• Title/Summary/Keyword: cervical curvature

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Clinical studies on neck pain 4 cases associated with kyphotic cervical curvature (Kyphotic cervical curvature로 인한 항통(項痛) 4례(例)에 대한 임상적(臨床的) 고찰(考察))

  • Cho, Hyun-Yeul;Bae, Eun-Jeong;Lee, Kyung-Min;Lee, Jeong-Hoon;Soe, Jung-Chul;Han, Sang-Won
    • Journal of Acupuncture Research
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    • v.19 no.3
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    • pp.230-239
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    • 2002
  • Kyphotic cervical curvature, straghtening is commonly caused by trauma, muscle spasm without trauma and wrong posture, etc. Objective : This study is performed to evaluate the clinical effect of neck pain associated with Kyphotic cervical curvatre on cervical x-ray lateral view. Methods : One of the many causes, We examined the patients with neck pain & upper back pain who visited to Department of Acupuncture & Moxibustion, Gumi Oriental Hospital of Kyung-San University from 16th June 1999 to 22th June 2000. Pre and post treatment, We evaluated the cervical angle, Jochumsen's method, VAS(visual analogue scale) and effective score of treatment. Results & Conclusion : 1. Kyphotic cervical curvature is mainly caused by wrong posture during long term, sudden trauma, etc. therfore, postcervical muscles and tendon are injuryed by strong stress. So, muscle imbalance and pain is occured. 2. On these cases, The improvement index for pre/post treatment showed 28/42, 10/15, 9/30, 28/42 degree in cervical angle. Jochumsen's method showed -1/+2, -9/-3, -5/-2, -1/+2mm. Afer treatment VAS is 2, 1, 1, 1 and effective score of treatment is above good. The results suggest that treatments of Oriental Medicine(Acupuncture & Moxibustion, Chu-Na, Cupping and Physical therapy) are effective methods for neck pain with kyphotic cervical curvature on cervical x-ray lateral view.

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The Correlation among Cervical Curvature, Neck Pain and Headache in Patients with Chronic Neck Pain (만성 경항통을 호소하는 여성 환자에서 경추 만곡과 두통의 상관성에 대한 임상 연구)

  • Song, Eun-Mo;Kim, Eun-Joo;Cho, Yoo-Jeong;Cho, Jae-Heung;Chung, Seok-Hee;Song, Mi-Yeon
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.4
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    • pp.97-109
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    • 2011
  • Objectives: To investigate the correlation among cervical curvature, neck pain, and headache in patients with chronic neck pain. Methods: A clinical study was carried out in 48 chronic neck pain patients in the hospital of Gang-Dong Kyung-Hee University. The curvature of the cervical spine was measured by 3 types of measuring methods, Neck pain and headache were estimated using questionnaire and visual analogue scale (VAS). Results: Curvature angles of the cervical spine had significant positive correlation with the neck pain and headache, and headache can be estimated by cervical curvature using linear regression. Conclusions: The results suggests that the cervical curvature of chronic neck pain patients has a positive correlation with the nock pain and headache, and cervical curvature will be a posible preditor of chronic tension-type headache in patients with chronic neck pain.

Two Cases Report of Chronic Neck Pain Patients with Kyphotic Cervical Curvature Measured by Radiography (방사선 사진상 경추 후만을 보인 만성 경항통 환자의 만곡 이상 치험 2례)

  • Park, Jae-Won;Lee, Jong-Ha;Kwon, Jeong-Gook;Keum, Dong-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.4
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    • pp.139-146
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    • 2015
  • We researched two patients complaining about chronic neck pain with kyphotic cervical curvature. We assumed that the patients' symptom was caused by weakened deep neck flexor and activated superficial muscles around neck. So, acupuncture therapy, SCENAR therapy and self exercise with wooden neck pillow were used to treat the patients. We measured their pain by numerical rating scale (NRS) and neck disability index (NDI) before and after treatment. And cervical curvature was evaluated by Cobb method (C1-C7) and Ishihara Index. As a result, NRS and NDI significantly reduced and cervical curvature was also improved. Therefore, we conclude that acupuncture therapy with SCENAR therapy and self exercise using wooden neck pillow is an effective treatment to reduce chronic neck pain with kyphotic cervical curvature. But there is a limit on this study due to insufficient number of cases and absence of control group. Further studies will be needed.

