• Journal of Interdisciplinary Genomics
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• v.1 no.2
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• pp.19-22
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• 2019

CATCH 22 syndrome is rare genetic disease that has various manifestations. Cervical vertebral anomaly, such as Klippel-Feil anomaly, is frequently observed in the patients with CATCH22 syndrome. We present the case of an 11-year-old female patient with CATCH22 syndrome and Klippel-Feil anomaly who had been treated torticollis using the customized soft neck collar. During the patient's first visit to our clinic, she presented with low ear set, skull deformity, intellectual disability, and tilting of the head to the left by approximately 25 degrees. Imaging studies revealed multisegmental fusion and C3 hemivertebrae of the cervical spine and left thoracic scoliosis at T4 with 50 degrees of Cobb's angle. We instructed passive stretching and applied the customized soft neck collar we invented. The ipsilateral aspect of the neck collar is designed to provide vertical support between the clavicle and mandibular angle and is adjustable in height. The Velcro was attached to the neck collar at the point of contact with the ipsilesional mandibular angle, which provides negative sensory feedback, inducing her to tilt neck to the contralesional side. We applied the neck collar for 2 hours a day. After 1 year of treatment, her neck inclination angle improved from 25 to 10 degrees. Providing negative sensory feedback using the customized soft neck collar can be one of the treatment options of postural management in patients with torticollis in cases of CATCH 22 syndrome combined with Klippel-Feil anomaly.

• Journal of the Korean Society of Physical Medicine
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• v.19 no.1
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• pp.61-68
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• 2024

PURPOSE: This study aimed to provide basic clinical data by analyzing the impact of motion observation training and stretching exercises for improving postures on the neck alignment and balance of stroke patients to enable them to accurately recognize the correct exercise method. METHODS: After sampling 20 stroke patients who met the selection criteria, this study randomly assigned 10 people who were administered the stretching exercise with observation training to the experimental group and 10 who received only the stretching exercise intervention to the control group by drawing lots. Next, neck alignment and balance were pre-tested. All interventions were conducted for 30 minutes, 3 times a week for 4 weeks, and when all the interventions were completed after 4 weeks, neck alignment and balance were re-measured in the same way as the pre-test. RESULTS: The comparison of changes in neck alignment and balance within the experimental and control groups showed statistically significant differences in the craniovertebral angle, cranial rotation angle, and balance (p < .05) (p < .01). Between the groups, statistically significant differences were found in the craniovertebral angle, cranial rotation angle, and balance (p < .05) (p < .01). CONCLUSION: A statistically significant difference in neck alignment and balance was observed in the group that underwent stretching exercises combined with observational training and a statistically significant difference was found between the groups. Therefore, it is believed that observation training should be used in clinical practice to improve forward head posture and restore balance in stroke patients.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.24 no.1
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• pp.15-21
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• 2018

Background: The purpose of this study was to determine the effects of cervical deep muscle flexion exercise (CCFE) on craniovertebral angle, pain, and neck disability for patients with chronic neck pain Methods: The subjects of this study were randomly divided into three groups of 30 patients with chronic neck pain: rectus abodominis functional massage (n=10), cervical deep muscle flexion exercises group (n=10), and the control group(n=10). To assess visual analog scale (VAS) was used to test the neck pain, To assess neck posture was used to craniovertebral angle, VAS was used to test the neck pain, neck disability index (NDI) was used to test the neck dysfunction. All measurements were performed before and after each intervention was applied 3 times a week for 4 weeks. Results: In the results of all measurements, 2 groups except for the control group showed a significant change in the recovery of posture, neck pain, neck disability index (p<.05). Conclusions: Our results of this study showed that applying cervical deep muscle flexion exercise and rectus abodominis functional massage to patients with chronic neck pain improved cervical posture, neck pain, neck disability.

• Journal of the Korean Society of Physical Medicine
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• v.5 no.1
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• pp.1-6
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• 2010

Purpose : This research intended to find out the effects of scalenus medius muscle relaxed posture on the increase of head-neck rotation for general adults. Methods : This research was conducted on 30 subjects whose both sides head neck rotation angles are not the same and that agreed to participate in the experiment. In a posture of sitting erectly on a mat, both sides head neck rotation angles were measured with C-ROM equipment, and while supporting arm in direction opposite the side where head neck rotation limited and leaning over the body at 45 degree and neck at vertical condition against ground, head-neck rotation angles were measured each with C-ROM equipment. Results : The Head-Neck rotation angle on the side of limited head-neck rotation demonstrated more increase in scalenus medius relaxed posture than in erect sitting posture, showing significant difference statistically(p<0.05). The head-neck rotation angle on the side of non-limited Head-Neck rotation demonstrated more decrease in scalenus medius relaxed posture than in erect sitting posture, not showing any significant difference statistically (p>0.05). Conclusions : This posture may be used for preventing limit of head-neck rotation caused of scalenus medius muscle tension and increasing head-neck rotation.

