• 한국산학기술학회논문지
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• 제11권11호
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• pp.4346-4353
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• 2010

본 연구의 목적은 20대의 정상 성인에서 경부의 관절가동범위와 마사지 및 정적 스트레칭이 관절가동범위에 미치는 영향을 측정하는 것이다. 근골격계와 신경계의 질환이 없는 100명(마사지그룹=50, 스트레칭그룹=50)을 대상으로 실시하였다. 마사지와 정적 스트레칭은 흉쇄유돌근, 사각근, 승모근, 반극근, 판상근, 후두하근, 다열근과 회선근에 적용되었다. 두 그룹은 주 3회의 중재를 받았다. 중재 시간은 10분이었다. 마사지그룹은 경찰법, 유날법 및 스트라이핑 마사지가 사용되었고, 스트레칭그룹은 정적 스트레칭이 사용되었다. 경부의 가동범위 측정도구는 경부의 8가지 동작(후두하 굽힘과 폄, 경부의 굽힘과 폄, 왼쪽 옆굽힘과 오른쪽 옆굽힘, 왼쪽 돌림과 오른쪽 돌림)을 분석하기 위하여 사용되었다. 통계학적 분석결과는 다음과 같다. 첫째, 정상적인 경부의 관절가동범위는 남자에서 후두하굽힘과 폄이 $2.39^{\circ}$와 38.36^{\circ}$, 경부의 굽힘과 폄이 $54.11^{\circ}$와 69.39^{\circ}$, 왼쪽과 오른쪽의 옆굽힘이 $43.50^{\circ}$와 $41.28^{\circ}$, 왼쪽과 오른쪽의 돌림이 $66.39^{\circ}$와 $65.94^{\circ}$로 나타났고, 여자에서는 후두하 굽힘과 폄이 $5.14^{\circ}$와 $36.47^{\circ}$, 경부의 굽힘과 폄이 $55.92^{\circ}$와 $71.22^{\circ}$, 왼쪽과 오른쪽의 옆굽힘이 $43.34^{\circ}$와 $41.06^{\circ}$, 왼쪽과 오른쪽의 돌림이 $69.38^{\circ}$와 $68.63^{\circ}$로 나타났다. 둘째, 후두하 굽힘, 왼쪽 돌림과 오른쪽 돌림에서 여성이 남성보다 더 높은 관절가동범위를 보였다(p<0.05). 셋째, 마사지군과 스트레칭군은 치료 후에 모든 항목에서 관절가동범위의 증가를 보였지만 두 그룹간의 비교에서는 유의한 차이를 보이지 않았다(p<0.05). 위의 결과는 마사지와 정적 스트레칭이 경부 근육의 신장 및 이완을 통해 가동범위를 증가시키는 적당한 방법이라는 것을 제시한다. 그리고 경부의 가동범위를 조사하는 연구의 기초로 제공될 수 있을 것이다.

• PNF and Movement
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• 제21권1호
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• pp.37-45
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• 2023

Purpose: Whiplash-associated disorder is often caused by external impact, such as a car accident, and it involves acceleration and deceleration of the flexion and extension of the neck. The purpose of this study is to determine whether the combination of cyrotherapy and a joint mobilization intervention in patients with acute whiplash-associated disorder is effective for pain, cervical range of motion (ROM), and muscle tone in the neck muscles. Methods: In this study, 20 patients with acute whiplash-associated disorder were randomly assigned to two groups. Group A was treated with cyrotherapy for 5 minutes, while group B was treated with cyrotherapy and a joint mobilization intervention. In both groups, visual analogue scale (VAS), neck disability index (NDI), cervical ROM, and muscle tone values were measured pre- and post-intervention. Results: According to the VAS values, both groups showed significant differences pre- and post-intervention (p<0.05), and in both groups, NDI was significantly decreased pre- and post-intervention (p<0.05). Finally, in terms of muscle tone, both groups showed significant changes before and after the intervention (p<0.05). Conclusion: These results showed that cryotherapy and joint mobilization can be effective interventions in patients with whiplash-associated disorder. In addition, to improve the ROM of the cervical joint and reduce NDI, the combination of cryotherapy and joint mobilization is considered more effective than the single intervention of cryotherapy.

