• Journal of Korean Medicine Rehabilitation
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• v.20 no.2
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• pp.199-208
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• 2010

Objectives : To study the cervical lordosis and roentgenographic analysis of cervical disc space in neck pain with or without temporomandibular disorder(TMD). Methods : Radiographic measures of cervical lordosis, cervical disc space narrowing were collected, statiscally analyzed. Results : TMD group showed a significant increase in cervical lordotic angle as compared with non-TMD group, whereas no significant change in cervical disc degeneration. Conclusions : The findings from this study suggest that the curvature of the cervical spine is related to the subject's TMD.

• Clinical Pain
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• v.18 no.1
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• pp.8-15
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• 2019

Objective: To determine the relationship between cervical sagittal parameters and the degree of the cervical disc degeneration at each cervical level by using cervical plain radiographs and disc degeneration grading. Method: This study analyzed 110 patients with posterior neck pain. Cervical radiographic measurements included the occipito-cervical (O~C2) angle; sagittal Cobb angles of C1~C2, C2~C7; and sagittal vertical axis (SVA) of C1~C7 and C2~C7. The degenerations of cervical discs at each level were evaluated through Pfirrmann grading system by magnetic resonance images of the cervical spine. The correlations between the cervical sagittal measurements and the disc degeneration at each level were analyzed by Spearman's correlation. Results: A significant correlation was found for the C2~C7 angle with disc degenerations at C2~C6 levels. O~C2 angle was correlated significantly with disc degenerations at C2~C4 and C5~C7 levels. There was significant correlation between C1~C2 angle and disc degeneration at C6~C7 level. No significant relationship was found between the cervical SVA and the cervical disc degeneration at all cervical levels. Conclusion: Cervical sagittal parameters representing cervical angles (C2~C7, O~C2, and C1~C2 angles) were significantly correlated with the degree of the cervical disc degeneration. These findings suggest that the loss of the natural cervical lordosis rather than loss of natural SVA could be correlated with progression of the cervical disc degeneration.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.10 no.1
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• pp.73-79
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• 2016

In this paper a cervical rehabilitation robot for Mckenzie exercises to be effective to neck pain relief is proposed. The robot has two degrees of freedom (DOF) for Lateral flexion and extension, Dorsal and Vental flexion which enable user to perform cervical stretching and isometric exercises for neck muscles. The mechanical parts of the cervical rehabilitation robot can be mounted on a back- or head-rest of chair, and user can perform the Mckenzie exercise with seated. In experiments we measured the range of motion of cervical part, EMG signals from neck muscles and the contact forces of a head bracket fixing the head part of user, and then evaluated their performances. From the experimental results, we showed a feasibility of the cervical rehabilitation robot proposed in this study.

• Journal of Korean Medicine Rehabilitation
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• v.19 no.2
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• pp.203-212
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• 2009

Objectives : Spurling test is one of the most widely used physical tests to diagnose herniated cervical intervertebral disc. The purpose of this study is to analyse diagnostic validity of Spurling test. Methods : This study was carried out on 382 subjects who visited Bu-Chun Ja-Seng oriental hospital with the neck pain or radiating pain from neck to upper extremities from November, 2007 to October, 2008. All subjects underwent both Spurling test and cervical magnetic resonance imaging(MRI). The associations between Spurling test and herniated cervical intervertebral disc were analysed. Results : 1. The sensitivity of Spurling test for herniated cervical intervertebral disc was 64%. 2. The specificity of Spurling test for herniated cervical intervertebral disc was 86%. 3. The positive predictive value of Spurling test for herniated cervical intervertebral disc was 93%. 4. The negative predictive value of Spurling test for herniated cervical intervertebral disc was 44%. Conclusions : This study suggests that Spurling test is not useful in screening for herniated cervical intervertebral disc due to the test's relatively low sensitivity. Thus it is necessary to consult advanced tests such as diagnostic imaging to diagnose herniated cervical intervertebral disc.

• Journal of Korean Medicine Rehabilitation
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• v.21 no.2
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• pp.239-252
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• 2011

Objectives : To investigate and compare the curvature of the cervical spine for the neck pain patients and asymptomatic participants. Methods : Clinical study was carried out for 64 neck pain patients in Conmaul oriental hospital and 56 asymptomatic volunteers. Cervical spine curvature was measured by 7 types of measuring methods. Results : Curvature angles of the cervical spine were significantly lower in the patients group(p<0.05). In segmental analysis of curvature, segmental curvature of C3-C4 were significantly lower in the patients group. There is no significant relationship among the classifications by the types of cervical spine curvature in the 2 groups. Conclusions : The results suggest that the cervical spines of neck pain patients are straightened and kyphotic and most of cervical curvature decrease are occurred at middle cervical spine.

