• 국제물리치료학회지
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• 제7권2호
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• pp.989-993
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• 2016

The purpose of this study was to investigate the effects of occipital bone stimulation by cervical stabilizing exercise on the muscle tone, stiffness, ROM, and cervical lordosis in patient with forward head posture(FHP). This study was a case study of a single patient with forward head posture. This study used a ABA' design, A and A' were the baseline phases and B was the intervention phase. The intervention was occipital bone stimulation by cervical stabilization exercise. It was administered once daily for 7 days. The therapist kept hands together, and placed the two index fingers under the subject's occipital bone. The subject performed the chin-in exercise with a maximum isometric contraction for 20 sec.The exercise was implemented by performing the movements 10 times as a set and repeating the set three times. The muscle tone was not significantly changed after intervention. However, the stiffness was decreased and lasted the effect lasted without intervention. The cervical flexion angle was increased, but the cervical extension angle was not significantly changed after the intervention. The left and right lateral flexion angles were increased and the effect lasted without any intervention. However, the left and right rotation angles were significantly changed after the intervention. Cervical lordosis increased not from $37^{\circ}$ to $41^{\circ}$ after the intervention. These results suggest that occipital bone stimulation by cervical stabilizing exercise had a positive effect on cervical stiffness, flexion and lateral flexion ROM, and lordosis in a patient with forward head posture.

• 한국엔터테인먼트산업학회논문지
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• 제14권8호
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• pp.231-236
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• 2020

본 연구의 목적은 40~50대 중년에서 두개척추각(CVA), 나이, BMI와의 상관관계를 알아보는 것이다. 신체 건강한 성인 남녀 40~50대 456명을 대상으로 3D 센서를 활용한 자세측정기를 활용하여 전방머리자세를 측정하였다. 연구결과 전체 중년의 CVA는 나이와는 높은 수준의 음의 상관관계가 있고((r=-.937; p<.01), BMI에 대해서는 매우 낮은 수준의 양의 상관관계(r=.056가 있음을 확인하였다. 성별에 따른 연구에서 중년 남성의 CVA는 나이와는 높은 수준의 음의 상관관계가 있었고(r=-.932; p<.01). BMI에 대해서는 매우 낮은 수준의 양의 상관관계(r=.071)가 있었다. 반면 중년 여성의 경우엔 나이에 대해서만 높은 수준의 음의 상관관계(r=.940, p<.01)가 나타났고 BMI에 대해서는 상관관계가 나타나지 않았다. 본 연구는 CVA가 남성과 여성 모두에서 연령과 유의 한 음의 상관관계를 가지고 있지만, BMI와 낮은 수준의 상관관계를 가지고 있음을 시사한다.

• 대한물리의학회지
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• 제18권1호
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• pp.25-35
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• 2023

PURPOSE: This study examined the effects of applying mat Pilates and kinesio taping on the craniovertebral angle and muscle activity of adults in their 20s with a forward head posture. METHODS: The subjects were 20 adults in their 20s with a forward head posture: 10 from the Mat Pilates group (MPG) and 10 from the Kinesio taping group (KTG). Each group received the intervention for four weeks. The craniovertebral angle and muscle activity were measured before and after the intervention. Statistical analysis of this study was performed using SPSS Ver. 23.0 for Windows was used, and the statistical significance level was set to α = .05. RESULTS: The change in the craniovertebral angle within each group was decreased significantly after the intervention for both MPG and KTG (p < .05), but there was no significant difference in the comparison result of the difference in the amount of change between each group (p > .05). The change in muscle activity within each group did not show any significant change before and after the intervention in all the MPG and KTG muscles (p > .05), and there was no significant difference in all variables for the difference in the amount of change between each group (p > .05). CONCLUSION: Mat Pilates effectively reduced the CVA, but neither intervention significantly affected muscle activity.

