• The Korean Journal of Pain
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• 제5권2호
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• pp.239-248
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• 1992

Two hundred sisty five patients who complained of neck pain with stiffness and pain of the suprascapular area were studied. In most cases the anatomical locations of pain were in the levator scapulae muscles or trapezius muscles. Hyperactivity of dorsal scapular nerve or spinal accessory nerve which innervate those muscles was thought to be responsible for these pains. The hyperactivity of the nerves may be due to the spasm of the sternocleidomastoid muscle and the scalenus medius muscle which the nerves meet during their courses to the levator scapulae or trapezius muscles. Therefore, spasmolytic treatment on the scalenus medius provided effective relief for neck or shoulder pain.

• 동의신경정신과학회지
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• 제21권4호
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• pp.175-185
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• 2010

Objectives : The objective of this study was to observe the relationships between neck pain and psychological factors such as stress, anger, anxiety and depression. Methods: Under mental stress. the 31 patients with neck stiffness and 32 control subjects with no neck stiffness were measured by using NDI, BEPSI, GARS, STAXI, STAI, and BDI scales. The psychological scales between the patients and the controls were taken to observe the average results by comparing between the two groups. Also NDI and psychological scales of correlation analysis was performed. Results: 1. The mean scores of NDI, BEPSI, GARS, State-Anger, Trait-Anger, Anger-out, Anger-In, Sate-Anxiety, TraitAnxiety, and BDI under patients group were significantly higher than those in control group. 2. The value of NDI comparing to the values of BEPSI, GARS, State-Anger, Trait-Anger, Anger-out, Anger-In, Sate-Anxiety, Trait-Anxiety, and BDI in this study resulted in high correlation among each others which showed statistically significant. Conclusions : It has the possibility that the neck pain with stress. anxiety. anger and depression might be related highly in correlation. especially in stress and anxiety which showed the most high correlation.

• 대한한의학원전학회지
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• 제23권1호
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• pp.47-58
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• 2010

"Sanghanron(傷寒論)" can be approached through the understanding of the formulas. It is very important to correlate the efficacy of drugs and pathogenesis of syndrome. In this sense, the author examines the Paeoniae Radix Alba's efficacy. The Paeoniae Radix Alba[芍藥] used in Gyejitang(桂枝湯), Galgeuntang(葛根湯), Sogeonjungtang (小建中湯), Jagyakgamchotang(芍藥甘草湯) all have a similar effect. The Paeoniae Radix Alba supplies the tendon and blood meridian with bodily fluids, so it treats the stiffness and pain of the head and neck[頭項强痛], stiffness of the neck and back[項背强几几] and acute pain in the abdomen[腹中急痛] etc. Meanwhile, the Paeoniae Radix Alba treats difficulty in urination. It moistens the path to the excretion of urine included among drugs which increase digestion and transformation.

• 대한정형도수물리치료학회지
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• 제25권1호
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• pp.71-76
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• 2019

Background: An 8-year-old girl had severe neck pain and stiffness after trauma. CT scan showed atlantoaxial rotatory subluxation (AARS). She had conservative treatment because she did not have neurological symptoms and spinal basilar artery dysfunction. Conservative therapy was halter traction twice for 4 weeks. However, pain and stiffness persisted. She had been recommended to have surgery from her physician, but she received manual therapy for non-surgical procedures. Methods: The joint mobilization, muscle energy technique, motor control exercise, and deep neck flexor (DNF) endurance exercise were applied as manual therapy and 10 session for 2weeks. Results: Clinical outcomes were measured at initial baseline, after 2 weeks, and after 6weeks. Active range of motion was completely restored after 6weeks and numeric pain rating scale was completely reduced after 2 weeks. The strength of neck flexor muscle recovered to normal after 2 weeks, and the DNF endurance was improved to 25 seconds after 2 weeks and to 42 seconds after 6weeks. Motor control capacity recovered to 30 ㎜Hg after 2 weeks. Conclusions: This case report describes the immediate and short-term clinical outcomes for a patient presenting with symptoms of neck pain following AARS. Clinical rationale and patient preference aided the decision to incorporate manual therapy as a treatment for this patient. Manual therapy has shown a successful recovery in AARS patients, more research is needed to validate the inference of this case report.

• 대한통합의학회지
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• 제7권3호
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• pp.159-169
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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 three groups according to the intervention received: cervix-stabilizing exercise (n=12, group 1), transcranial direct current stimulation (n=12, group 2), and cervix-stabilizing exercise combined with transcranial direct current stimulation (n=12, group 3). The intragroup and intergroup differences in muscle characteristics and neck disability index were compared and analyzed. Results: The comparison and analysis of the changes in muscle tone and post hoc analysis revealed statistically significant intragroup decreases in the upper trapezius and suboccipitals in groups I and III, and statistically significant intergroup differences in the upper trapezius, with greater changes in group III than in group II, and in the suboccipitals, with greater changes in groupIII than in groups Iand II. The comparison and analysis of the change in muscle stiffness and post hoc analysis revealed a statistically significanti ntra group decrease in the upper trapezius in group Iand suboccipitals in group III, and a statistically significant intergroup difference in both muscles, with greater change in group III than in group II. The comparison and analysis of change in neck disability index and post hoc analysis revealed a statistically significant intragroup decrease in all the three groups and a statistically significant intergroup difference, with greater change in group III than in groups I and II. Conclusion: The neck-stabilizing exercise and transcranial direct current stimulation were shown to be effective in decreasing the tone of the cervical muscles by stabilizing the cervical bone and improving muscle durability, and in improving the movement and limitation of joint range of motion by decreasing muscle tone and stiffness.

