• 한국콘텐츠학회논문지
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• 제11권10호
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• pp.293-300
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• 2011

본 연구는 경추 및 흉추부 스트레칭과 근력강화 운동프로그램이 머리전방자세에 미치는 효과를 알아보고자 연구하였다. 머리전방자세를 갖고 있는 일반인 32명을 대상자로 자세교육과 운동프로그램을 적용한 실험군 16명과 자세교육만을 받은 대조군 16명을 대상으로 시행하였다. 두 개척추각(CVA:Craniovertebral Angle)과 두개회전각(CRA:Cranial Rotation Angle)을 X-ray로 검사하고, PACS(Picture Archiving and Communications System) ${\pi}view^{TM}$ 각도를 측정하였다. 연구결과 실험군은 두개척추각과 두개회전각이 통계적으로 유의한 차이가 있었다. 그러나 대조군은 두개회전각에서만 유의한 차이가 있었다. 또한, 실험 전 그룹 간 차이는 없었으나 실험 후 그룹 간 비교에서는 통계적으로 유의한 차이가 있었다. 이 연구에서는 경, 흉추부 스트레칭 및 근력강화 운동프로그램이 연구대상자들의 머리전방자세를 감소시키는 척추자세정렬을 향상시킬 수 있었다. 이 연구 결과들은 자세증진 치료들에 있어서 향후 발전되는 운동프로 그램을 위해 기초자료가 될 수 있다.

• 대한정형도수물리치료학회지
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• 제19권2호
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• pp.11-18
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• 2013

Background: The objective of this study was to compare the efficacies of thoracic self-mobilization and strengthening exercise in young adults with thoracic hyperkyphosis. Methods: The subjects were 30 young adults (11 males, 19 females) with thoracic hyperkyphosis. They were randomly assigned to one of three groups: thoracic self-mobilization, thoracic strengthening exercise, and control group. The thoracic self-mobilization group performed active dynamic exercises, which included thoracic extension and rotation in supine and standing positions. The strengthening exercise group performed resistance exercises involving the back extensor muscle, with an elastic band and dumbbells. The outcome measures were the thoracic kyphosis angle and forward head posture (craniovertebral angle [CVA] and cranial rotation angle [CRA]). Results: Compared with the baseline values, the thoracic kyphosis angle had decreased while the CVA had increased in both training groups (p<.05), but the CRA was significantly decreased in only the strengthening exercise group. Thoracic self mobilization reduced kyphosis and improved CVA, while thoracic strengthening exercise reduced kyphosis and improved CVA and CRA. Conclusion: This study suggests a promising exercise intervention that can improve posture in young adults with thoracic hyperkyphosis.

• 대한물리치료과학회지
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• 제19권2호
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• pp.17-24
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• 2012

Purpose : The purpose of this study was to show the effect of postural training through action observation (AO) on craniovertebral angle (CVA) and cranial rotation angle (CRA) of forward head posture (FHP). Methods : From 16 subjects of having the FHP who consist of postural training through the AO (n = 8) and control group (n = 8) were training to three times per one week during three weeks. FHP measurements for pre and post the intervention use to Wiz-pacs(Wiz-Picture Achiving Communication System) from X-ray change of CVA and CRA. Results : The study for the change within the group pre and post the intervention, CVA and CRA were found the significant differences only in the postural training group through the AO (p<.05). In the comparison of the rates of change between the groups pre and post the intervention CVA and CRA all showed the significant differences (p<.05), and in the comparison of the rates of average change of individual variables in each groups, the postural training group through the AO showed more change rates. Conclusion : The study suggests that when people with FHP received the postural training, the postural training through the AO resulted in more change into the correct postures.

• 융합정보논문지
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• 제9권12호
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• pp.208-215
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• 2019

본 연구는 깊은목굽힘근운동과 등뼈 관절가동운동이 뇌졸중 환자의 통증, 전방머리자세에 미치는 영향을 알아보고자 한다. 연구대상자는 36명은 사전측정 후 무작위로 깊은목굽힘근군(DNFE), 등뼈 관절가동운동군(TROM), 대조군으로 각각 12명씩 배정되었다. 중재 전후에 통증(VAS), 두개척추각도(CVA), 두개회전각도(CRA), 전방머리내밈자세(FHP), 등뼈관절가동범위(TROM)를 측정하였다. 그 결과. DNFE 군과 TROM 군은 중재 전후 VAS, CVA, CRA, FHP, TROM에서 유의한 차이를 보였으며(p<.05), 두 군은 대조군에 비해 VAS, CVA, CRA, FHP, TROM에서 보였다(p<.05). 결론적으로 깊은목굽힘근운동과 등뼈 가동범위운동이 뇌졸중 환자의 전방머리자세와 목통증 회복에 효과적이었다. 그러므로 임상에서 뇌졸중 환자 중재프로그램에 깊은목굽힘근운동과 등뼈 가동범위운동을 적극적으로 활용되기를 바란다.

• 국제물리치료학회지
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• 제6권2호
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• pp.865-870
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• 2015

This study examined the effects of stretching and sling stabilizing exercises on changes in the angle of the cervical spine in military neck patients. The subjects were 20 adults diagnosed with a military neck(male:10, female:10) and they were randomly and equally assigned to a stretching exercise group and a sling stabilization exercise group. The total study period was four weeks. The intervention was applied three times per week for 60 minutes per each time. Before conducting the exercise, X-ray of each group was photographed to measure craniospinal angle(CVA) and cranial rotation angle(CRA). According to the result of comparing the two groups in changes in the cervical spine angle, there was no significant difference, and the result of comparing pre- and post-intervention was that there was significant change in CVA and CRA in the stretching group (p<.05) but there was no significant change in CVA and CRA in the sling stabilization exercise. Such result suggests stretching exercise is good for improving a military neck and stretching is more effective than sling in the therapeutic intervention for a military neck.

