DOI QR코드

DOI QR Code

The Effects of the Extracorporeal Shock Wave Therapy on Complex Pain Scales of Neck-Shoulder in 20s Adults with VDT Syndrome due to prolonged Smartphone Use

장시간 스마트폰 사용으로 VDT증후군을 가진 20대 성인의 체외충격파적용이 목-어깨의 복합적 통증지수에 대한 효과

  • Seo, Kyo-Chul (Department of Physical Therapy, Korea Nazarene University) ;
  • Park, Seung-Hwan (Department of Biomedical Engineering, Eulji University) ;
  • Cho, Mi-Suk (Department of Physical Therapy, Korea Nazarene University)
  • 서교철 (나사렛대학교 물리치료학과) ;
  • 박승환 (을지대학교 의료공학과) ;
  • 조미숙 (나사렛대학교 물리치료학과)
  • Received : 2021.08.06
  • Accepted : 2021.11.20
  • Published : 2021.11.28

Abstract

The purpose of this study was to determine the effect of extracorporeal shock wave therapy for the neck-shouler muscles of complex pain scales of the 20s adults with VDT Syndrome to prolonged smartphone use. Twenty subjects with neck pain due to VDT syndrome participated in the experiment. They were randomly divided into 10 experimental groups and 10 control groups. Experimental subjects were conducted for 4 weeks, 5 days a week. The experimental group was subjected to extracorporeal shock wave therapy 2000 times at an intensity of 5 Hz and 2.0 bar once, and the control group performed self-stretching exercise for 30 minutes once. Subjects measured and compared neck-shoulder pain with VAS and PPT before and after the experiment. Data analysis was performed with SPSS win 18.0, and correspondence comparison was performed to analyze the results of the experimental group and the control group before and after the experiment. After the experiment, the experimental group decreased more in VAS and PPT of the neck-shoulder muscle. but the control group was no difference. Though these results, extracorporeal shock wave therapy was showed a reduction in pain after treatment than before treatment but there are no difference in the pain reduction after self-stretching exercise. Thus, extracorporeal shock wave therapy is expected to be used as a variety of treatments to reduce neck-shoulder pain as a cause of VDT syndrome.

본 연구는 스마트폰을 장시간 사용으로 VDT증후군(Visual Display Terminal Syndrome)을 가진 20대 성인들을 대상으로 체외충격파 치료(ESWT)를 통해 목-어깨의 근육의 복합적 통증지수에 미치는 영향을 알아보고자 한다. VDT증후군으로 목-어깨통증을 가지고 있는 대상자 20명을 무작위로 분류해서 실험군 10명과 대조군 10명으로 나눠서 실험에 참여하였다. 실험대상자들은 4주간, 주 5일간 실시하였다. 실험군은 1회 5 Hz, 2.0 bar의 강도로 체외충격파치료를 2000회씩 실시하였고, 대조군은 1회 30분간 자가신장운동을 실시하였다. 실험대상자들은 실험전과 실험후에 VAS와 PPT로 목-어깨통증을 측정하여 비교하였다. 자료분석은 SPSS win 18.0으로 실험전과 실험후에 실험군과 대조군의 결과값을 분석하기 위해 독립비교를 실시하였다. 실험 후 실험군이 목-어깨근육의 VAS, PPT에서 많이 감소하였다. 하지만 대조군은 큰 차이가 없었다. 이런 결과를 통해 체외충격파 치료는 치료전보다 치료후에 통증감소가 나타났지만 자가신장운동은 치료후 통증감소의 차이가 없었다. 앞으로도 VDT증후군의 원인으로 목-어깨통증을 감소시킬 수 있는 다양한 치료법으로 이용될 것으로 사료된다.

Keywords

Acknowledgement

This research was supported by the Korean Nazarene University Research Grants 2021.

