• 제목/요약/키워드: neck

검색결과 8,007건 처리시간 0.035초

식도강외로 이동한 경부이물 1예 (Extraluminal Migration of Foreign Body into the Neck)

  • 김대희;이병주;우창기;윤영호
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
    • /
    • 제55권5호
    • /
    • pp.301-303
    • /
    • 2012
  • Reports of ingested foreign bodies migrating to the neck are rare. We encountered a case of fish bone that migrated out of the upper digestive tract to the thyroid gland. This foreign body was identified by computed tomography and ultrasonography about two weeks after onset, and successfully removed via neck exploration and the patient recovered well.

심부목굽힘근 운동이 만성 목통증 환자의 통증과 기능에 미치는 영향 (The effects of deep neck flexor exercise on pain and neck disability index of the patients with chronic neck pain)

  • 이규창;이동엽
    • 한국산학기술학회논문지
    • /
    • 제11권11호
    • /
    • pp.4331-4337
    • /
    • 2010
  • 본 연구는 만성 목통증 환자를 대상으로 심부목굽힘근 운동을 적용하여 통증, 목장애지수, 그리고 심부목굽힘근의 지구력에 미치는 영향을 알아보고자 하였다. 본 연구에서는 만성 목통증 환자 37명을 무작위로 도구를 이용한 중재와 심부목굽힘근 운동을 시행하는 실험군과 도구를 이용한 중재만을 실시하는 대조군으로 나누었다. 모든 중재는 12주 동안 주 3회 실시하였다. 실험 전, 6주 후, 그리고 12주 후에 통증을 평가하기 위한 VAS, 기능을 평가하는 목 장애지수, 그리고 심부목굽힘근의 지구력을 측정하여 효과를 비교하였다. 통계처리 방법으로 실험 전 후 차이를 검증하기 위하여 반복측정 분산분석을 실시하였고, 두 군 간의 차이를 검증을 위하여 독립표본 t검증을 실시하였다. 모든 통계적 유의수준은 0.05로 하였다. 본 연구의 결과 심부목굽힘근 운동이 적용된 실험군에서 통증과 목장애지수가 유의하게 향상되었고(p<.05), 심부목굽힘근의 지구력이 유의하게 증가하였다(p<.05). 본 연구의 결과를 통해 심부목굽힘근 운동이 만성 목통증 환자에게 효과적임을 알 수 있다. 심부목굽힘근 운동은 통증과 기능을 향상시키고 더 나아가 만성 목통증 환자의 삶의 질도 향상시킬 수 있을 것으로 기대된다. 따라서 재활에 있어 효과적인 방법을 제시할 수 있을 것으로 사료되어진다.

바이오피드백을 이용한 심부목굽힘근운동이 목 질환에 미치는 영향: 메타분석 (Effects of Biofeedback Based Deep Neck Flexion Exercise on Neck Pain: Meta-analysis)

  • 박주희;전혜선;김지현;김예진;문경아;임원빈
    • 한국전문물리치료학회지
    • /
    • 제28권1호
    • /
    • pp.18-26
    • /
    • 2021
  • Previous studies have reported that deep neck flexor (DNF) exercise can improve neck problems, including neck pain, forward head posture, and headache, by targeting the deep and superficial muscles of the neck. Despite the prevailing opinion across studies, the benefits of DNF can vary according to the type of neck problems and the outcome measures adopted, ranging from positive outcomes to non-significant benefits. A meta-analysis was conducted in this study to assess conclusive evidence of the impact of DNF exercise on individuals with neck problems. We used PUBMED, MEDLINE, NDSL, EMBASE, and Web of Science to search for primary studies and the key terms used in these searches were "forward head posture (FHP)," "biofeedback," "pressure biofeedback unit," "stabilizer," "headache," and "neck pain." Twenty-four eligible studies were included in this meta-analysis and were coded according to the type of neck problems and outcome measures described, such as pain, endurance, involvement of neck muscle, craniovertebral angle (CVA), neck disability index (NDI), cervical range of motion (CROM), radiographs of the neck, posture, strength, endurance, and headache disability index. The overall effect size of the DNF exercise was 0.489. The effect sizes of the neck problems were 0.556 (neck pain), -1.278 (FHP), 0.176 (headache), and 1.850 (mix). The effect sizes of outcome measures were 1.045 (pain), 0.966 (endurance), 0.894 (deep neck flexor), 0.608 (superficial neck flexor), 0.487 (CVA), 0.409 (NDI), and 0.252 (CROM). According to the results of this study, DNF exercise can effectively reduce neck pain. Thus, DNF exercise is highly recommend as an effective exercise method for individuals suffering from neck pain.