• 대한치과보철학회지
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• 제51권3호
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• pp.183-189
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• 2013

연구 목적: 이 연구의 목적은 완전무치악 환자에서 임플란트 지지 고정성 하이브리드 수복물로 수복한 환자의 임상성적을 알아보는 것이다. 연구 대상 및 방법: 분당서울대병원에서 2003년 10월부터 2009년 11월 사이에 4-6개의 임플란트 지지 고정성 하이브리드 수복물로 수복을 하고 1년 이상 기능한 환자를 대상으로 하였다. 방사선 사진상에서 변연골 흡수량을 측정하고 성별, 해부학적 위치(상악 대 하악), 대합치, 하중시기, 식립 경사도에 따른 차이를 비모수 검정(Mann-Whitney U test) 하고, 외팔보의 길이에 따른 영향을 회귀분석하였으며 합병증을 조사하였다. 유의 수준P<.05로 검정하였다. 결과: 총 16명, 16개 수복물에서 84개의 임플란트의 평균 28개월 후의 골흡수량은 $0.53{\pm}0.39mm$였다. 환자의 성별, 해부학적 위치(상악 대 하악), 대합치, 하중시기에 따른 골흡수량의 유의차는 관찰되지 않았으며(P>.05) 회귀분석 결과 외팔보의 길이와 외팔보 인접 최후방 임플란트의 골흡수량 사이에도 유의성이 없었다(P>.05). 16명중11명의 환자에서 합병증이 발생하였으며 전장재 파절과 인공치 탈락이 가장 많았다. 결론: 짧은 기간의 후향적 연구라는 한계 내에서, 임플란트 지지 고정성 하이브리드 수복물의 평균 골흡수는 매우 적었지만 높은 빈도의 합병증 발생을 보였다. 외팔보 인접 최후방 임플란트의 경사와 관계 없이 외팔보 인접 최후방 임플란트보다 나머지 전방부 임플란트의 변연골 흡수량이 유의하게 컸다. 모든 증례의 외팔보 길이(< 17 mm)는 외팔보 인접 최후방 임플란트 변연골 흡수량에 영향을 주지 않았다.

• Journal of Oral Medicine and Pain
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• 제25권1호
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• pp.87-97
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• 2000

This study was performed to investigate the effects of repetitive mandibular opening movement and change of head posture on the vibration of temporomandibular(TM) joint. For this study, 23 patients with internal derangement of TM joint were selected. All they had clinically noticeable TM joint sound. Observation of the joint vibration were performed in four head postures, namely, natural head posture (NHP), forward head posture(FHP), upward head posture(UHP), and downward head posture(DHP). For recording of joint sound vibration, Sonopak of Biopak system(Bioresearch Inc., Milwaukee, USA) was used, The author could take results related to integral higher than 300Hz, integral lower than 300Hz, ratio of integral higher than 300Hz to integral lower than 300Hz, total integral which was sum of higher and lower integral, peak amplitude, and peak frequency in each opening movement, which was carried out three times in each head posture. Integral means amount of vibration. The data obtained were analysed by SPSS windows program and the results of this study were as follows : 1. In NHP, total integral in right TM joint was 5O.3Hz in the first opening, 67.9Hz in the second opening, and 74.0Hz in the third opening movement, bur there was no significant increase of total integral with repetitive opening movement. This finding was similar in left TM joint. Integral lower than 300Hz were higher than integral higher than 300Hz in almost every opening movement. 2. There was no significant difference of total integral between right and left side of TM joint, but there was a tendency of higher total integral in right TM joint than that in left TM joint except for results in DHP. 3. Peak amplitude in NHP ranged from 2.0 to 4.7, and peak frequency in NHP were 101.4-170.0Hz. And there was no consistent findings related to increase or decrease of these value according to repetitive opening in each head posture. 4. Change of head posture did not result any difference in integral, peak amplitude, and peak frequency. In conclusion, change of head posture and repetitive mandibular opening movement did not make any significant effect on the vibration of temporo-mandibular joint, especially, on total integral, peak amplitude, and peak frequency.