References

  1. E. J. Kim, J. W. Kim & B. R. Park. (2011). Effects of Sling Exercise Program on Muscle Activity and Cervical Spine Curvature of Forward Head Posture. The Journal of the Korea Contents Association, 11(11), 213-220. DOI : 10.5392/JKCA.2011.11.11.213.
  2. Y. J. Hoang. (2020). A Study on the 3D Augmented Reality Animation Education Method for Elementary School Arts Using Smartphone Application 'Quiver'. Journal of art education, 60, 277-308. https://doi.org/10.35657/JAE.2020.60..010
  3. K. H Hwang, Y. S Yoo & O. H. Cho. (2012). Smartphone Overuse and Upper Extremity Pain, Anxiety, Depression, and Interpersonal Relationships among College Students. The Journal of the Korea Contents Association, 12(10), 365-375. DOI : 10.5392/JKCA.2012.12.10.365.
  4. K. J. Do & E. Y. Lee. (2021). Factors Affecting Smartphone Addiction in High Grades of Elementary School using Local Children's Center. Journal of the Korea Convergence Society, 12(5), 51-60. DOI : 10.15207/JKCS.2021.12.5.051.
  5. J. K. Bae & H. M. Jeong. (2008). An empirical study on the determinants factors by including functional attributes of smart phone adoption. The E-Business studies, 9(4), 337-361. https://doi.org/10.15719/geba.9.4.200811.337
  6. Y. C. Kim & C. W. Hong. (2005). A study on the actual condition of VDT work of office workers for the prevention of VDT syndrome. The Korean Society of Safety. 19(2), 160-165.
  7. S. H. Kim. (2010). Effects of Perceived Attributes on the Purchase Intention of Smart-Phone, The Journal of the Korea Contents Association, 10(9), 318-326. DOI : 10.5392/JKCA.2010.10.9.318.
  8. Z. J. Fan, C. K. Smith, B. A. Silverstein. (2008). Assessing validity of the quickDASH and SF-12 as surveillance tools among workers with neck or upper extremity musculoskeletal disorders. Journal of Hand Therapy, 21(4), 354-365. DOI : 10.1197/j.jht.2008.02.001.
  9. J. H. Lee, D. H. Kang, J. I. Kang. (2010). The effects of myofascial relaxation on blood flow velocity of the cranial artery and pain level in cervicogenic headache patients. The Journal of Korean Physical Therapy, 22(5), 49-56.
  10. M. H. Lee, J. M. Song & J. S. Kim. (2011). The effect of neck exercises on neck and shoulder posture and pain in high school students. The Journal of Korean Physical Therapy, 23(1), 29-35.
  11. B. D. Seo & H. S. Shin. (2010). The effect of self stretching exercise in patients with shoulder adhesive capsulitis. The Journal of Korean Physical Therapy, 22(1), 19-26.
  12. J. W. Jeon & B. A. Kwon. (2015). A Study on the Impact of Sports Massage Combined with Exercise Therapy on Reducing Pain in the Neck and Shoulders Due to Smartphone Overuse. Sport Science, 33(1), 41-50.
  13. J. H. Oh, S. H. Lee, J. Y. Park, H. W. Choi, S. H. Jeon & J. S. Eom. (2011). Extracorporeal shock wave therapy versus platelet-rich plasma injection for the treatment of lateral epicondylitis : a prospective randomized clinical trial. Journal of The Korean Society for Surgery of The Hand, 16(4), 241-246.
  14. K. Y. Jung, T. R. Yoon & J. H. Lee. (2021). Effects of Extracorporeal Shock Wave Therapy in Pain Point on Range of Motion, Pain and Mechanical Muscle Properties in Myofascial Pain Syndrome. Physical Therapy Korea, 28(1), 53-58. DOI : 10.12674/ptk.2021.28.1.53.
  15. J. H. Jeon, Y. J. Jung, J. Y. Lee, J. S. Choi, J. H. Mun, W. Y. Park, C. H. Seo & K. U. Jang. (2012). The effect of extracorporeal shock wave therapy on myofascial pain syndrome. Annals of Rehabilitation Medicine, 36(5), 665-674. DOI :10.5535/arm.2012.36.5.665.
  16. H. M. Ji, H. J. Kim & S. J. Han. (2012). Extracorporeal shock wave therapy in myofascial pain syndrome of upper trapezius. Annals of Rehabilitation Medicine, 36(5), 675-680. DOI : 10.5535/arm.2012.36.5.675.
  17. S. J. Park, S. M. Yang, J. H. Yoon, H. N. Choi, J. Y. Han & S. Y. Kwon. (2016). Mobile Phone Use Pattern and Visual Display Terminal Syndrome Symptom Experience in Female Adolescents. The Journal of the Korea Contents Association, 16(4), 45-55. DOI :10.5392/JKCA.2016.16.04.045.
  18. National Information Society Agency. (2011). Development Of Korean Smartphone Addiction Proneness Scale For Youth And Adults, Seoul: National Information Society Agency.
  19. W. B. Kibler, A. D. Sciascia & T. L. Uhl (2008). Electromyographic analysis of specific exercises for scapular control in early phases of shoulder rehabilitation. American Journal of Sports Medicine. 36(9), 1789-1798. DOI : 10.13066/kspm.2014.9.4.455.