• Journal of Biomedical Engineering Research
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• v.38 no.6
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• pp.291-294
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• 2017

It is known that laptop computer stand is helpful to maintain the good posture while using laptop computer on the desk. But the quantitative validation of its effect has not been reported. Using the wearable neck posture tracker, the forward flexion angle of the neck can be measured in daily life. In this study, the forward flexion angles of the neck while using the laptop computer with and without laptop computer stand were compared. From the posture data of 10 subjects for 6 hours, the average of the forward flexion angle was 0.9 degree with laptop computer stand and 16.3 degree without laptop computer stand. As the conclusion, laptop computer stand can decrease the forward flexion angle which is known as forward head posture while using the laptop computer on the desk.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.1 no.2
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• pp.111-123
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• 2006

Objectives: This study is performed to evaluate the clinical effect of chuna therapy on the neck pain associated with kyphotic cervical curvature. Methods: This study carried out on three patients with neck pain & kyphotic cervical curvature who have received treatment in Depar1ment of Oriental Rehabilitation Medicine, Daejon Oriental Hospital of Daejon University from 28th July 2006 to 3th November 2006. Pre and post treatment, We evaluated the cervical angle, Jackson's angle, Jochumsen method, Ishihara index, VAS and effective score of treatment. Results & Conclusions: Two patients who received Chuna treatment recovered cervical curvature and improved neck pain. But One patient who dosen't received Chuna treatment was no improvement in cervical curvature & neck pain.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.4
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• pp.301-309
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• 2019

Purpose : The purpose of this study was to provide an effective method of exercise therapy for patients with cervicogenic headache. Methods : The subjects were divided into the following two groups according to the intervention received: cervical stretch exercise (n=15, control group) cervix-stabilizing exercise (n=15, experimental group) tone (Hz) and stiffness (N/m) of the suboccipital and upper trapezius muscles were measured. T1 slope angle and neck tilt angle were measured. After the exercise program intervention, a greater amount of change in muscle tone and stiffness of suboccipital and upper trapezius muscles was found in the experimental group, as compared to the control group. Greater amount of change in posture was found in the experimental group, as compared to the control group (p<0.05). Results : After the exercise program intervention, a greater amount of change in muscle tone and stiffness of suboccipital and upper trapezius muscles was found in the experimental group, as compared to the control group. Greater amount of change in posture was found in the experimental group, as compared to the control group (p<0.05). Conclusion : The neck-stabilizing exercise were shown to be effective in decreasing the tone of the cervical muscles by stabilizing the cervical bone and improving muscle activity, and in improving the posture by decreasing muscle tone and stiffness.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.18 no.2
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• pp.65-73
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• 2023

Objectives This case study aimed to investigate efficacy of Chuna manual therapy (CMT) on acute neck pain patients with abnormal cervical curvature. Methods CMT was administered to five patients with abnoraml cervical curvature in the Department of Korean Medicine Rehabilitation, College of Korean Medicine, Semyung University Korean Hospital from June 2018 to May 2023. Cervical angle, Jackson's angle, Jochumsen method, Ishihara index and visual analog scale (VAS) scores were evaluated before and after treatment. Results In cases 1, 2, 3, 4, and 5, the cervical angle, Jackson's angle, Jochumsen method, Ishihara index all increased, while VAS scores decreased after CMT. Conclusions The observed improvements suggest that CMT is effective in restoring the cervical curvature and alleviating neck pain in patients with acute neck pain.

• Journal of Biomedical Engineering Research
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• v.37 no.3
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• pp.112-118
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• 2016

The neck pain is fairly common occurance. Forward head posture and text neck are poor postures which may be related with neck pain but the evidence is not enough. We developed the wearable sensor which can assess the head & neck posture in daily life. Microprocessor, Bluetooth low energy, and 3-axis accelerometer, rechargeable battery and vibratior for reminding are used to implement the wearable sensor. Real-time algorithm to parameterize the posture for one epoch is implemented which classifies the posture in the epoch into three classed; dynamic, static_good posture, and static_poor posture. Also the algorithm makes reminding to its wearer to give them the prolonged poor posture is detected. The mean error of measurement was 1.2 degree. The correlation coefficient between neck angle and craniovertebral angle was 0.9 or higher in all cases. With the pilot study on text neck syndrome was also quatified. Average of neck angle were 74.3 degree during the listening in the classroom and 57.8 degree during the smartphoning. Using the wearable sensor suggested, the poor postures of forward head posture and neck neck can be detected in real-time which can remind the wearer according to his/her setting.

• Journal of Korean Physical Therapy Science
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• v.22 no.2
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• pp.11-17
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• 2015

Background : The purpose of this study was to investigate the effects of taping on the neck rotation angle in the elderly. Methods : The twenty-eight elderly aged over 60 and twenty-seven college students participated in the study. In both groups, neck rotation angles were measured through CROM before and after taping. SPSS 18.0 was used for data analysis. Results : The results indicated that both groups showed significant increases in the neck rotation angles of the affected side after taping. However, there was no significant difference in the rotation angle of both neck regions after taping. The variation of the student group was higher than that of the elderly group after taping. Conclusion : We think that taping can be effective in balancing the neck muscles of both sides and in increasing the rotation angle of the neck.