• 대한통합의학회지
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• 제5권1호
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• pp.67-74
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• 2017

Purpose : Forward head posture is typical neck disorders occur in all people. And this attitude causes a shortening and weakening of the muscles in the body. It also causes excessive extension acts as a reward. This attitude has to change if the pain occurs around the neck and shoulders, and are subjected to unusual stress. Patients with chronic neck pain associated with forward head posture was found to be the more severe the fall of the respiratory, forward head posture poor quality of much breath. The purpose of this study was to compare the effect of changes in forward head posture and neutral head posture on respiratory. Method : Forty volunteers were participated in study and divided into two groups [forward head posture group (n=20) and neutral head posture group (n=20)]. We measured cervical alignment with global postural system to find out a forward head posture. Respiratory function was measured with a SPIROVIT SP-1 equipment and we found out a forced vital capacity (FVC), forced expiratory volume at one second (FEV1) and FEV1/FVC. A pared t-test was used to determine a statistical significance for the pulmonary function variation and a independent t-test was used to determine a statistical significance in the two groups. Results : In the experimental group, FVC and FEV1 were significantly higher in the artificial neutral head posture than in the forward head posture. In the control group, FVC and FEV1 were significantly higher in the neutral head posture than in the forward head posture. FVC, FEV1, and FEV1/ FVC were significantly higher in the neutral head posture of control group than the artificial neutral head posture of experimental group and higher in the artificial forward head posture of control group than the forward head posture of experimental group. Conclusion : In conclusion, neutral head posture is considered to be an important factor in correct posture and improvement of lung function and continuous study of posture correction program for posture imbalance will be needed.

• Journal of Oral Medicine and Pain
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• 제20권2호
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• pp.361-376
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• 1995

The purpose of this study was to investigate the relationship between the head and neck postre and the cervical curvature, especially in forward head postrue(FHP). Sixty patients with craniomandibular disorders and thirty dental students without any signs and symptoms of craniomandibular disordres participated in this study as patient groups and sa control group, respectively. The author evaluated the head and neck posture of all subjects by plumb line and CROM( Cervical Ragne of Motion), and had taken cephaograph in natural head position. On the cephalograph the angle of cervical inclination formed by true horizntal plane and 4th cervical vertebra(C4) and the radius of cervical curvature from C1 to C5 were measured. A specially designed ruler was used for measuring cervical curvature. Occlusal contac number and force with T-scan system, electromygraphic activity of cervical muscles with Bio-EMG, and distance of freeway space with Bio-ECN were recorded, respectively. The collected data were processed by SAS/STAT progrm. The obtained results were as follows : 1. In subjects with longer radius which was less cervical curvature, head positioned more anteriorly than subjects with smaller radius, and they showed slightly straight cervical vertebra. 2. Between the patients and the control group, there were no differences in cervical curvature, in forward head position by plumb line and in CROM. But the patient group had a greater cervical inclination than the control group had. 3. There were positive correlation between cervical curvature and forward head position by plumbline,between forward head position y plumb line and that by CROM in patient group. The cervical inclination, however, had negative correlation with cervical curvature, and with forward head postion by plumb line, respectively. 4. In case of showing more cervical curvature and more forward head position by plumb line the head position was defined as forward head posture. In patient group, subjects without forward head posture showed greater posterior teeth contact force than subjects with forward head posture, but in control group, there were no difference between the two subjects. 5. There were higher electromyographic activity in almost all muscles and smaller freeway space in induced forward head posture than those in natural head position in subjects without forward head posture. In conclusion, head position of patients with craniomandibular disorders were not more anterior than that of normal control person, but they had tendency to head extension. From the result of this study, forward head posture could be defined as posterior rotation of upper cervical segment with a straight lower cercial segment due to loss of normal lordosis.

• 한방재활의학과학회지
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• 제23권4호
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• pp.195-202
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• 2013

Objectives This study was designed to investigate the correlation between the forward head posture and the spinal alignment. Methods We examined the whole spine x-rays of the 144 student sample. We measured the Craniovertebral angle (CVA), Cervical angle (CA), Thoracic kyphotic angle (TKA), lumbar lordosis angle (LLA) and Ferguson's angle (FA) of the students. We then analyzed the relationship between these angles. Results CVA had correlation with CA, but it was weak. There was significant correlation between CVA and TKA. There were no significant correlation among CVA, LLA and FA. Conclusions According to above results, there is a negative relationship between the CVA and the TKA - in that higher CVAs yielded lower TKAs. But CVA had no significant correlation with LLA or FA.

