk University) ;
  • Ha, Sung (Department of Sports Science, Dongguk University) ;
  • Kim, Won Moon (Department of Sports Science, Dongguk University)
  • 김주은 (동국대학교 스포츠과학과) ;
  • 하성 (동국대학교 스포츠과학과) ;
  • 김원문 (동국대학교 스포츠과학과)
  • Received : 2020.08.24
  • Accepted : 2020.12.04
  • Published : 2020.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study examined how the eight-week spinal stabilization exercise program affects the cervical disability index, postural balance ability, and body shape change. The exercise program performed 60 minutes of spinal stabilization exercise three times a week for eight weeks. Sixteen patients with chronic neck pain, who complained of neck pain for six months, were classified into exercise group (n=8 patients) and control group (n=8 patients). The results before and after the eight-week exercise program were observed. Significant differences were observed in the time, group, and interaction of the neck disability index (p<.05). The balance ability showed significant interaction effects between the groups and periods (p<.05). Significant differences were noted in the timing and interaction in the pelvic inclination angle in posture change (p<.05), and there were significant differences in the group, timing, group, and interaction in the cervical and shoulder position angles (p<.05). The above results showed that the spinal stabilization exercise significantly improved the cervical disability index, balance ability change, and body shape change in patients with chronic neck pain. Future studies will analyze the specific changes in spinal structure through radiographic imaging to increase the validity of spinal stabilization exercise.

이 연구는 8주간의 척추 안정화 운동프로그램이 경부 장애 지수, 균형 능력 및 자세 변화에 어떠한 영향을 주는지를 알아보는 것이다. 운동 프로그램은 8주간 주 3회 척추 안정화 운동을 시행하였으며, 총 60분으로 구성하였다. 연구의 대상자는 6개월간 경부통을 호소하는 만성 경부통 환자 16명을 대상으로 운동 집단(n=8명)과 통제 집단(n=8명)으로 분류하여 운동 프로그램 사전, 사후의 결과를 관찰하여 다음과 같은 결과를 도출하였다. 경부 장애 지수는 시기, 집단, 상호작용에서 유의차가 나타났다(p<.05). 균형 능력은 집단 및 시기 간에서 유의한 상호작용 효과가 나타났다(p<.05). 자세 변화는 골반 경사각에서 시기, 상호작용에서 유의차가 나타났고(p<.05), 경부 및 어깨 위치각은 집단, 시기, 집단, 상호작용 모두 유의차가 나타났다(p<.05). 이상의 결과 척추 안정화 운동이 만성 경부통 환자에게 경부 장애 지수, 균형 능력 변화, 자세 변화에서 유의하게 개선된 결과를 나타내었다. 추후 연구에서는 방사선 영상을 통한 척추 구조 변화에 대한 구체적인 변화를 분석하여 척추 안정화 운동의 타당성을 높이는 연구가 필요할 것으로 사료된다.

Keywords

References

  1. M. L. Nault, P. Allard, S. L. Hinse, R. Blanc, O. Caron, H. Labelle, H. Sadeghi, "Relations between standing stability and body posture parameters in adolescent idiopathic scoliosis", Spine, Vol.27, No.17, pp.1911-1917, Oct, 2002. DOI: https://doi.org/10.1097/00007632-200209010-00018
  2. A. C. Schwarzer, C. N. Aprill, N. Bogduk, "The sacroiliac joint in chronic low back pain", Spine, Vol.20, No.1, pp.31-37, Jan, 1995. DOI: https://doi.org/10.1097/00007632-199501000-00007
  3. R. G. Klein, B. C. Eek, W. B. Delong, V. Mooney, "A randomized double blind trial of dextrose glycerine phenol injections for chronic low back pain", Journal of Spinal Disorders, Vol.6, No1, pp.23-33, Feb, 1993. DOI: http://doi.org/10.1097/00002517-199302000-00005
  4. J. H. Park, The effects of postural correction of athletic participation on turtle neck syndrome, Master's thesis, Kook Min University of Sports Industry, Seoul, Korea, pp.5-7, 2012.
  5. K. S. Kim, "Case of rehabilitation of exercise program for chronic neck disorders", Korean academy of kinesiology, Vol.10, No.1, pp.79-86, Mar, 2008.
  6. W. Schamberger, The malalignment syndrome: Diagnosis and treatment a common pelvic and back pain, p.650, Churchill Livingstone, 2012, pp.44-61.
  7. J. Y. Jung, The effects of home exercise program on the pain, cervical range of motion, neck disability index and cervical spine curvature for patients with chronic neck pain, Master's thesis, Ewha womans university of sports science and exercise, Seoul, Korea, pp.44-45, 2006.