외측경부 종물로 나타난 어류골편이물 1례 (A Case of Fish Bone Foreign Body as a Lateral Neck Mass)

  • 주형로;고원혁;최동준;김일우;박일석;김범규;김용복
    • 대한기관식도과학회지
    • /
    • 제13권2호
    • /
    • pp.72-77
    • /
    • 2007
  • The case report of migrating ingested fish bone presenting as an unresolving inflamed neck mass is rare. The diagnosis must be suspected in a patient with an unresolving inflamed cutaneous lesion, especially one with a punctum, the tenderness of the lesion elicited on swallowing and the presence of a palpable subcutaneous neck mass. In such a patient, a history of recent foreign body ingestion must be actively sought. An accurate early diagnosis of this easily treatable condition is desirable because it could avert unnecessary delays, inconveniences, anxiety, costs, and surgery. The authors experienced a case of lateral neck mass resulting from the migration of a fish bone which was successfully removed by surgical exploration and made a report with a review of literature.

  • PDF

전방머리자세를 가진 성인들에게 목 돌림 수행 시 시각적 생체되먹임 적용이 목의 가쪽 굽힘 움직임 패턴과 목빗근 근활성도에 미치는 영향 (Effects of Visual Biofeedback on Movement Patterns of Neck Lateral Bending and Muscle Activation of Sternocleidomastoid During Neck Rotation in Adults with Forward Head Posture)

  • 양노열;오재섭
    • 대한물리의학회지
    • /
    • 제9권4호
    • /
    • pp.425-432
    • /
    • 2014
  • PURPOSE: The purpose of this study was to investigate that the differences in sternocleidomastoid muscle activity, neck rotation angle, neck lateral bending angle and neck lateral bending onset time between conditions with and without visual biofeedback during neck rotation. METHODS: Ten male and four female adults with condition of forward head posture were recruited in this study. Subjects conducted to left and right maximal neck rotation under the conditions with and without visual biofeedback. During neck rotation, kinematic data of neck rotation, neck lateral bending movement, and electromyography activities of bilateral sternocleidomastold muscles were collected. Differences in dependent variables between conditions with and without visual biofeedback were analyzed using paired t-test. RESULTS: There were significant decreases in lateral bending angle, while lateral bending movement onset time was delayed significantly when applying visual biofeedback (p<.05). However, there were no significant differences in the activation of left and right sternocleidomastoid muscles and neck rotation angle between conditions with and without visual biofeedback (p>.05). CONCLUSION: These findings suggest that visual biofeedback may be effective for axial rotation of cervical spine during neck rotation in adults with forward head posture.

여성 만성 경통 환자에 대한 등척성 운동과 안정화 운동치료의 효과 비교 (Clinical Effect of Therapeutic Exercise in Women Suffering From Chronic Neck Pain)

  • 오덕원;김선엽
    • 한국전문물리치료학회지
    • /
    • 제15권2호
    • /
    • pp.1-10
    • /
    • 2008
  • This study compared the effect of therapeutic exercise with conservative treatment in women with chronic neck pain. Subjects were allocated to control, neck isometric exercise, and cervical stabilization exercise groups consisting of 29, 32, and 31 patients, respectively. The conservative treatment for the control group consisted of hot packs, ultrasound, interferential current therapy, and intermittent cervical traction. The neck isometric exercise group performed a neck isometric exercise and the cervical stabilization exercise group performed a cervical stabilization exercise. To compare the three groups, the levels of perceived pain, neck disability, and psychological depression were assessed on admission, at discharge, and one month after discharge. On admission and at discharge, the pain and neck disability scores did not differ significantly among the groups. However, one month after discharge, both the neck isometric and cervical stabilization exercise groups had significantly improved perceived pain levels as compared to control (p<.05). The improvement in the degree of neck disability was most significant in the cervical stabilization exercise group (p<.05). On comparing the changes in the variables at the three assessments for each group, there was a significant difference between the control and cervical stabilization exercise groups (p<.05). The findings indicate that therapeutic exercises, especially cervical stabilization exercises, are more effective for improving pain and neck disability than conservative treatment.

