• 대한물리의학회지
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• 제10권2호
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• pp.17-27
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• 2015

PURPOSE: The purpose of this study was to compare the effects of three interventions (intervention by passive range of motion exercise plus manual cervical traction, Mulligan's joint mobilization, and strengthening exercises) after Kaltenborn's joint mobilization on the cervical spine alignment, and muscle activity in patients with a forward head posture. METHODS: The subjects were 39 students from H University in Chungnam and C University in Jeonbuk. The subjects in each group attended training sessions three times a week for four weeks. We used one-way ANOVA and Scheffe's post hoc test to compare values between groups, and used paired t-test to compare the values of the dependent variables within groups. RESULTS: The results showed that the active intervention group experienced a significant increase compared to the passive intervention group in terms of the craniovertebral angle, cervical lordosis angle, and had significant decreases compared to the passive intervention group in terms of the upper trapezius muscle activity. The active intervention group also had significant increases in craniovertebral angle and decreased anterior scalene muscle activity than the active-assistive intervention group. The active-assistive intervention group had significant decreases compared to the active intervention group in terms of the serratus anterior, levator scapulae, and splenius capitis muscle activity. CONCLUSION: It appears that the subjects with a forward head posture had significant improvements in the cervical lordosis angle, cranial rotation angle, craniovertebral angle, and muscle activity after intervention by Mulligan's joint mobilization (active-assistive intervention component) and strengthening exercises (active intervention component) after applying Kaltenborn's joint mobilization.

• 한방재활의학과학회지
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• 제31권1호
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• pp.109-118
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• 2021

Objectives The objective of this study was to appraise the effect of electro-acupuncture (EA) for the treatment of cervical vertigo. Methods We performed a literature search using nine electronic databases up to the end of November 2020. We included randomized controlled trials (RCTs) which appraised the effect of EA in the treatment of cervical vertigo. The risk of bias was evaluated from the Cochrane risk of bias tool. Results Thirteen appropriate RCTs were included and analyzed. The efficacy rate of the EA group was statistically higher compared with the control group treated with western medicine (p<0.00001). EA treatment significantly improved efficacy rate when combined with western medicine than western medicine alone (p<0.0001). Also EA used with combined therapy (traction, traditional chinese medicine, injection) significantly improved efficacy rate compared with combined therapy alone (p=0.02). Meta-analysis of thirteen studies demonstrated positive results for using EA for the treatment of cervical vertigo. Conclusions Based on results, EA treatment could be effective in cervical vertigo. However, it should be noted that the studies included in this research are regionally biased and small in number. Further well-designed research should be required.

• Clinical Pain
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• 제18권2호
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• pp.92-96
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• 2019

Torticollis is an abnormal, asymmetric head or neck position which usually caused by imbalance of paracervical muscles. The traumatic torticollis can be caused by following events; atlantoaxial rotatory subluxation, atlantoaxial dislocation, cervical vertebral fractures, and injury to the cervical musculature. Especially, acute traumatic atlantoaxial rotatory subluxation usually presents limitation of cervical range of motion without pain or neurologic deficit. We report a case of a 58 year-old man who developed the acute atlantoaxial rotatory subluxation right after the chiropractic therapy, which induced the limitation of cervical range of motion to 52.5% of normal range. The magnetic resonance image revealed the facture of the odontoid process and the partial injury in transverse ligaments of the atlas. He underwent intramuscular botulinum toxin injection and 10 days of continuous cervical traction 15 hours a day using a 5 kg weight. The range of the cervical motion restored up to 90.2% of normal range.

• 대한물리치료과학회지
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• 제10권1호
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• pp.212-221
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• 2003

To observe the anatomical structures which cause a cervicogenic headache it reports, from viewpoint of physical therapist in treatment multiple to observe method which approaches, the reporter it does. With the manipulation the vertebral manipulation effected an affirmative effect to cervicogenic headache(Niels Nilsson et al,1997). The manipulation, soft the tissue massage, postural education/advice, muscular elongation, the traction, and postural exercises initially came to be used with that technique which the upper cervical vertebra(0-C3) passive accessory intervertebral movement comes to be used with a cervicogenic headache treatment technique(Grant T & Niere K., 2000). Also, it relates with the diagnosis standard about a cervicogenic headache when the body function over of the cervical vertebra is discovered, the Muscle energy technique was proposed in the treatment which is safety and effect(Bogduk N,2001). The TENS and the Mange gave a reduction effect of pain often.

• Journal of Chest Surgery
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• 제25권11호
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• pp.1221-1224
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• 1992

There is collected cases report of esophagus diverticulum treated at the dept. of Thoracic & Cariovascular surgery of Pusan National University Hospital during the past 13 years from 1980 to 1992. The total number were 6 cases. In consideration of their sites, the cervical esophageal diverticulum one, the mid-thoracic diverticulum were five. And their pathogenetic analysis revealed 5 in traction type, and 1 in pulsion type. The investigation and analysis have been done in comparision with current concept of esophageal diverticulum.

