DOI QR코드

DOI QR Code

전방머리자세 대상자의 머리-척추각과 목 운동범위, 근력, 목빗근 두께와의 상관관계 분석

Correlation Analysis between Cervical-Vertebra Angle and Neck Range of Motion, Muscle Strength, and Sternocleidomastoid Thickness

  • 강민지 (경성대학교 물리치료학과) ;
  • 박근태 (피지오 컨디셔닝 운동센터) ;
  • 한진태 (경성대학교 물리치료학과)
  • Min Ji Kang (Dept. of Physical Therapy, College of Science, Kyungsung University) ;
  • Geun Tae Park (Physio Conditioning Training Center) ;
  • Jin Tae Han (Dept. of Physical Therapy, College of Science, Kyungsung University)
  • 투고 : 2023.02.26
  • 심사 : 2023.05.01
  • 발행 : 2024.03.31

초록

Background: This study was to investigate effects of Correlation Analysis between Cervical-Vertebra Angle and Neck Range of Motion, Muscle Strength, Sternocleidomastoid Thickness of Patients with Forward Head Posture Design: Correlation Analysis. Methods: The subjects of this study were a total of 54 people in the forward head position and their ages were between 30 and 50 years old. The subjects cranio-vertebral angles, neck extension, neck flexion, neck rotation angles, neck flexor strength, neck extensor strength, sternocleidomastoid thickness were evaluated through measuring instruments. The thickness of the sternocleidomastoid muscle was measured using an imaging ultrasound diagnostic device (ultra sound, Versana Premier, GE Medical systems, China). CVA was measured by measuring the side photo of the subject was taken with a camera and evaluated.. neck joint range of motion was measured through digital inclinometer for extension, flexion, and neck rotation. neck muscle strength was measured by measuring the using a digital sthenometer. Data analysis in this study was statistically processed using SPSS version 26.0 (IBM SPSS Inc., USA). Correlation analysis was used and the statistical significance level was set at 0.05. Results: The results neck extension(r= 0.70**), neck flexion(r= 0.67**), neck rotation(r= 0.56**), neck extensor muscle strengt(r= 0.85**), neck flexor muscle strength(r= 0.66**), sternocleidomastoid thicknes(r= -0.81**) It indicates that there is a correlation. Conclusion:These results improve the Cervical-vertebra angle of patients with forward head posture should include a program to improve the thickness of the SCM. In the future, study can be used as an evidentiary material for treatment interventions to improve the Cervical-vertebra angle of patients with forward head posture.