• Physical Therapy Rehabilitation Science
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• 제9권3호
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• pp.149-154
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• 2020

Objective: This study aimed to evaluate the effects of the Kaltenborn-Evjenth concept of nerve mobilization combined with intermittent cervical segment traction (ICST) on pain, Neck Disability Index (NDI) scores, range of motion (ROM) and endurance in persons with cervical radiculopathy (CR). Design: Two-group pretest-posttest design. Methods: Thirty subjects participated in this study and were randomly assigned to two groups. The ICST group (n=15) was performed simultaneously with nerve mobilization and cervical traction for the segment with cervical pain at the same time. The intermittent cervical total traction (ICTT) group (n=15) performed nerve mobilization and cervical traction for the whole cervical area at the same time. In this study, outcome measures such as the Visual Analog Scale (VAS), NDI, ROM, endurance (cranio-cervical flexion test), and passive intervertebral motion performed before and 4 weeks after the experiment were compared to investigate the effects of each intervention. Results: In both groups, there were significant differences in the VAS, NDI scores, and endurance, and there were significant differences between the two groups except for endurance (p<0.05). In the ICST group, significant differences were found in all ROM, and in the ICTT group, significant differences were found in only extension, and there were significant differences between the two groups (p<0.05). Conclusions: The ICST group showed more improvement than the ICTT group in pain, NDI scores and ROM. Moreover, our findings show that the ICST could be used as a new strategy for manual therapy in persons with CR.

• 한국임상수의학회지
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• 제39권6호
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• pp.390-394
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• 2022

A 6-year-old, 36.5 kg castrated male Golden Retriever presented for revision surgery for left total hip replacement. The patient underwent removal of the cup and head implants due to unmanageable prosthetic hip dislocation, despite revision surgery. On physical examination, the dog showed persistent weight-bearing lameness after exercise of the left hindlimb with mild muscle atrophy. Radiographic examination revealed dorsolateral displacement of the femur with a remnant stem and bony proliferation around the cranial and caudal acetabulum rims. The surgical plan was to apply the dual mobility cup to increase the range of motion and jump distance to correct soft tissue elongation and laxity caused by a prolonged period of craniodorsal dislocation of the femur. The preparation of the acetabulum for cup fixation was performed with a 29-mm reamer, and the 29.5-mm outer shell was fixed with five 2.4-mm cortical screws. The head and medium neck of the dual-mobility system were placed on the cup, and the hip joint was reduced between the neck and stem. The dog exhibited slight weight bearing on a controlled leash walk the day after surgery. The patient was discharged 2 weeks postoperatively without any complications. Six months postoperatively, osseointegration and a well-positioned cup implant were observed, and the dog showed excellent limb function without hip dislocation until 18 months of phone call follow-up.

• The Journal of Korean Physical Therapy
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• 제28권5호
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• pp.314-320
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• 2016

Purpose: This study compared the effectiveness of sling exercise and McKenzie exercise in patients with acute cervical whiplash associated disorder (WAD) caused by rear-end collision. Methods: Thirty WAD patients were randomly assigned to one of three groups; a sling exercise (SE) group, a McKenzie exercise (McE) group, and a control group. Members of the SE and McE exercised three times a week for four weeks under the researcher's guidance. Three groups performed TENS treatment three times a week for four weeks. Diagnostic radiological equipment was used to measure whiplash injury. Visual analog scale (VAS), neck disability index (NDI), and range of motion (ROM) were used in this study. Results: The three groups showed a significant pre-post treatment difference in measures of VAS and NDI (p<0.05). The SE group showed a significant pre-post treatment difference in measures of flexion and extension changes compared to the McE and control group (p<0.05). The SE group also showed significantly greater improvement in the VAS, NDI, and ROM changes than the control group (p<0.05). Conclusion: These findings indicate that sling exercise is a stronger and more aggressive intervention for treatment of acute WAD patients.

• 척추신경추나의학회지
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• 제2권2호
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• pp.33-40
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• 2007

Objectives : This study was peformed to evaluate the effect of Chuna Traction, Correction and conservative treatment. Methods : The patient was diagnosed as cervical bulging disc, protrusion and Uncovertebral joint arthrosis through Cervical spine MRI and treated with conservative treatment(Chuna, Acupunture etc.). We measured Visual Analog Score(VAS) and Range Of Motion(ROM) to evaluate treatment effects. Results and Conclusions : ROM of Cervical spine has improved. VAS score was also decreased.

• 한국전문물리치료학회지
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• 제13권1호
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• pp.9-15
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• 2006

Work-related musculoskeletal disorder has been associated with long hours of computer work and prolonged periods of static posture. In clinical settings, postural correction is a common treatment approach for individuals with neck, shoulder, and back pain. This study was designed to identify the effect of Forward Head Posture Correctional Device during computer work. Twelve healthy adults (mean age, 27.4 yrs; mean height, 165.0cm mean weight, 65.8 kg) participated in the study. They had no medical history of neurological or surgical problems with their upper extremity. The subjects were asked to perform Head Forward Posture under the guidance of physical therapists and the measured angles were analyzed using a 3-D motion analysis system. Markers were placed on the C7 spinous process, tragus of the ear and forward head angle was between the line from the tragus to the C7 line and the Y-axis at the C7. The statistical significance of difference between, "without" and "with" correctional device was tested by paired t-test. A level of significance was set at ${\alpha}$=.05. In comparison of the computer work between "without" and "with" correctional device, Forward Head Angle was showed significant difference (p<.05). In conclusion, the range of Forward Head Angle was significantly decreased during computer work with the correctional device. Further research is needed to understand the nature of motor control problems in deep muscles in patients with neck, shoulder, and back pain.