• PNF and Movement
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• 제15권2호
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• pp.149-157
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• 2017

Purpose: The purpose of this study was to assess the effect of using smartphones for tele-rehabilitation on head position and neck dysfunction in workers with visual display terminal (VDT) syndromes over a four-week period. Methods: Sixteen VDT workers volunteered to participate in stretch exercise and posture education sessions. The subjects were divided into three groups as follows: five subjects in the visit group (VSG), six subjects in the video group (VEG), and five subjects in tele-rehabilitation group (TG). The subjects in all the groups performed the exercises three days per week for four weeks. Cranial rotation angle (CRA), craniovertebral angle (CVA) measurement, and neck disability index (NDI) tests were performed before and four weeks after the intervention. Results: No significant difference in the CRA and CVA variables was found among groups. No significant difference in the CRA variable was found within each group. A significant difference in the CRA variable was found in the VSG after the four-week intervention. No significant difference in NDI was found among the groups. The NDIs among all the groups were significantly decreased after the intervention when compared with the NDIs measured before the intervention. Conclusion: The use of smartphones in the tele-rehabilitation of VDT workers with neck pain was found to be as effective on neck function as the conventional intervention method. The tele-rehabilitation of VDT workers with neck dysfunctions may be presented as an alternative way.

• 대한정형도수물리치료학회지
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• 제22권1호
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• pp.65-70
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• 2016

Background: To determine the correlation Between forward head posture and plantar pressor in a McKenzie Exercise. Methods: This study had a cross-sectional design. There are included 20 participants with forward head posture. We measured the craniovertebral angle (CVA), cranial rotation angle (CRA) by image obtained digital camera and the plantar pressure, static balance using Gait Analyzer each before and after McKenzie Exercise. Results: There was negative correlation between CVA and CRA (p<.05). There was negative correlation between CVA and fore foot(p<.05). There was positive correlation between CRA and both fore foot (p<.05). There was negative correlation between CVA and static balance(p<.05). There was positive correlation between CRA and static balance (p<.05). Conclusions: There is a correlation between the change a mount of forward head position and plantar pressure in the McKenzie Exercise.

• 대한정형도수물리치료학회지
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• 제25권1호
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• pp.1-7
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• 2019

Background: The purpose of this study is investigate the effects of cervical range of motion (ROM) and forward head posture (FHP) on cervical manual traction in normal adults. Methods: The subjects were randomly assigned to either the experimental group(Female 9, Male 6) who conducted the manual cervical traction or the control group(Female 9, Male 6) who did not conduct the any intervention. The subject in the EG have conducted the 1 set of 10 minutes of manual cervical traction per day, 2 times a week for 6 weeks. The cervical ROM was measured by the digital inclinometer and The factors of FHP was measured by cranial vertebral angle (CVA) and cranial rotation angle (CRA). Results: Comparing the cervical ROM and FHP between the experimental and control groups before and after the experiment, it could be seen that flexion, extension, right lateral flexion, left lateral flexion, CVA and CRA of the experimental group has been increased. Thus, cervical manual traction was resulted in the increased cervical ROM and decrease FHP. Conclusion: In this study, it was confirmed that cervical manual traction affects increase cervical ROM and decrease FHP that play a important role in neck stability and mobility.

• 한국콘텐츠학회논문지
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• 제11권11호
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• pp.213-220
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• 2011

두부 전방 자세(FHP)는 머리와 목의 비정상적 자세로부터 기인한다. 이 자세에서는 깊은목굴곡근과 날개뼈 당김근이 약화되고 목 신전근과 가슴근은 짧아진다. 이 연구의 목적은 슬링운동이 두부전방자세의 근 활성도와 경추배열에 미치는 영향을 평가하기 위함이다. 실험은 25명의 학생에게 적용되었고 슬링 운동군과 대조군으로 나누었다. 근 수행력과 목뼈 배열을 위해 주 2회 4주간 운동을 실시하였다. 두부전방자세의 측정 요소로는 CVA, CRA, 근활성도, 경추 배열이 있다. 경추 배열에는 두개수직각도, 두 개경추각도, 경추수평각도, 상위경추각도를 측정하였다. 수집된 자료로 SPSS 10.0을 이용해 통계를 분석하였다. 4주간 운동 후 결과는 다음과 같다 : CVA의 양 그룹 간에는 유의한 차이가 있었다. 실험군에서 근활성도는 크게 증가하였으나 경추 배열에는 유의한 차이가 없었다. 이러한 결과에 따라, 우리는 슬링 운동과 근활성도, CVA, CRA 사이에 유의한 상관이 있다는 것을 발견했다.

• 대한통합의학회지
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• 제5권3호
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• pp.21-28
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• 2017

Purpose: The purpose of this study was to investigate the effects of three exercise programs on forward head posture. Methods: Ninety-five individuals were recruited to assess the of the pectoralis minor muscle. Of these, 36 individuals with pectoralis minor muscles were selected and randomly divided into three groups: a functional massage group, a stretching group, and a stretching and muscle strengthening group. The exercise program consisted of sessions four times per week for two weeks. The length of pectoralis minor and the activity of the trapezius muscles were measured using electromyography. Forward head posture was assessed using the craniovertebral angle (CVA) and the cranial rotation angle (CRA) pre-, during and post-treatment. Result: Significant improvements were observed in pectoralis minor length, CRA, and CVA post-treatment in all groups (p<0.05, p<0.01, p<0.001). However, only the activity of the lower trapezius demonstrated a statistically significant difference post-treatment. There were no significant differences between the groups. Conclusion: The findings of this study suggest that all three exercise programs were effective in improving forward head posture and the length of pectoralis minor post-treatment.