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The Effect of Myofascial Release and Cervical Traction on Pain, Range of Motion and the Neck Disability Index in Patients with Chronic Neck Pain: A Randomized Controlled Trial (근막이완술과 목 견인이 만성 목 통증 환자의 통증, 관절가동범위, 목 기능 장애지수에 미치는 영향: 무작위 대조 연구 )

  • Young-Min Kim;Ho-Yong Shin
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.1
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    • pp.107-117
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    • 2024
  • PURPOSE: This study examined the effects of the myofascial release and cervical traction after applying conservative physical therapy to patients chronic neck pain. METHODS: Patients were randomly divided into two groups, namely myofascial release (7 subjects) and cervical traction (7 subjects). Each group performed their therapy 45 minutes per day, two times a week, for four weeks. Pain intensity was measured using the visual analog scale (VAS). Function was measured with the neck disability index (NDI). The cervical range of motion (CROM) was measured with a cervical range of motion (CROM) goniometer. RESULTS: After four weeks of therapy, the VAS (p < .05) and NDI (p < .05) significantly decreased, and ROM significantly increased in both groups (p < .05). There were also significant differences between the two groups for these three measures, except for neck flexion and neck extension(p<.05). CONCLUSION: Myofascial release and cervical traction are more effective than cervical traction alone for reducing VAS and NDI and increasing ROM in patients with chronic neck pain.

Chuna therapy include Space Spinal Conduction Exercise and Manipulation Treatment for Functional dyspepsia patients: A case report (공간척추도인안교법의 타교법을 병행한 추나 치료만으로 증상 호전을 보인 기능성 소화불량 환자 1례)

  • Myung-hwan Yu;Jae-Heung Cho
    • The Journal of Korean Medicine
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    • v.45 no.1
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    • pp.225-232
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    • 2024
  • Objectives: The purpose of this case study was to report the effect of Chuna therapy include Space Spinal Conduction Exercise and Manipulation Treatment for Functional dyspepsia patients. Methods: A 32-years-old male patients with functional dyspepsia visited the clinic ten times from March 17th 2023 to April 22th 2023. To assess the treatment outcomes, we used the Standard tool for pattern identification of Functional dyspepsia and Nepean Dyspepsia Index-Korean version (NDI-K) symptom score. Result: After treatment, Standard tool for pattern identification of Functional dyspepsia and Nepean Dyspepsia Index-Korean version (NDI-K) score decreased. Conclusion: Chuna therapy include Space Spinal Conduction Exercise and Manipulation Treatment was effective in the treatment of patient with Functional dyspepsia.

Observation of Factors on Post-traffic accident Neck Pain in a Medical Center : Retrospective Chart Review (일개 의료기관에 입원한 교통사고 후 환자의 경항통 및 특성에 대한 관찰 : 후향적 챠트 리뷰)

  • Koo, Jieun;Park, Jiwon;Han, Hyeonju;Jo, Hee-Geun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.35 no.1
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    • pp.36-41
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    • 2021
  • Many prior studies on neck pain after a traffic accident (TA), but there is a lack of research on risk factors for post-TA neck pain in Korea. The purpose of this study was to examine the relationship between post-traffic neck pain and the demographic characteristics of TA patients and to find any factors affecting the neck pain after TA. In this study, 120 TA patients in a Korean medicine hosipital were analysized. The Korean version of the Neck disability Index (NDI) and Numeral Rating Scale (NRS) were used. Data were summarized by frequency(%) and mean(standard deviation). Pearson correlation test, Independent sample t-test, chi-squre test, one-way ANOVA and two-way ANOVA were performed. The IBM SPSS Advanced Statistics for window, version 20.0 was used for statistical processing. All p-values less than 0.05 were considered statistically significant. NDI and NRS were highly correlated. NRS and NDI showed higher scores for women, those in 30s, BMI≥25, and side collisions, but there were no statistically significant differences. For women, the direction of collision was observed to affect NDI. In this study, it was confirmed that the NDI and NRS had a high correlation. However, it was confirmed that sex, degree of obesity, direction of traffic accident collision are not factors that significantly affect the intensity of neck pain and the functional disorder by neck. It is necessary to conduct an additional study by larger scale.

Effects of Specific Exercise on Chronic Neck Pain in Elderly Women

  • Shin, Sang-Hee;Choi, Jong-Duk
    • The Journal of Korean Physical Therapy
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    • v.22 no.3
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    • pp.1-8
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    • 2010
  • Purpose: The main causes of chronic neck pain (CNP) are wrong postures and degenerative changes. This study investigated the effects of specific exercise on elderly women with CNP. Methods: 29 elderly women who complain of CNP were classified into experimental group (14) and control group (15). The experimental group was treated with specific exercise and minimal conventional therapy, whereas the control group was treated only with conventional therapy. Then the effects on the visual analogue scale (VAS), neck disability index (NDI), self-rating anxiety scale (SAS), Korean form of geriatric depression scale (KGDS), and range of motion (ROM) were compared between the two groups. Results: The experimental group showed significantly improved results in VAS, NDI, SAS, KGDS, and ROM after intervention (p<0.05), as did the control group (p<0.05). The comparison of changes in the experimental group before and after intervention showed superior results in the SAS, NDI, and ROM (flexion, rotation, lat. flexion) results when compared with the control group (p<0.05). Conclusion: Specific exercise is effective in the improvement of SAS, NDI, and ROM for elderly women with CNP.