  8. G. D. Kim, G. S. Han, "The effects of combine rehabilitation training cervical vertebra on the cervical extension strength, ratio of cervical flexion/extension and VAS change in chronic neck pain patient", The korea journal of sports science, Vol.24, No.6, pp.1227-1238, Dec, 2015.
  9. G. C. Lee, D. Y. Lee, "The effects of deep nek flexor exercise on pain and neck disability index of the patients with chronic neck pain", Korea Academia Industrial Cooperation Society, Vol.11, No.11, pp.4331-4337, Nov, 2010. DOI: https://doi.org/10.5762/KAIS.2010.11.11.4331
  10. A. F. Morasca, L. Stenerson, N. Butryn, J. P. Krutsch, S. J. Schmiege, "Myofascial trigger point focused head and neck massage for recurrent tension type headache", Clinical Journal of Pain, Vol.31, No.2, pp.159-168, Feb, 2015. DOI: https://doi.org/10.1097/AJP.0000000000000091
  11. P. W. Hodges, "Core stability exercise in chrnonic low back pain", Orthopedic Clinic, Vol.34, No.2, pp.245-254, Apr, 2003. DOI: https://doi.org/10.1016/s0030-5898(03)00003-8
  12. J. H. Lee, D. K. Min, S. J. Lee, "The effects of trunk stability exercise on knee function, balance, gait in patients after total knee arthroplasty", Korea Academia Industrial Cooperation Society, Vol.19, No.2, pp.422-428, Feb, 2018. DOI: https://doi.org/10.5762/KAIS.2018.19.2.422
  13. L. Bautmans, J. V. Danneels, T. D. Van, "Rehbailitation using manual mobilization for thoracic kyphosis in elderly postmenopausal patient with osteopaorosis", Jounal of Rehabilitation Medicine, Vol.42, No.2, pp.129-135, Feb, 2010. DOI: https://doi.org/10.2340/16501977-0486
  14. A. F. Morasca, C. Chandler, "Changes in clincal parameters in patients with tension type headce following massage therapy", The Journal of Manual & Manipulative Therapy, Vol.16, No.2, pp.106-112, Feb, 2008. DOI: https://doi.org/10.1179/106698108790818468
  15. C. Lucasey, B. P. Lukert, J. M. Ball, P. Cagle, "Spinal extension exercise prevent natural progression of kyphosis", Osteoporosis International, Vol.20, No.3, pp.481-489, Mar, 2009. DOI: https://doi.org/10.1007/s00198-008-0690-3
  16. M. S. Lee, The effect of spine correction exercise on body alignment NDI and foot pressure of women with turtle neck syndrome, Master's thesis, Hanyang University sports and well being, Ansan, Korea, pp.28-29, 2017.
  17. G. S. Han, I.. W. Song, "The effects of combined exercise program on balance, shoulder gradient and forward head posture in college students", The korean society of sports science, Vol.26, No.2, pp.1127-1137, May, 2017. DOI: https://doi.org/10.35159/kjss.2017.04.26.2.1127
  18. H. R. Jason, B. Kyndall, "The role of prism glass and postural restoration in managing a collegiate baseball player with bilateral sacroiliac joint dysfunction", International Journal of Sports Physical Therapy, Vol.8, No.5, pp.716-728, Oct, 2013.
  19. T. B. Grivas, E. S. Vasilidis, C. Mihas, G. Triantafyllopoulos, A. Kaspriris, "Trunk asymmetry in juveniles" Scoliosis, pp.3-13, Sep, 2008. DOI: https://doi.org/10.1186/1748-7161-3-13
  20. E. W. Lee, W. S. Shin, K. S. Jung, Y. J. Chung, "Reliability and validity of the neck disability index in neck pain patients", Korean research society of Physical therapy, Vol.14, No.3, pp.97-106, Jan. 2007.
  21. H. J. Oh, W. A. Kwon, D. D. Kim, J. H. Lee, K. M. Um, Y. H. Song, "The prealence of neck disability index among some college students", Korea Academia Industrial Cooperation Society, Vol.11, No.12, pp.4812-4818, Dec. 2010. DOI: https://doi.org/10.5762/KAIS.2010.11.12.4812
  22. S. J. Kim, The changes of co-contraction patterns in trunk and lower body muscles with multidirectional tilting motion on the dynamic and static posturography, Ph,D dissertation, Daegu University of Physical education, Gyeongbuk, Korea, pp.114-115, 2010.