• Annals of Rehabilitation Medicine
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• 제39권6호
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• pp.957-963
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• 2015

Objective To compare the pain-reducing effect of forest bathing alone versus forest bathing in combination with stretching and strengthening exercises in patients with chronic posterior neck pain. Methods Sixty-four subjects with posterior neck pain that had lasted more than 3 months were enrolled. They were randomly divided into a forest bathing alone (FBA) group and a forest bathing with exercise (FBE) group; each group included 32 subjects. All subjects from both groups walked every morning in the forest for about 2 hours for 5 days. In the afternoon, the FBE group did a stretching and strengthening exercise for about 4 hours; the FBA group had free time in the woods. Visual analog scale (VAS) on one day, VAS over the previous week, neck disability index (NDI), EuroQol 5D-3L VAS (EQ VAS) and index (EQ index), McGill pain questionnaire (MPQ), the number of trigger points in the posterior neck region (TRPs), and the range of motion of the cervical spine were evaluated on the first and last day of the program and compared between the two groups. Results The number of TRPs were significantly reduced in the FBE group compared with the FBA group (p=0.013). However, the other scales showed no significant difference between the two groups. Conclusion When patients with chronic posterior neck pain underwent a short-term forest bathing (less than 7 days) program, FBE was more effective in the reduction of the number of TRPs than FBA. However, all other pain measurement scales we evaluated showed no statistically significant difference between the two protocols.

• 한국컴퓨터정보학회논문지
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• 제25권8호
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• pp.145-150
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• 2020

전방머리자세는 머리와 목의 잘못된 자세 정렬 중 하나로 비정상적인 관절 위치감각과 고유수용성 감각손상으로 인해 목의 통증과 균형 손상까지 발생시키는 주요 원인으로 알려져 있다. 키네시오 테이핑은 통증관리를 위해 사용되는 임상적인 중재방법으로 통증감소, 혈액순환 촉진, 근육이완을 유도하여 관절 위치 교정 및 근육과 관절에 안정성을 제공하는 효과를 가지고 있다. 이전의 많은 연구에서 키네시오 테이핑을 활용하여 목 통증감소와 목의 정렬에 긍정적인 효과가 있음을 입증하였지만 일부 연구에서는 통증 완화의 효과를 입증하지 못한 부분도 있다. 키네시오 테이핑 적용 후 즉각적인 통증완화 및 정렬 개선에 효과를 보이긴 하지만 적용이후 효과의 지속에 대해서는 증거가 충분하지 않고 임상적으로 더 큰 가치를 보이기 위해서는 키네시오 테이핑의 장점에 대해서 추가적인 연구를 권장하였다. 따라서 본 연구는 앞머리 자세를 가진 사람에서 키네시오 테이핑이 머리 자세의 정렬과 동적 균형 능력에 미치는 영향을 조사하고자 한다.

• Clinics in Shoulder and Elbow
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• 제20권2호
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• pp.95-99
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• 2017

Background: The purpose of this study was to investigate the clinical and radiological outcomes of locking plate fixation with fibular strut allograft to manage unstable osteoporotic proximal humerus fractures. Methods: We retrospectively reviewed 15 patients who underwent open reduction and locking plate fixation with fibular strut allograft for osteoporotic proximal humerus fracture between July 2011 and June 2015. For functional evaluation, we evaluated visual analogue scale (VAS) pain score, American Shoulder and Elbow Surgeons (ASES) score, University of California Los Angeles (UCLA) shoulder score, and active range of motion. For radiological evaluation, shoulder true anteroposterior (AP) and AP in $20^{\circ}$ external rotation, as well as the axillary view were taken at two weeks, six weeks, three months, six months, and one year. And the neck-shaft angle was measured on the AP view in $20^{\circ}$ external rotation view. Results: At the one-year follow-up, mean VAS pain score and all shoulder scores, including ASES score and UCLA shoulder score, exhibited satisfactory clinical outcomes. All patients obtained bone union between three and six months post-procedure. Moreover, the mean immediate postoperative neck-shaft angle was $138^{\circ}{\pm}4^{\circ}$, and at one-year follow-up, the neck shaft angle was $137^{\circ}{\pm}5^{\circ}$. There was no significant difference between the preoperative and postoperative values (p=0.105). Conclusions: For the unstable two-part and three-part osteoporotic proximal humerus fractures with medial calcar comminution, the use of fibular strut allograft with locking plate fixation was effective in maintaining the initial status of reduction and exhibiting the satisfactory functional and radiological outcomes.