Synthesis and Property of Pyrene-Naphthalene Diimide-Pyrene Triad (Pyrene-Naphthalene Diimide-Pyrene Triad의 합성 및 물성에 대한 연구)

  • Kim, Hyunji;Kim, A-Rong;Park, Jong S.
    • Textile Coloration and Finishing
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    • v.26 no.4
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    • pp.305-310
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    • 2014
  • In this study, we presented a newly synthesized pyrene-naphthalene diimide(NDI)-pyrene triad. The optical and structural properties were examined using various characterization techniques. A donor-acceptor-donor triad molecule exhibited a strong charge transfer, though there existed neither intramolecular nor intermolecular hydrogen bonding sites, due to the formation of preferential complementary complex between pyrene and NDI. Powder XRD measurement revealed a sharp and distinctive X-ray patterns, indicating the presence of microcrystalline-like structure. POM images showed anisotropic fingerprint texture similar to that of cholesteric phase, and SEM images showed numerous columnar structures with length of 1 to $10{\mu}m$. Above observation clearly demonstrated that ${\pi}$-complementary NDI-pyrene interactions in the traid was strong enough to form columnar aggregates in the long range.

The Relationship between Increased Intervertebral Disc Height and Development of Postoperative Axial Neck Pain after Anterior Cervical Fusion

  • Chang, Han;Baek, Dong-Hoon;Choi, Byung-Wan
    • Journal of Korean Neurosurgical Society
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    • v.55 no.6
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    • pp.343-347
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    • 2014
  • Objective : To evaluate the relationship between postoperative increase in intervertebral disc space height (IVH) and posterior axial neck in cases of degenerative cervical disease treated with anterior cervical discectomy and fusion (ACDF). Methods : A total of 155 patients who underwent ACDF with more than 1 year follow up were included. Radiologically, IVH and interfacet distance (IFD) of the operated segment were measured preoperatively and postoperatively. We clinically evaluated neck and arm pains according to visual analogue scale (VAS) scores and assessed neck disability index (NDI) scores preoperatively, postoperatively, at 3 months, 6 months, and 1 year postoperatively. The relationship between radiological parameters, and clinical scores were analyzed using a regression analysis. Results : The mean increase in IVH was 2.62 mm, and the mean increase in IFD was 0.67 mm. The VAS scores for neck pain preoperatively, postoperatively, and at 3 months, 6 months, 1 year postoperatively were 4.46, 2.11, 2.07, 1.95, and 1.29; those for arm pain were 5.89, 3.24, 3.20, 3.03, and 2.18. The NDI scores were improved from 18.52 to 7.47. No significant relationship was observed between the radiological evaluation results regarding the increase in intervertebral height or interfacet distance and clinical changes in VAS or NDI scores. Conclusion : The increase in intervertebral space or interfacet distance by the insertion of a large graft material while performing ACDF for the treatment of degenerative cervical disease was not related with the change in VAS scores for neck and arm pains and NDI scores postoperatively and during the follow-up period.

A Clinical Study Comparing the Effects of Supine JS Cervical Therapy and Muscle Release/Strengthening Technique on the Patients with Acute Neck Pain Caused by Traffic Accidents: A Retrospective Study (교통사고로 유발된 급성 경항통 환자에 대한 앙와위 경추 JS 신연 교정기법과 근육 이완/강화기법의 효과 비교: 후향적 연구)

  • Park, Jeong-Wook;Gu, Ji-Hyang;Ha, Hyun-Ju;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.3
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    • pp.129-139
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    • 2020
  • Objectives The purpose of this study was to compare the effect of supine JS cervical therapy and muscle release/strengthening technique in patients with acute neck pain caused by traffic accidents. Methods We studied 42 patients with acute neck pain caused by traffic accidents from July 1, 2019 to November 30, 2019. The study was conducted as a retrospective study which analyzes the patient's medical records. 21 patients (group A) had received supine JS cervical therapy and 21 patients (group B) had received muscle release/strengthening technique. We used the neck disability index (NDI) and visual analog scale (VAS) to evaluate improvements in symptoms and pain, and used the five point Likert scale to evaluate patient's satisfaction with chuna manual therapy. In each group, we compared the NDI and VAS of hospitalization day to those of 5 days later. Then we compared the NDI, VAS variation and five point Likert scale between the groups. Statistical analysis was conducted using the IBM SPSS for windows 25.0. Result Both group A and group B showed a statistically significant decrease in the NDI and VAS on the 5th day of hospitalization. In group A, there was a statistically significant decrease in the NDI compared to group B. The VAS and Five Point Likert Scale decrease was greater in group A than in group B, but the difference was not statistically significant. Conclusion We found that using supine JS cervical therapy may be more effective than muscle release/strengthening technique in acute stage after traffic accidents.