• Journal of International Society for Simulation Surgery
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• 제2권1호
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• pp.26-32
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• 2015

Purpose When a surgeon examines the morphology of skull of patient, locations of craniometric landmarks of 3D computed tomography(CT) volume are one of the most important information for surgical purpose. The locations of craniometric landmarks can be found manually by surgeon from the 3D rendered volume or 2D sagittal, axial, and coronal slices which are taken by CT. Since there are many landmarks on the skull, finding these manually is time-consuming, exhaustive, and occasionally inexact. These inefficiencies raise a demand for a automatic localization technique for craniometric landmark points. So in this paper, we propose a novel method through which we can automatically find these landmark points, which are useful for surgical purpose. Materials and Methods At first, we align the experimental data (CT volumes) using Frankfurt Horizontal Plane (FHP) and Mid Sagittal Plane(MSP) which are defined by 3 and 2 cranial landmark points each. The target landmark of our experiment is the anterior nasal spine. Prior to constructing a statistical cubic model which would be used for detecting the location of the landmark from a given CT volume, reference points for the anterior nasal spine were manually chosen by a surgeon from several CT volume sets. The statistical cubic model is constructed by calculating weighted intensity means of these CT sets around the reference points. By finding the location where similarity function (squared difference function) has the minimal value with this model, the location of the landmark can be found from any given CT volume. Results In this paper, we used 5 CT volumes to construct the statistical cubic model. The 20 CT volumes including the volumes, which were used to construct the model, were used for testing. The range of age of subjects is up to 2 years (24 months) old. The found points of each data are almost close to the reference point which were manually chosen by surgeon. Also it has been seen that the similarity function always has the global minimum at the detection point. Conclusion Through the experiment, we have seen the proposed method shows the outstanding performance in searching the landmark point. This algorithm would make surgeons efficiently work with morphological informations of skull. We also expect the potential of our algorithm for searching the anatomic landmarks not only cranial landmarks.

• 대한물리의학회지
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• 제17권4호
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• pp.1-13
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• 2022

PURPOSE: This study examined the effects of the craniovertebral angle, proprioception (joint error test), and the upper trapezius on the muscle tone when comparing cervical stabilization and scapula stabilization exercises and when two exercises were performed together. METHODS: The participants in this study agreed in advance, and this study was carried out by recruiting 27 university students in their twenties with mild frontal posture. The subjects were assigned randomly to three groups that performed cervical stabilization exercises, scapular stabilization exercises, and both cervical and scapular stabilization exercises. One-way repeated ANOVA was used to analyze the evaluation values of the 1^st, 3^rd, and 6^th weeks of exercise intervention within the group, and one-way ANOVA was used to compare the difference in the effects of exercise intervention among the three groups. RESULTS: Proprioception was significantly different in the cervical stabilization exercises (CSE) group and the cervical stabilization exercises + Scapular stabilization exercises (CSE+SSE) groups at three weeks, and there was a significant difference between the scapular stabilization exercises (SSE) group and the CSE+SSE group (p < .05). At six weeks, there was a significant difference between the CSE group and the CSE+SSE group, and there was a significant difference between the SSE group and the CSE+SSE group (p < .05). There was a significant difference between three and six weeks in the CSE group (p < .05). In the SSE group, there was a significant difference between pre and six weeks, and between three and six weeks (p < .05). In the CSE+SSE group, there was a significant difference between pre and three weeks, and between pre and six weeks (p < .05). On the other hand, there were no significant differences between CVA and muscular tone in all three groups (P > .05). CONCLUSION: In all groups, the proprioception (joint error test) showed significant improvement, and the CSE+SSE group showed greater improvement than the other groups. As a result, the appropriate combination of neck stabilization exercise and scapular stabilization exercise effectively improved proprioception in the presence of forward head posture (FHP).