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The Effects of Virtual Reality Games in Posture Correction Exercise on the Posture and Balance of Patients with Forward Head Posture

  • Son, Ho-Hee (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 투고 : 2020.01.22
  • 심사 : 2020.02.24
  • 발행 : 2020.05.31

초록

PURPOSE: This study examined the effects of posture improvement exercise using virtual reality programs on the posture and balance of patients with forward head postures. METHODS: Thirty men and women in their 20 s, who had a forward head posture, were divided randomly into a group with posture correction exercise and a group with posture correction exercise combined with virtual reality programs. The posture correction exercise was composed of squats, XCO training, and chin-tuck exercise. In contrast, exercise with virtual reality games involved the Hot Squat, Climbey, and Baskhead programs while wearing a headset. Both groups performed the exercises 15 min a day, three times per week, for four weeks. The balance ability, distance between the acromion and earlobe, and neck joint range of motion were assessed before and after the exercises. RESULTS: Both groups showed significant reductions in the distance between the acromion and the earlobe, along with significant improvements in the range of joint motion. The group that performed the virtual reality exercises showed a significant increase in the limit of stability. Both groups showed a significant decrease in the sway length. In contrast, the group given the virtual reality exercises showed a significant reduction in the sway speed while standing with their eyes closed. CONCLUSION: Exercise applying virtual reality programs can be used in clinical and home programs to correct the postures of individuals with a forward head posture because they can trigger interest in inducing active participation.

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참고문헌

  1. Griegel-Morris P, Larson K, Mueller-Klaus K, et al. Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects. Phys Ther. 1992;72(6):425-31. https://doi.org/10.1093/ptj/72.6.425
  2. Lee HJ. Effects of Pilates-Based Exercise on Neck and Shoulder Muscle Architecture, Cervical Alignment and Body Function in Patients with Turtleneck Syndrome. Master's Degree. Sahmyook University. 2018.
  3. Mahmoud NF, Hassan KA, Abdelmajeed SF, et al. The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis. Curr Rev Musculoskelet Med. 2019;12(4):562-77. https://doi.org/10.1007/s12178-019-09594-y
  4. Harrison DE, Harrison DD, Betz JJ, et al. Increasing the cervical lordosis with chiropractic biophysics seated combined extension-compression and transverse load cervical traction with cervical manipulation: nonrandomized clinical control trial. J Manipulative Physiol Ther. 2003;26(3):139-51. https://doi.org/10.1016/S0161-4754(02)54106-3
  5. Kraus SL. Temporomandibular disorders (2nd ed). New York. Churuchill Livingstone. 1994. pp.xvi, 486 p.
  6. Kocur P, Wilski M, Goliwas M, et al. Influence of Forward Head Posture on Myotonometric Measurements of Superficial Neck Muscle Tone, Elasticity, and Stiffness in Asymptomatic Individuals With Sedentary Jobs. J Manipulative Physiol Ther. 2019;42(3):195-202. https://doi.org/10.1016/j.jmpt.2019.02.005
  7. Jull G. Cervical flexor muscle retraining: physiological mechanisms of efficacy. Kinetic Control and Manipulation Association of Chartered Physiotherapists (UK). 2005:L01.
  8. Zarins B, Rowe CR. Current concepts in the diagnosis and treatment of shoulder instability in athletes. Med Sci Sports Exerc. 1984;16(5):444-8. https://doi.org/10.1249/00005768-198410000-00003
  9. Kim Y. The effect of ballet program on turtle neck syndrome in office workers. Master's Degree. Hanyang University. 2012.
  10. Sim HP, Yoon HI, Youn IN. The Effect of Vision and Proprioception on Lumbar Movement Accuracy Journal of Korean academy of orthopaedic manual therapy. 2007;13(2):31-44.
  11. Kim JH. Effects of Virtual Reality Program on Standing Balance in Chronic Stroke Patients The journal of Korean society of physical therapy. 2005;17(3):351-67.
  12. Lee SH, KO DS, Jung DI. The Effect of Virtual Reality Experimental Training Using Nintendo Wii Sports Programs on Balance Proficiency of Clients With Chronic Low Back Pain. The Journal of Korean Society of Assistive Technology 2010;2(2):23-9.
  13. Bryanton C, Bosse J, Brien M, et al. Feasibility, motivation, and selective motor control: virtual reality compared to conventional home exercise in children with cerebral palsy. Cyberpsychol Behav. 2006;9(2):123-8. https://doi.org/10.1089/cpb.2006.9.123
  14. Sveistrup H. Motor rehabilitation using virtual reality. J Neuroeng Rehabil. 2004;1(1):10. https://doi.org/10.1186/1743-0003-1-10
  15. Kim J, Kim S, Shim J, et al. Effects of McKenzie exercise, Kinesio taping, and myofascial release on the forward head posture. J Phys Ther Sci. 2018;30(8):1103-7. https://doi.org/10.1589/jpts.30.1103
  16. Han GS, Song IW. The Effect of Combined Exercise Program on Balance, Shoulder Gradient and Forward Head Posture in College Students Korean Journal of Sports Science. 2017;26(2):1127-37. https://doi.org/10.35159/kjss.2017.04.26.2.1127
  17. Kim YH, Park IY, Khil JH. Effect of Chiropractic and Theratainment Exercise Program on the Balance for the Subjects with Turtle Neck Syndrome. Journal of the Korea Entertainment Industry Association. 2017;11(7):323-33.
  18. Thomas JS, France CR, Leitkam ST, et al. Effects of Real-World Versus Virtual Environments on Joint Excursions in Full-Body Reaching Tasks. IEEE J Transl Eng Health Med. 2016;4:2100608.
  19. Kishore TA, Beddingfield R, Holden T, et al. Task deconstruction facilitates acquisition of transurethral resection of prostate skills on a virtual reality trainer. J Endourol. 2009;23(4):665-8. https://doi.org/10.1089/end.2008.0531
  20. Weiss PL, Rand D, Katz N, et al. Video capture virtual reality as a flexible and effective rehabilitation tool. J Neuroeng Rehabil. 2004;1(1):12. https://doi.org/10.1186/1743-0003-1-12