The Clinical Studies for Non Surgical Spinal Decompression Treatment on Cervical Disc Herniation (경추추간판 탈출증환자의 감압치료 병행효과에 대한 임상적 연구)

  • Seo, Sang-Kyoung;Kim, Byoung-Jung;Park, Kuk-Ji;Kang, Jun-Hyuk;Kim, Seong-Ki;Seo, Deok-Won
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.4
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    • pp.131-143
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    • 2011
  • Objectives: The purpose of this study is to make a survey of the effectiveness of the non surgical spinal decompression treatment in patients with cervical disc herniation documented on magnetic resonance imaging(MRI). Methods: We studied about 27 cases of cervical disc herniation which were treated with non surgical spinal decompression and other medical treatment (acupuncture, interferential current therapy and ice poultice). Each patient has been treated with spine decompression and other medical treatment. And degree of improvement has been evaluated by short form-McGill pain questionnaire(SF-MPQ), visual analogue scale(VAS) and neck disability index(NDI) before treatment and 5th, 10th times after treatments. Results: 1. The VAS SF-MPQ and NDI scores showed statistically significant improvement after 5th and 10th treatment. 2. The VAS, SF-MPQ and NDI scores after 5th treatment showed better improvement than those of after 10th treatment. 3. The VAS, SF-MPQ and NDI scores in Subacute stage showed more statistically significant improvement among the other stages. Conclusions: As a result, non surgical spinal decompression treatment has clinical effects of pain reduction on patient with cervical disc herniation.

The Clinical Studies for Kinesio Taping on Patients with Nuchal Pain Caused by Traffic Accidents (교통사고로 유발된 경항통 환자의 키네시오 테이핑의 효과에 대한 임상적 연구)

  • Kim, Hyun-Soo;Kim, Min-Kyun;Hwang, Jae-Pil;Yun, Il-Ji;Huh, Dong-Seok;Hong, Seo-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.67-80
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    • 2008
  • Objectives : The purpose of this study is to find out the effects of kinesio taping on nuchal pain caused by traffic accidents. Methods : The 40 patients were divided into 2 groups : Group A was treated except taping and Group B was treated with taping. Both Group were treated with Acupuncture, Phy-Tx and Herb-med. Patients were evaluated and analyzed Visual Analog Scale(VAS), Pain Rating Score(PRS) and Neck Disability Index(NDI). Results : 1. Group B was significantly decreased in VAS, NDI after 3 days of treatment. 2. Group B was significantly decreased in PRS after 6 days of treatment. 3. Group A was significantly decreased in VAS, PRS and NDI after 9 days of treatment. 4. Group B compared with the Group A was decreased in VAS and NDI after 12 days of treatment. 5. Group B compared with the Group A was significantly decreased in PRS after 9 days of treatment. Conclusions : We found out that kinesio taping treatment is considered to be effective and useful on nuchal pain caused by traffic accidents.

Effects of Cervico-Thoracic Mobilization Technique and Therapeutic Exercise on Muscle Activity, Functional Disability, Craniovertebral angle in Patient with Neck Pain (목 통증 환자에게 목-등뼈 가동술과 치료적 운동이 근활성도, 기능장애, 머리척추각에 미치는 영향)

  • Je-ho Kim;Jong-uk Choi;Yoon-hwan Kim;Hyun-seung Song;Yong-sik Jeong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.1
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    • pp.11-23
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    • 2023
  • Purpose: This study aimed to determine the effects of cervico-thoracic (C-T) mobilization technique and therapeutic exercise on muscle activity, craniovertebral angle (CVA), and neck disability index (NDI) in patients with neck pain. Methods: : A total of 30 patients with neck pain were included and divided into C-T mobilization combined with Pilates group (Experimental group; EG) and thoracic mobilization and self-exercise (Control group; CG) group; each group consisted of 15 patients. The exercises were performed by patients in both groups three times a week, for four weeks. NDI was used to measure functional disability and sEMG was used to measure muscle activity. Results: The EG participants showed significant improvement in the CVA and NDI after the intervention than the CG (p<.05). While both groups presented after intervention decreased muscle activity(upper trapezius), there were no statistically significant differences between the groups (p>.05). Conclusion: The findings of this study suggest that thoracic mobilization technique combined with Pilates exercise may have beneficial effects on CVA and NDI in patients with neck pain and forward head posture.

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