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http://dx.doi.org/10.21598/JKPNFA.2018.16.3.333

The Effects of a Neck Exercise using a PNF Neck Pattern on the Balance and Numbness of Both the Upper Extremities and Neck Motions in Patients with Cervical Myelopathy - Single Subject Design -  

Park, Si-Eun (Department of Physical Therapy, College of Health and welfare, Woosong University)
Lim, Woo-Taek (Department of Physical Therapy, College of Health and welfare, Woosong University)
Moon, Sang-Hyun (Ba Reun Movement Exercise Center)
Publication Information
PNF and Movement / v.16, no.3, 2018 , pp. 333-343 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the effects of a neck exercise using a proprioceptive neuromuscular facilitation (PNF) neck flexion and extension pattern on body balance in a progressive range of positions (supine, prone on elbow, and sitting), on numbness in the upper extremities, and on neck flexion motions in cervical myelopathy patients. Methods: One participant who was diagnosed with cervical myelopathy participated in this study. A reversal design (A-B-A') was used. The A and A' were the baseline period (no intervention), and B was the intervention period. The intervention used a neck extension pattern with a hold-relax technique and a neck flexion pattern with a combination of isotonic techniques in the supine position. Then, neck flexion and extension patterns were applied together with a reversal technique for stabilization, followed by a neck extension pattern with a combination of isotonic techniques in the prone position on the elbows. Finally, a neck flexion and extension pattern was used with a stabilizing reversal technique, and a neck extension pattern was applied with a combination of isotonic techniques in the sitting position for 60 minutes per day, 3 times per week for 8 weeks. To measure balance, numbness, and neck motion during neck flexion, the one-leg stand test and the visual analogue scale were used. Results: The right and left one-leg stand tests showed increased balance ability in the intervention phase. Upper extremity numbness was decreased in the intervention phase, and neck flexion motion was increased in the intervention phase. These increases were maintained after the intervention (Baseline II). Conclusion: These results suggest that a neck exercise using a PNF neck pattern with additional techniques in a progressive range of positions has a positive effect on cervical myelopathy patients for balance, numbness, and neck motion.
Keywords
Cervical myelophathy; PNF; Neck exercise;
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  • Reference
1 Lee KS, Jung HY. Analysis of the change of the forward head posture according to computer using time. Journal of the Korean Society of Physical Medicine. 2009;4(2):117-124.
2 Panzer VP, Bandinelli S, Hallet M. Biomechanical assessment of quiet standing and changes associated with aging. Archives Physicals Medicine and Rehabilitation. 1995;76(2):151-157.   DOI
3 Park SE, Min KO, Lee SB, et al. Effect of eye movements and proprioceptive neuromuscular facilitation on balance and head alignment in stroke patients with neglect syndrome. Journal of Physical Therapy Science. 2016;28(2):596-601.   DOI
4 Polly EB, Wendy S, John G. Reliability of the visual analogue scale for measurement of acute pain. Academic Emergency Medicine. 2001;8(12):1153-1157.   DOI
5 Rao RD, Grourab K, David KS. Operative treatment of cervical spondylotic myelopathy. Jounal of Bone and Joint Surgery. 2006;88(4):1619-1640.   DOI
6 Sharma KN. Handbook of proprioceptive neuromuscular facilitation: basic concepts and techniques. Saarbrucken. Lambert. 2012.
7 Silva AG, Johnson MI. Does forward head posture affect postural control in human healthy volunteers? Gait & Posture. 2013;38(2):352-353.   DOI
8 Tracy JA, Bartleson JD. Cervical spondylotic myelopathy. Neurologist. 2010;16(3):176-187.   DOI
9 Adler SS, Beckers D, Buck M. PNF in practice an illustrated guide, 4th ed. Heidelberg. Springer. 2014.
10 Baron EM, Young WF. Cervical spondylotic myelophathy: a brief review of its pathophysiology, clinical course, and diagnosis. Neurosurgery. 2007;60(1):35-41.
11 Bohlman HH. Cervical spondylotic myelopathy. Instructional course lectures. 1995;44(1):81-97.
12 Boone DC, Azen SP, Lin CM, et al. Reliability of goniometric measurements. Physical Therapy. 1978;58(11):1355-60.   DOI
13 Chang H. Cervical spondylotic myelophathy. Journal of Korean Spine Surgery. 1999;6(2):194-200.
14 Chiles BW, Leonard MA, Choudhri HF, et al. Cervical spondylotic myelopathy: patterns of neurological deficit and recovery after anterior cervical decompression. Neurosurgery. 1999;44(4):762-769.   DOI
15 Fehlings MG, Skaf G. A review of the pathophysiology of cervical spondylotic myelopathy with insights for potential novel mechanisms drawn from traumatic spinal cord injury. Spine. 1998;23(24):2730-2737.   DOI
16 Gosselin G, Rassoulian H, Brown I. Effects of neck extensor muscles fatigue on balance. Clinical Biomechanics. 2004;19(5):473-479.   DOI
17 Hansraj KK. Assessment of stresses in the cervical spine caused by posture and position of the head. Surgical Technoogyl International. 2014;25(1):277-299.
18 Kristensen MT, Nielsen AO, Topp UM, et al. Number of test trials needed for performance stability and intrarater reliability of the one leg stand test in patients with a major non-traumatic lower limb amputation. Gait & posture. 2014;39(1):424-429.   DOI
19 Kunmar NSS, Lal N, Rajalakshmi D. Effect of exercise programe on the rehabilitation of patients with cervical spondylotic myelopathy. Neuroscience & Medicine. 2012;3(1):54-59.   DOI