The Case Report of Chuna Treatment on Neck pain Patients with Kyphotic Cervical Curvature (경추 후만에 대한 추나치료 치험례)

  • Park, Kuk-Ji;Kim, Byung-Jung;Lee, Sung-Jun;Kang, Jun-Hyuk;Park, Min-Kyu
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.7 no.1
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    • pp.95-101
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    • 2012
  • Objectives : This study is performed to evaluate the clinical effect of Chuna therapy on the neck pain associated with kypotic cervical curvature. Methods : This study carried out on two patients with neck pain & kyphotic cervical curvature who have received treatment in Department of Oriental Rehabilitation Medicine, Dong-seo Oriental Medical hospital from 4th April 2011 to 26th May 2012. Pre and post treatment, We evaluated the cervical angle, Jackson's angle, Jochumsen method, VAS and effective score of treatment. Results & Conclusions : Two patients who received Chuna treatment recovered cervical curvature and improved neck pain.

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Five Case Reports on Acute Neck Pain Patients with Abnormal Cervical Curvature Using Chuna Manual Therapy (추나요법으로 호전된 급성 경항통을 동반한 경추 만곡이상에 대한 증례보고 5례)

  • Yeong-Sang Kim;Su-Hyeon Jeong
    • 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.

A Study on Cervical Curvature and Thermography in Some Neck Pain Patients (경항통 환자의 경추 만곡도와 체표열에 대한 연구)

  • Yang, Jae-Sun;Lee, Sang-Gyu;Lee, Chong-woo;Yeom, Seung-Ryong;Kwon, Young-Dal;Lee, Soo-Kyung;Song, Yong-Sun
    • Journal of Korean Medicine Rehabilitation
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    • v.15 no.2
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    • pp.105-105
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    • 2005
  • Objectives : The purpose of this study was to investigate the correlation between cervical spine curvature and thermography on neck pain patients. Methods : The cervical spine curvature was assessed on lateral view of plain radiograph by three measurements(Depth of cervical curve, Method of Jochumsen, Angle of cervical curve), then the neck pain patients were divided into straight curvature group(Straight group), normal curvature group(Control I), and no neck pain group(Control II) was selected by random sampling. I measured temperature of the both side Pungji(風池, G20), Kyonjong(肩井, G21), Chonjong(天宗, SI11) by thermography examination on Experimental group(Straight group) and control group(Control I, II), then analyzed the temperature statically with student's t-test, ANOVA. Results : The temperature of six point on Straigt group was lower than that of Control I, but had no significant difference(p>0.05). The temperature of six point on Straigt group was lower than that of Control II. The descent of temperature on Lt. Pungji(風池, G20), Lt. Kyonjong(肩井, G21), Rt. Chonjong(天宗, SI11) had significance(p<0.05). There is no corelation between onset period and mean temperature of six points. Conclusions : Thermography represnets the presence of neck pain, but has no correlation with straight of cervical curvature.

Effects of Sling Exercise Program on Muscle Activity and Cervical Spine Curvature of Forward Head Posture (슬링 운동 프로그램이 머리전방자세의 근 활성도와 목뼈 배열에 미치는 영향)

  • Kim, Eun-Ju;Kim, Ji-Won;Park, Byung-Rae
    • The Journal of the Korea Contents Association
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    • v.11 no.11
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    • pp.213-220
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    • 2011
  • The purpose of the study was to evaluate the effects of sling exercise program on muscle activity and cervical spine curvature of person with forward head posture. The subjects, 25 students, were divided into two groups. This experiment was intended to examine the muscle activity and cervical spine curvature while the subjects had performed the exercises to do for 2 times/week and 4 weeks. The factors of FHP were measured cranial vertical angle, cranial rotation angle, muscular activity and cervical spine curvature. Cervical spine curvature measured craniovertical, craniocervical, cervicohorizontal and upper cervical angle. Collected data were statistically analyzed by SPSS 10.0. After experiment for 4 weeks period, results were as following: Both group was significant difference of the results according to the CVA. Exercise group are more effective to increase muscle activity (p<.05), but cervical spine curvature was no significant difference. This result, we could find out there was a significant correlation between sling exercise and muscle activity, CVA and CRA.