  23. C. A. Thipen, D. A. Padua, L. A. Michener, K. Guskiewicz, C. Giuliani, J. D. Keener, "Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks", Journal of Electromyogr Kinesis, Vol.20, No.4, pp.701-709, Jan, 2010. DOI: https://doi.org/10.1016/j.jelekin.2009.12.003
  24. A. N. Donald, Kinesiology of the musculoskeletal system, p.656, Elsevier, 2004, pp.279-280
  25. A. N. Donald, Kinesiology of the musculoskeletal system, p.656, Elsevier, 2004, pp.300-301
  26. N. Bogduk, "Funtional anatomy of the spine", Handbook of Clinical Neuroogyl, Vol.136, No.2, pp.201-205, Mar, 2015. DOI: https://doi.org/10.1016/B978-0-444-53486-6.00032-6
  27. R. Castien, A. Blankenstein, W. De Hertogh, "Pressure pain and isometric strength of neck flexors are related in chronic tension type headche", Pain physician, Vol.18, No.2, pp.201-205, Mar, 2015. DOI: https://doi.org/10.1186/s10194-018-0833-7
  28. B. Cagnic, L. Danneels, T. D. Van, "Individual and work related risk factor for neck pain among office workers", European Spine Journal, Vol.16, No.5, Jan, 2007. DOI: https://doi.org/10.1007/s00586-006-0269-7
  29. J. C. Cho. E. S. Lee, S. W. Lee, "Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: A randomize clinical trial", BMC Musculoskelet Disord, Vol.18, No.1, pp.525, Dec, 2017. DOI: https://doi.org/10.1186/s12891-017-1889-2
  30. R. D. James, B. Raymond, & A. C. Joshua, "Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: A multi-center randomized clinical trial", BMC Musculoskelet Disord, Vol.17, No.1, pp.64, Oct, 2012. DOI: https://doi.org/10.1186/s12891-016-0912-3
  31. A. G. Carios, B. V. Jose, "Development and evaluation of thoracic kyphosis and lumbar lordosis during growth", Journal of childrens orthopaedics, Vol.1, No.3, pp.187-193, Oct, 2007. DOI: https://doi.org/10.1007/s11832-007-0033-5
  32. C. M. Jean, "Kyphosis physiotherapy from childhood to old age", Physical therapy, pp.41-66, Apr, 2012. DOI: https://doi.org/10.5772/35303
  33. B. M. Choi, J. M. Yi, H. S. Kim, "A study on correlation between power of trunk flexors, extensors and lumbar lordotic angle in normal adults", The Journal of Korea Chuna Manual Medicine for Spine & Nerves, Vol.7, No.2, pp.39-52, Dec, 2012.
  34. H. S. Lee, "Effects of lumbopelvic stabilization exercise on lumbosacral region angle, dynamic balance, trunk extensor endurance and pain index in chronic low back pain, The korean society of sports science, Vol.23, No.2, pp.993-1005, Apr, 2014.
  35. C. S. Toprak, K. D. Ozer, "An 8-week thoracic spine stabilization exercise program improves postural back pain, spine alignment, postural sway, and core endurance in nuiversity students: A randomize controlled study", Turkish Journal of Medical Sciences, Vol.47, No.1, pp.504-513, Jun, 2017. DOI: https://doi.org/10.3906/sag-1511-155
  36. F. P. Kendall, E. K. McCreart, "Muscle testing and function, p.560, Lippincott williams & wilkins, 2005, pp.52-54.
  37. W. Schamberger, The malalignment syndrome: Diagnosis and treatment a common pelvic and back pain, p.650, Churchill Livingstone, 2012, pp.1-6, 43, 69-74.
  38. M. J. Yun, J. Y. Buyn, H. J. Kim, G. J. Kim, "Effects of 12-week pilates and complex exercise on female farm workers of cumulative trauma disorders", Korean academy of kinesiology, Vol.13, No.3, pp.13-22, Jul, 2011.
  39. Y. Dusunceli, C. Ozturk, F. Atamaz, S. Hepguler, B. Durmaz, "Efficacy of neck stabilization exercises for neck pain, Journal of rehabilitation Medicine, Vol.41, No.8, pp.626-631, Jul, 2009. DOI: https://doi.org/10.2340/16501977-0392
  40. H. J. Moon, K. H. Choi, Y. J. Choi, "Effect of lumbar stabilization and dynamic lumbar strengthening exercise in patients with chronic low back pain", Ann rehabiltation medicine, Vol.37, No.1, pp.110-117, Feb, 213. DOI: https://doi.org/10.5535/arm.2013.37.1.110
  41. D. J. Southwell, N. F. Hills, L. McLean, & R. B. Graham, "The acute effects of targeted abdominal muscle activation training on spine stability and neuromuscular control", The Journal of NeuroEngineering and Rehabilitation, Vol.13, No.19, pp.27, Feb, 2016. DOI: https://doi.org/10.1186/s12984-016-0126-9
  42. C. H. Shin, "The effects of thoracolumbar resistance on the malalignment of spine and pelvic deviation, lumbar strength", The korean journal of growth and development, Vol.23, No.2, pp.145-150, Jun, 2015.