키워드

참고문헌

  1. 고은경. 어깨뼈 아래쪽돌림 증후군이 있는 대상자에게서 둥근어깨각, 어깨뼈 아래 돌림비율과 아래등세모근 근력과의 상관관계. 대한물리치료과학회지. 2023;30(3):14-22.
  2. 김용민. 경추, 흉추 관절가동기법 및 전방머리자세 교정운동이 머리자세와 목 통증에 미치는 영향. [석사학위논문]. 남서울대학교; 2020.
  3. 박진식. 닫힌사슬 운동과 열린사슬 운동이 정상성인의 목 근육 두께, 근력, 근지구력에 미치는 영향. 대구대학교 [박사학위논문]. 대구대학교; 2015.
  4. 백승태. 카이로프랙틱과 경추 교정운동프로그램이 전방머리자세의 경추통증과 신전 각도와 목뼈 배열에 미치는 영향. [석사학위논문]. 한국체육대학교; 2018.
  5. 안승헌. 만성 경부통 환자의 치료적 접근. 코칭능력개발 2005;7(3):15-21.
  6. 이주훈. 턱 당기기 동안 슬링을 이용한 열린-닫힌 사슬운동이 목굽힘근 두께에 미치는 영향 : 전방머리자세가 있는 사무직 종사자를 대상으로. [석사학위논문]. 경성대학교; 2020.
  7. 이진, 김상우, 이병희. 청소년의 집중력이 척추건강에 미치는 영향: 인지강도에 의해 조절된 스마트폰 과몰입의 매개효과. 대한물리치료과학회지. 2022;29(3):29-47.
  8. 인태성. 테이핑을 병행한 어깨뼈 설정 운동이 뇌졸중 환자의 근활성 및 상지 기능에 미치는 효과. 대한물리치료과학회지. 2023;30(2):43-51.
  9. 임보영. 전방머리자세의 경통환자에서 견갑골 안정화운동이 경부자세, 근활성도, 통증 및 삶의 질에 미치는 영향. [석사학위논문]. 삼육대학교; 2011.
  10. 원동용, 김소연, 김요셉. 가슴 폄 근력강화운동이 머리전방자세와 목 관절가동범위에 미치는 영향. 대한물리치료과학회지 2011;18(2):41-49.
  11. 조힘찬, 김민지, 김보림. 수동적 어깨뼈정렬운동과 유지이완기법이 대학생의 머리척추각(C1~C7)에 미치는 영향 비교. 대한물리치료과학회지 2019;26(2):38-45.
  12. 차주홍. 탄성밴드(Thera-band)를 이용한 목 어깨 안정화 운동이 전방머리자세 대상자의 통증, 정렬 및 근 두께에 미치는 영향. 대구대학교 [석사학위논문]. 대구대학교; 2017.
  13. 최보람. 스마트폰을 이용한 비디오 시청 시, 목뼈 굽힘 각도에 따른 앞쪽 머리 자세의 변화. 대한물리치료과학회지. 2023;30(3):23-30.
  14. 한상완, 김재윤, 강민성. 6주간 슬링 운동과 매트운동이 경부 협응력과 근력에 미치는 영향. 대한스포츠물리치료학회 2007;3(1):37-46.
  15. Bae YH, Lee GC. Effect of motor control training with strengthening exercises on pain and muscle strength of patients with shoulder impingement syndrome. Journal of The Korean Society of Physical Medicine. 2011;23(6):1-7.
  16. Chiu TT, Ku WY, Lee MH. et al. A study on the prevalence of and risk factors for neck pain among university academic staff in Hong Kong. Journal of Occupational Rehabilitation. 2002;12(2):77-91. https://doi.org/10.1023/A:1015008513575
  17. Chow DH, Leung KT, Holmes AD. Changes in spinal curvature and proprioception of schoolboys carrying different weights of backpack. Ergonomics. 2007;50(12):2148-2156. https://doi.org/10.1080/00140130701459832
  18. Falla D. Unravelling the complexity of muscle impairment in chronic neck pain. Manual Therapy. 2004;9: 125-133. http://dx.doi.org/10.1016/j.math.2004.05.003
  19. Falla DL, Jull GA, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine. 2004;29(19):2108-2114. https://doi.org/10.1097/01.brs.0000141170.89317.0e
  20. Finley MA, Lee RY. Effect of sitting posture on 3-dimensional scapular kinematics measured byskin-mounted electromagnetic tracking sensors. Archives of physical medicine and rehabilitation. 2003;84(4):563-568. https://doi.org/10.1053/apmr.2003.50087
  21. Ghorbani F, Kamyab M, Azadinia F. Smartphone Applications as a Suitable Alternative to CROM Device and Inclinometers in Assessing the Cervical Range of Motion in Patients With Nonspecific Neck Pain. ournal of Chiropractic Medicine. 2020;19(1):38-48. https://doi.org/10.1016/j.jcm.2019.10.004
  22. Harman K., Hubley KCL, Butler H. Effectiveness of an Exercise Program to Improve Forward Head Posture in Normal Adults: A Randomized, Controlled 10-Week Trial. Journal of Manual & Manipulative Therapy. 2005;13(3):163-176. https://doi.org/10.1179/106698105790824888
  23. Heo KJ. Influence of scalenus stretching exercise on the asymmetry ratio of bite force and the asymmetry ratio of masticatory muscle activity. Silla university. [dissertation].Silla university.;2014.
  24. Jesus MFR, Ferreira PH, Pereira LSM. Ultrasonographic analysis of the neck flexormuscles in patients with chronic neck pain andchanges after cervical spine mobilization. ournal of Manipulative and Physiolloqical Therpeutics. 2011;34(8):514-524. https://doi.org/10.1016/j.jmpt.2011.08.006
  25. Kendall FP, McCreary EK, Provance PG. Muscles: Testing and Function, with Posture and Pain. 5th ed. USA. Lippincott Williams & Wilkins;2005.
  26. Nemmers TM, Miller JW, Hartman MD. Variability of the Forward Head Posture in Healthy Community-dwelling Older Women. Journal of geriatric physical therapy. 2009;32(1):10-14. https://doi.org/10.1519/00139143-200932010-00003
  27. Noh HJ, Shim JH, Jeon YJ. Effects of neck stabilization exercises on neck and shoulder muscle activation in adults with forward head posture. International Journal of Digital Content Technology and its Applications. 2013;7(12):492.
  28. Saadat M, Salehi R, Negahban H. et al. Traditional physical therapy exercises combined with sensori motor training: The effects on clinical outcomes for chronic neck pain in a double-blind, randomized controlled trial. Journal of Bodywork and Movement Therapies. 2019;23(4):901-907. https://doi.org/10.1016/j.jbmt.2019.02.016
  29. Wegner S, Jull G, O'Leary S, et al. The effect of a scapular postural correction strategy on trapezius activity in patients with neck pain. Manual therapy. 2010;15(6):562-566. https://doi.org/10.1016/j.math.2010.06.006
  30. Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Manual therapy. 2008;13(2):148-154 https://doi.org/10.1016/j.math.2006.11.002