The Case Report of Chuna Treatment on Supraspinatus Tendinitis with Kyphotic Cervical Curvature (경추후만을 동반한 극상근건염 환자의 추나치험1례)

  • Lee, Gil-Jae;Lee, Byeong-Yee;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.3 no.2
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    • pp.43-52
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    • 2008
  • Objective : The purpose of this study is to evaluate the conservative treatment for supraspinatus tendinitis with kyphotic cervical curvature patient. Methods : We used chuna, Herbal medication, Acupuncture, Bee Venom Acupuncture, Physical Therapy for this patient. And we measured of VAS score, ROM and Extent of the subjective symptoms of shoulder pain to evaluate treatment effects. Result : Patient's shoulder pain and cervical curvature has improved. VAS score and Extent of the subjective symptoms of shoulder pain score were also decreased.

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The Cervical Spine Curvature of Posterior Neck Pain Patients Who Visited Emergency Room After Whiplash Injury by Traffic Accident (교통사고 후 응급실에 내원한 경항통 환자의 경추 만곡 연구)

  • Jo, Jun-Young;Lee, Sun-Haeng
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.121-132
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    • 2011
  • Objectives : The purpose of this study is to investigate the cervical spine curvature after whiplash injury by traffic accident. Methods : The cervical lateral radiographs of 102 outpatients who visited emergency room in Kyung-Hee university hospital at Gangdong after whiplash injury by road traffic accident were reviewed to measure the cervical spine angle using C1-7, C2-7 Cobb method, Sagittal tangent method, Jochumsen method and the Ishihara index by two oriental medical doctors. For statistics, we used SPSS version 17.0 for windows. Results : Means of cervical angle are $37.63{\pm}11.34^{\circ}$, $12.92{\pm}9.13^{\circ}$, $16.19{\pm}10.62^{\circ}$, $1.78{\pm}3.37$ and $8.51{\pm}9.78$ by C1-C7 Cobb Method, C2-C7 Cobb Method, Sagittal tangent method, Jochumsen method and Ishihara index, respectively. Hypolordosis is most numeral in patients by C1-C7 Cobb Method(n=40; 39.22%), Sagittal tangent method(n=68; 66.67%). And Straight is the most by Jochumsen method(n=54; 52.94%), but Normal is the most by Ishihara index(n=53; 51.96%). And Female has smaller curvature in cervical spine than male significantly by C2-C7 Cobb method and Sagittal tangent method(P<0.05). Conclusions : Whiplash injury tends to make hypolordosis or straight. And female has more vulnerable curvature than male in whiplash injury.

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Analysis of Factors Contributing to Repeat Surgery in Multi-Segments Cervical Ossification of Posterior Longitudinal Ligament

  • Jeon, Ikchan;Cho, Yong Eun
    • Journal of Korean Neurosurgical Society
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    • v.61 no.2
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    • pp.224-232
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    • 2018
  • Objective : Cervical ossification of the posterior longitudinal ligament (OPLL) can be treated via anterior or posterior approach, or both. The optimal approach depends on the characteristics of OPLL and cervical curvature. Although most patients can be successfully treated by a single surgery with the proper approach, renewed or newly developed neurological deterioration often requires repeat surgery. Methods : Twenty-seven patients with renewed or newly developed neurological deterioration requiring salvage surgery for multi-segment cervical OPLL were enrolled. Ten patients (group AP) underwent anterior approach, and 17 patients (group PA) underwent posterior approach at the initial surgery. Clinical and radiological data from initial and repeat surgeries were obtained and analyzed retrospectively. Results : The intervals between the initial and repeat surgeries were $102.80{\pm}60.08months$ (group AP) and $61.00{\pm}8.16months$ (group PA) (p<0.05). In group AP, the main OPLL lesions were removed during the initial surgery. There was a tendency that the site of main OPLL lesions causing renewed or newly developed neurological deterioration were different from that of the initial surgery (8/10, p<0.05). Repeat surgery was performed for progressed OPLL lesions at another segment as the main pathology. In group PA, the main OPLL lesions at the initial surgery continued as the main pathology for repeat surgery. Progression of kyphosis in the cervical curvature (Cobb's angle on C2-7 and segmental angle on the main OPLL lesion) was noted between the initial and repeat surgeries. Group PA showed more kyphotic cervical curvature compared to group AP at the time of repeat surgery (p<0.05). Conclusion : The reasons for repeat surgery depend on the type of initial surgery. The main factors leading to repeat surgery are progression of remnant OPLL at a different segment in group AP and kyphotic change of the cervical curvature in group PA.