Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

Myofascial Release improved Regional Kyphosis in a 20-year-old Female patient with Cervical Neuroforaminal Encroachment: A Case Report

  • Han, Song-I (Department of Physical Therapy, Daejeon Barun mind Hospital) ;
  • Park, Jae-Man (Department of Physical Therapy, Graduate of Graduate School, Daejeon University)
  • Received : 2019.11.12
  • Accepted : 2019.12.12
  • Published : 2020.02.29
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: This paper describes the effects of the myofascial release (MFR) approach in a 20-year-old female patient with neuroforaminal encroachment and regional kyphosis in the cervical area, who also had neck pain. METHODS: A 20-year-old female presented with the chief complaint of neck pain while studying with a level of seven on the rating analogue scale (RAS) and was not taking any drugs or undergoing treatment for the control of neck pain prior to visiting. The cervical radiograph demonstrated neuroforaminal encroachment from C4-5. The patient showed 3.5° kyphosis at C4-5 and 22.9° lordosis at C2-7 according to the Harrison posterior tangent method. The anterior head translation (AHT) was 13.9mm. She reported pain of RAS 5 at the scapular medial border while rotating her neck in the left direction and flexing forward. The patient was treated a total 16 times, three times/week for six weeks using the MFR approach. RESULTS: After the treatment sessions, studying without pain was possible for approximately two hours, but after approximately two hours of studying, she experienced pain of RAS 6 and a stiff feeling in front of the neck. Neuroforaminal encroachment was not detected in the radiographs taken after applying MFR. Improvement of C4-5 kyphosis was noted (from 3.5° kyphosis to 3.8° lordosis). AHT was decreased by 13.6 mm (from 13.9 mm to 0.3 mm). The pain with motion had disappeared. CONCLUSION: The MFR approach in this patient with neuroforaminal encroachment could reduce the pain related to motion and restore the regional cervical lordosis.

Keywords

References

  1. Scheer JK, Tang JA, Smith JS, et al. Cervical spine alignment, sagittal deformity, and clinical implications: a review. J Neurosurg Spine. 2013;19:141-59. https://doi.org/10.3171/2013.4.SPINE12838
  2. Talekar KS, Cox M, Smith E, Flanders AE. Imaging spinal stenosis. Appl Radiol. 2017;46(1):8-17.
  3. Murphy DR, Coulis CM, Gerrard JK. Cervical spondylosis with spinal cord encroachment: should preventive surgery be recommended? Chiropr Osteopat. 2009;17:8. https://doi.org/10.1186/1746-1340-17-8
  4. Smith J. Stnktural Bodywork, Hanmi Medical Publishing Co., 1st ed. 2011:147-8.
  5. Lippa L, Lippa L, Cacciola F. Loss of cervical lordosis: What is the prognosis? J Craniovertebr Junction Spine. 2017;8(1):9-14. https://doi.org/10.4103/0974-8237.199877
  6. Schleip R. Fascial fitness, Yeong Mun Publishing Co., 1st ed. 2019:59.
  7. Gauns SV, Gurudut PV. A randomized controlled trial to study the effect of gross myofascial release on mechanical neck pain referred to upper limb. Int J Health Sci. 2018;12(5):51-9.
  8. Caneiro JP, O sullivan P, Burnett A, et al. The influence of different sitting postures on head/neck posture and muscle activity. Manual Therapy. 2010;15(1):54-60. https://doi.org/10.1016/j.math.2009.06.002
  9. Peolsson A, Marstein E, McNamara T, et al. Does posture of the cervical spine influence dorsal neck muscle activity when lifting?. Man Ther. 2014;19(1):32-6. https://doi.org/10.1016/j.math.2013.06.003
  10. Nimbarte AD, Aghazadeh F, Ikuma LH, et al. Neck disorders among construction workers: understanding the physical loads on the cervical spine during static lifting tasks. Ind Health. 2010;48(2):145-53. https://doi.org/10.2486/indhealth.48.145
  11. Fortner MO, Oakley PA, Harrison DE. Non-surgical improvement of cervical lordosis is possible in advanced spinal osteoarthritis: a CBP(R) case report. J Phys Ther Sci. 2018;30(1):108-12. https://doi.org/10.1589/jpts.30.108