• Journal of Korean Medicine Rehabilitation
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• v.20 no.1
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• pp.133-139
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• 2010

Objectives : The purpose of this study was to compare about quantity of pain and fatigue according to cervical spine curvature of patient with neck pain. Methods : Cervical spine curvature was measured using the sagittal radiography of the cervical spine, neck pain was evaluated using the VAS and neck fatigue was evaluated using fatigue symptom checklist. Based on four line Cobb's method, 51 subjects were divided into hypolordosis group, normal group, hyperlordosis group. Window version SPSS 12K was used for statistical analysis about relation between pain and cervical spine curvature of each group, also about between fatigue and cervical spine curvature of each group. Results : 1. A significant difference was not found between pain and cervical curvature of each group. 2. A significant difference was not found between fatigue and cervical curvature of each group. Conclusions : There was no relation between pain and cervical curvature of each group, also fatigue and cervical curvature.

• Journal of Korean Medicine Rehabilitation
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• v.32 no.1
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• pp.145-155
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• 2022

The purpose of this study is to evaluate the effectiveness of traditional Korean medicine treatment of cervical vertigo. Three patients were diagnosed as cervical vertigo with correlating symptoms of imbalance and dizziness with neck pain. The diagnosis of cervical vertigo is also dependent on excluding other vestibular disorders on the basis of history, examination, and vestibular function tests. They were treated by acupuncture, transcutaneous electrical nerve stimulation therapy and low-intensity pulsed ultrasound at acupoints and sympathetic ganglion chain of their cervical and upper thoracic region. The evaluation of clinical outcome was done by numeric rating scale (NRS), dizziness handicap inventory (DHI) and neck disability index (NDI), EuroQol-five dimensions questionnaire (EQ-5D) index. After the treatment, the value of their NRS, NDI, DHI was significantly decreased and their EQ-5D index was significantly increased. The traditional Korean medicine treatment at cervical and upper thoracic region could be an effective way to treat cervical vertigo.

• Journal of Korean Medicine Rehabilitation
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• v.25 no.4
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• pp.75-81
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• 2015

Objectives To investigate the relationship between cervical intervertebral space narrowing in the X-ray and HIVD level of cervical spine in the CT image. Methods We studied 101 subjects who were taken cervical spine X-ray and CT. Intervertebral space were measured at the anterior, middle and posterior portion of each cervical disc in the X-ray. Considering individual difference, intervertebral space was set as value divided by upper width of lower vertebral body. We analyzed statistically adjusted intervertebral space of normal group and herniated disc group using student' t t-test. Results Intervertebral space of cervical spine was narrowed in the herniated disc group. But there was no significant difference at C2~C3. Conclusions We found that narrowing intervertebral space of cervical spine is associated with herniated disc. Further clinical observation is needed.

• The Journal of Korea CHUNA Manual Medicine
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• v.2 no.1
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• pp.85-92
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• 2001

Objectives : To study the cervical lordosis and disc degeneration in neck pain patients with or without low back pain. Subjects. The study was composed of 57 neck pain patients with low back pain(LBP group) and 40 neck pain patients without low back pain(Non-LBP group). Methods : Radiographic measures of spinal lordosis(cervical and lumbar) and disc degeneration were collected, and statistically analyzed. Results: LBP group showed a significant increase in cervical lordotic angle as compared with Non-LBP group, whereas no significant change in cervical disc degeneration. A relationship was found between cervical and lumbar disc degeneration in LBP $group({\gamma}-0.3064)$. Conclusions : The findings from this study suggest that the curvature of the cervical spine is related to the subject's low back pain.

• Journal of Korean Medicine Rehabilitation
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• v.21 no.4
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• pp.97-109
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• 2011

Objectives: To investigate the correlation among cervical curvature, neck pain, and headache in patients with chronic neck pain. Methods: A clinical study was carried out in 48 chronic neck pain patients in the hospital of Gang-Dong Kyung-Hee University. The curvature of the cervical spine was measured by 3 types of measuring methods, Neck pain and headache were estimated using questionnaire and visual analogue scale (VAS). Results: Curvature angles of the cervical spine had significant positive correlation with the neck pain and headache, and headache can be estimated by cervical curvature using linear regression. Conclusions: The results suggests that the cervical curvature of chronic neck pain patients has a positive correlation with the nock pain and headache, and cervical curvature will be a posible preditor of chronic tension-type headache in patients with chronic neck pain.