• 대한중풍순환신경학회지
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• 제7권1호
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• pp.54-58
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• 2006

Objectives : This study was aimed to investigated the relationship between warning signs and stroke subtype in acute stroke patients. Methods : From Oct. in 2005 to Oct. in 2006, 409 acute stroke patients were included. Patients were hospitalized within 14 days after the onset of stroke in DongGuk University International Hospital, Kyungwon University In-cheon Oriental Medical Hospital, Department Cardiovascular and Neurologic Diseases(Stroke center) Kyung Hee University Oriental hospital. We investigated general characteristics, stroke subtype, and warning signs(facial spasm, neck stiffness). Results : Hemorrhagic stroke had more facial spasm than ischemic stroke. (odds ratio 3.60) Small vessel occlusion had more neck stiffness than others. (odds ratio 2.03) Conclusion : To acquire more concrete conclusions on warning signs, we need further and large scale of prospective researches.

• 한국전문물리치료학회지
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• 제29권1호
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• pp.1-10
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• 2022

Background: Neck pain is a major health problem in developed countries and has a lifetime prevalence of 50%. Major problems include a reduced cervical range of motion, muscle stiffness, dysfunction, postural changes, and decrease in psychosocial level. Objects: This study aimed to investigate the effects of applying the upper trapezius inhibition dynamic taping to patients with chronic neck pain on their neck pain, functional level, cervical range of motion, psychosocial level, and neck posture. Methods: The study design was a randomized controlled trial. A total of 40 patients with neck pain participated in this study and were randomly assigned to a Dynamic Taping group (n = 20) or Sham Taping group (n = 20). In both groups, basic intervention cervical pain control therapy and shoulder stabilization exercise program were performed. In addition, dynamic taping and sham taping were applied to participants in the Dynamic Taping and Sham Taping groups to inhibit the trapezius muscle, respectively. All interventions were performed three times a week and a total of 12 times for 4 weeks, and the participants' neck pain, functional impairment level, cervical range of motion, psychosocial level, and neck posture were measured and compared before and after the intervention. Results: Both groups showed significant differences in neck pain, functional level, cervical range of motion, psychosocial level, and neck postural before and after the intervention (p < 0.05). Moreover, there were significant differences between the two groups regarding the functional level and neck posture (p < 0.05). Conclusion: Inhibition dynamic taping of the upper trapezius muscle suppression is an effective method with clinical significance in reducing pain in individuals with chronic neck pain and improving the functional level, cervical range of motion, psychosocial level, and neck posture.

• 소음진동
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• 제4권2호
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• pp.209-219
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• 1994

Classical method calculates the resonance frequency of Helmholtz resonator by postulating that there is a moving mass in neck and a stiffness which expresses the compressibility of cavity. This has been widely accepted as reasonable to determine the resonant frequency, provided that the wave length of interest is longer that any length scale of resonater. Nevertheless, it has been often recognized that this classical method sometimes does not well predict the resonant frequency. This paper decribes the way in which the dynamics of resonator very often does care about the detail geometries of resonator; location of the neck, diameter ratio of the neck to that of cavitty, length of resonator compared with that of neck, etc. This rather unexpected observations have been proved theoretically; 3 dimensional analysis of acoustic wave equation, as well as experimentally by comparing the resonant frequencies, transmission loss, and insertion loss of resonator.

• Physical Therapy Rehabilitation Science
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• 제11권3호
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• pp.321-328
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• 2022

Objective: The purpose of this study was to investigate the effect of neck stabilization exercise combined with vibroacoustic sound on patients with chronic neck pain and tension-type headache. Design: Two group pre test - post test design. Methods: 36 patients participated. Headache impact test-6(HIT-6), numerical rating scale(NRS) and muscle characteristics were measured at pre-post test. Participants divided into vibroacoustic sound group(VSG, n=18), control group(CG, n=18). VSG performed neck stabilization exercise and vibroacoustic sound stimulation. CG performed neck stabilization exercise. Both groups participated 3 times a week for a total of 4 weeks. Results: NRS showed a significant difference before and after intervention in both groups (p<0.05). HIT-6 showed a significant difference before and after intervention in the VSG group (p<0.05). Muscle tone showed a significant difference before and after intervention in the experimental group (p<0.05). There was no significant difference in muscle stiffness and muscle elasticity before and after the intervention in both groups (p>0.05). Conclusions: Based on the results of the study, it is thought that sonic vibroacoustic sound can be established as an effective treatment tool through a study applied to various diseases and symptoms.

• Korean Journal of Acupuncture
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• 제20권2호
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• pp.21-29
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• 2003

Objectives : Assuming that the characteristic of meridian system has been similar to that of electrical potentials in human body and that measurements of electrical potential at well(井穴) and sea (合穴) points in branches of the twelve meridians(WSBTM) will be representative of measurements of the twelve meridians, to measure the electrical potentials of 13 patients with stiffness of nape(項强症, SN), to find out the characteristic of meridian system in patients with SN. Methods : Electrical potentials of well and sea points in the meridians in 13 patients with stiffness at neck diagnosed as SN were repeatedly measured by physiograph(PowerLab). Measurements of those electrical potentials were analyzed by factor analysis. Results and Conclusions : The electrical potentials of WSBTM at the left side were divided into five factors. On the other hand those at the right side were divided into five factors. In conclusion, electrical potentials of well and sea points might be the representative meridian to show their characteristics.