• Journal of Chest Surgery
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• 제14권4호
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• pp.364-368
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• 1981

There is collected cases report of esophagus diverticulum .treated at the dept. of Thoracic & Cardiovascular surgery of National Medical Center During the past 21 years from 1960 to 1981 . The total number were l0 cases in consideration of their sites, the pharyngoesophageal diverticulum was only one, the cervical esophageal diverticulum one, the mid thoracic diverticulum were Six, and the epiphrenic diverticulum were two. And their pathogenetic analysis revealed 6 in traction type, and 4 in pulsion type. The investigation and analysis have been done in comparison with current concept of esophageal diverticulum.

• Journal of Korean Neurosurgical Society
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• 제45권4호
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• pp.246-248
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• 2009

Atlantoaxial rotatory fixation (AARF) in adult is a rare disorder that occurs followed by a trauma. The patients were presented with painful torticollis and a typical 'cock robin' position of the head. The clinical diagnosis is generally difficult and often made in the late stage. In some cases, an irreducible or chronic fixation develops. We reported a case of AARF in adult patient which was treated by immobilization with conservative treatment. A 25-year-old female was presented with a posterior neck pain and limitation of motion of cervical spine after a traffic accident. She had no neurological deficit but suffered from severe defect on the scalp and multiple thoracic compression fractures. Plain radiographs demonstrated torticollis, lateral shift of odontoid process to one side and widening of one side of C1-C2 joint space. Immobilization with a Holter traction were performed and analgesics and muscle relaxants were given. Posterior neck pain and limitation of the cervical spine' motion were resolved. Plain cervical radiographs taken at one month after the injury showed that torticollis disappeared and the dens were in the midline position. The authors reported a case of type I post-traumatic AARF that was successfully treated by immobilization alone.

• The Korean Journal of Pain
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• 제18권2호
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• pp.271-274
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• 2005

Cervical radicular pain has been recognized as a common cause of neck, shoulder and arm pain. The initial recommended therapy is based on the medical treatment by anti-inflammatory, analgesic agents, rest, traction and physical therapy. In the case of failure with these therapies, the classical alternative is a surgical discectomy, but this is associated with numerous risks inherent to invasive procedures. As a result, a number of percutaneous intradiscal therapies have developed over the last 3 decades, which have specifically focused on the pathology of the disc. However, these treatments have considerable limitations and success rates, and none allow for the extraction of a quantifiable amount of nucleus pulposus via a 17 gauge introducer using fluoroscopic guidance alone. Herein, we describe our experience using a $Dekompressor^{(R)}$ on a 52 year-old female patient with a cervical disc herniation. Percutaneous decompression in the treatment of cervical disc herniation was successfully performed, with a good outcome.

• Journal of Acupuncture Research
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• 제29권1호
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• pp.159-167
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• 2012

Objectives : The purpose of this study is to investigate the effecacy of Korean medical treatments on cervical myelopathy patient diagnosed by magnetic resonance imaging(MRI). Methods : The patient was treated by Korean medical treatments including acupunture, pharmacopuncture, herbal medicine, cervical traction technique of Chuna treatment. To evaluate the change of MRI view, slipped disc ratio and A-P compression ratio were used. The improvement of the clinical symptoms was observed by Score of pain part and Nurick grade. Results : After treatment, patient's score of pain part, Nurick grade were decreased and slipped disc ratio, A-P compression ratio were also improved. Conclusions : The Korean medical treatments might be an effective method to improve the clinical symptoms and radiological view of cervical myelopathy.

• 대한정형외과학회지
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• 제55권6호
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• pp.534-539
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• 2020

고도 척추 측만증의 치료는 척추외과 의사에게 어려운 과제로 남아있다. 고도 척추 측만증의 수술 시 급격한 교정은 신경학적 손상이나 기구 실패 등의 수술 중 합병증의 위험을 증가시킬 수 있다. 이러한 합병증을 최소화하기 위해 최종 수술을 시행하기에 앞서 부분 교정을 얻기 위한 다양한 수술 전 견인법들이 사용되고 있다. 하지만 이전 연구에 의하면 halo 견인과 관련한 합병증의 하나로 뇌신경 마비가 발생할 수 있으며 대표적으로 6번 뇌신경(외전신경)의 마비가 가장 흔하게 나타난다. 이러한 합병증을 줄이기 위해 견인 무게의 점진적 증량이나 세심한 신경학적 검진이 필요하며 특히 이전에 뇌수술이나 경추부 수술을 시행한 경우에는 더욱 주의가 필요할 수 있다. 저자들은 이전에 키아리 1형 기형과 관련하여 감압술을 시행했던 고도 척추 측만증에서 수술 전 halo-pelvic 견인에 의한 6번 뇌신경 마비의 증례를 경험하였기에 문헌 고찰과 함께 보고하고자 한다.