  20. J. H. Lee, K. O. Hwang & Y. H. Park. (2012). Comparing the Effects of Stability Exercise, ESWT, and Taping for Patients with Myofascial Pain Syndrome of Upper Trapezius. The Journal of Korean Society of Physical Therapy, 24(2), 82-89. http://creativecommons.org/licenses/by-nc/3.0
  21. J. H. Lee, K. H. Jang & Y. H. Park. (2012). Extracorporeal Shock Wave Therapy for Myofascial Pain Syndrome of Upper Trapezius. Korean Society of Physical Medicine, 7(2), 183-190. DOI : 10.13066/kspm.2012.7.2.183.
  22. J. Y. Kim. (2021). A Study on the Convergence of Sport Commitment and Smartphone Addiction in adolescents. Journal of the Korea Convergence Society, 12{4}, 237-248. DOI : 10.15207/JKCS.2021.12.4.237.
  23. J. A. An. (2016). A Study on the Smart phone Use Behavior and Addiction of University Students : Focused on Effect of Depression, Impulsivity andInterpersonal Relation, Campus Life. Journal of Communication Science, 16(4), 128-162. DOI : 10.14696/jcs.2016.12.16.4.128.
  24. C. Y. Lee, J. H. Uhm, H. B. Kang & S. M. Lee, (2020). Identifying the Latent Group in the Patterns of Academic Stress and Smartphone Addiction Tendency with the Factors Affecting the Group Identification. Journal of the Korea Convergence Society, 11(1), 221-235. DOI : 10.15207/JKCS.2020.11.1.221.
  25. P. Kudo, K. Dainty, M. Clarfield, , L. Coughlin, P. Lavoie & C. Lebrun. (2005). Randomized, placebo controlled, double-blind clinical trial evaluating the treatment of plantar fasciitis with an extracoporeal shockwave therapy (ESWT) device: A North American confirmatory study. Journal of Orthopedic Research, 24(2), 115-123. DOI : 10.1002/jor.20008.
  26. M. Haake, I. R. Konig, T. Decker, C. Riedel, M. Buch, H. H. Muller, M. Vogel, V. Auersperg, O. Maier-Boerries, A. Betthauser, J. Fischer, M. Loew, I. Muller, H. C. Rehak, L. Gerdesmeyer, M. Maier & W. Kanovsky. (2002). Extracorporeal shock wave therapy in the treatment of lateral epicondylitis. The Journal of Bone & Joint Surgery, 84(11), 1982-1991. DOI : 10.1007/s00402-001-0362-7.
  27. K. T. Lee, J. S. Kim, K. W. Yang & J. H. Choi. (2009). Clinical Article : Incidence of the Flexor Hallucis Longus Tendinitis in Ballet Dancers: Short-term Results of Extracorporeal Shock Wave Therapy. The Korean Journal of Sports Medicine, 26(1), 99-103.
  28. F. A. Pettrone & B. R. McCall. (2005). Extracorporeal shock wave therapy without local anesthesia for chronic lateral epicondylitis. The Journal of Bone and Joint Surgery, 87(6), 1297-1304. DOI : 10.2106/JBJS.C.01356.
  29. C. F. Hyer, R. VanCourt & A. Block. (2005). Evaluation of ultrasound-guided Extracorporeal Shock Wave Therapy (ESWT) in the treatment of chronic plantar fasciitis. The Journal of Foot and Ankle Surgery, 44(2), 137-143. DOI : 10.1053/j.jfas.2005.01.005.
  30. J. H. Jeon, Y. J. Jung, J. Y. Lee J. S. Choi, J. H. Mun, W. Y. Park, C. H. Seo & K. U. Jang. (2012). The effect of extracorporeal shock wave therapy on myofascial pain syndrome. Annals of Rehabilitation Medicine, 36(5), 665-674. DOI : 10.5535/arm.2012.36.5.665.
  31. J. D. Lee & W. S. Shin. (2020). Immediate effects of neuromuscular control exercise on neck pain, range of motion, and proprioception in persons with neck pain. Physical Therapy Rehabilitation Science, 9(1), 1-9. DOI : 10.14474/ptrs.2020.9.1.1.
  32. H. M. Ji, H. J. Kim & S. J. Han. (2012). Extracorporeal shock wave therapy in myofascial pain syndrome of upper trapezius. Annals of Rehabilitation Medicine, 36(5), 675-680. DOI : 10.5535/arm.2012.36.5.675.
  33. H. S. Lee & J. H. Yoo. (2012). The effect of stretching and isometric exercise for chronic neck pain patient in strength and pain. Journal of Korean Society Physical Medicine, 7(3), 329-337. DOI : 10.13066/kspm.2012.7.3.329.
  34. J. K. Joo, S. H. Park & W. S. Shin. (2021). Comparison of the Effect of Ischemic Compression Therapy and Extracorporeal Shock Wave Therapy on the Trigger Point of the Upper Trapezius Muscle. Journal of The Korean Society of Integrative Medicine, 9(2), 141-152. DOI : 10.15268/ksim.2021.9.2.141.
  35. S. B. Lee, D. J. Kwon, Y. J. Song & K. B. Lee. (2004). Shockwave Therapy for Tennis Elbow. Journal of Korean Orthopedic Association, 39(2), 142-145. DOI : 10.4055/jkoa.2004.39.2.142
  36. S. H. Lee, H. N. Jung, H. S. Lee, D. S. Joo, S. H. Lee, M. H. Choi, H. J. Choi, Y. I. Hong, J. E. Jung, S. W. Han & E. R. Pi. (2009). The Effects of ESWT and US on Muscle Power, Pain and Muscle Tension at Trigger Point of the Scapular Inter Angle. Journal of the Korean Academy of Clinical Electrophysiology, 7(1), 29-34. DOI : 10.5627/KACE.2009.7.1.029