  • PDF

3차원 인제 형상 데이터를 이용만 목밑둘레 유형화 연구 - 20대 여성을 중심으로 - (A Study on the Classification of Neck-Base Circumference by Three-Dimensional Automatic Measurements of the Human Body - With the Focus on Women in their 20's -)

  • 조신현;석혜정
    • 복식
    • /
    • 제58권6호
    • /
    • pp.35-41
    • /
    • 2008
  • The purposes of this study lied in the analysis and classification of neck-base circumference shapes of the women in their twenties, by the application of three-dimensional automatic measurement data of human body, and thereby in the understanding of neck-base circumference shapes by the classified type. The findings are as follows: 1. The comparison of three-dimensional human body measurement items relating to the neck-base circumference part of the women in their twenties indicated that the largest individual difference was found in cervicale-center-anterior neck radius than in other items. 2. The factor analysis, which was conducted to extract the factors constituting the neck-base circumference, showed the shape of cervicale(factor 1), the shape of section neck(factor 2), the thickness of neck(factor 3), the shape of anterior neck(factor 4), and the shape of side neck(factor 5). 3. The classification of the neck-base circumference shapes resulted in three types. Type 1 was the shape of a reverse triangle hanging forward, Type 2 was that of a circle, and Type 3 was that of an oval open to the sides.

후두 및 하인두 편평세포암종의 경부 잠재전이율 (Occult Neck Metastasis Rate of Laryngeal and Hypopharyngeal Squamous Cell Carcinoma)

  • 최은창;김동영;고윤우;홍정표;이세영;홍원표
    • 대한두경부종양학회지
    • /
    • 제15권1호
    • /
    • pp.18-21
    • /
    • 1999
  • Background and Objectives: Occult neck metastasis rate of laryngeal and hypopharyngeal cancer varies widely depending upon authors. Materials and Methods: Sixty four cases, previously untreated, of N0 laryngeal and hypopharyngeal squamous cell carcinoma patients who underwent surgery as an initial treatment from 1992 to 1997 were evaluated. All had unilateral or bilateral elective neck dissection at the time of surgery for the primary. Occult neck metastasis rate was evaluated with pathologic examination of neck dissection specimen. Results: Occult neck metastasis rate by primary site was as follows. Supraglottis ipsilateral 32%(8/25) contralateral 15%(3/20), glottis ipsilateral 17%(5/30), contralateral 0%(0/22), hypopharynx ipsilateral 78%(7/9), contralateral 25%(2/8). Conclusion: Supraglottic and hypopharyngeal cancer may need elective neck treatment bilaterally. Occult neck metastasis of glottic cancer to opposite site was minimal.

  • PDF

반대측 림프절 전이를 동반한 비강의 편평 세포암 1예 (Primary Sinonasal Squamous Cell Carcinoma with Contralateral Lymph Node Metastasis)

  • 김태후;허철영;김범규;박일석;김용복
    • 대한두경부종양학회지
    • /
    • 제25권2호
    • /
    • pp.163-167
    • /
    • 2009
  • Sinonasal malignant tumors comprise less than 1% of all cancers and 3% of all malignant tumors of the head and neck, which explains a lack of large series addressing the clinical characteristics and management of these tumors. Neck node metastasis occurs in only about 7% to 15% of malignant tumors compared with other head and neck cancers. A 90-yr-old woman presented with left palpable neck mass and right nasal mass occupying nasal cavity. Fine needle aspiration biopsy of left neck mass results in metastatic squamous cell carcinoma(SCC). PET/CT shows intense FDG uptake in right nasal cavity with bone invasion. Histopathologic examination of excised lesion in the right nasal cavity revealed SCC. We report here on a primary sinonasal SCC with contralateral lymph node metastasis.

Effect of a Five-week Scapular Correction Exercise in Patients with Chronic Mechanical Neck Pain

  • Lee, Kang-Seong
    • The Journal of Korean Physical Therapy
    • /
    • 제32권2호
    • /
    • pp.126-131
    • /
    • 2020
  • Purpose: The purpose of this study was to compare the change in pain, Neck Disability Index score, and the craniovertebral angle by performing scapular correction exercise or general neck exercise for five weeks in participants with mechanical neck pain. Methods: A total of 31 participants were randomly assigned between the scapular correction exercise and the general neck exercise groups, and all participants performed intervention for 40 minutes each, three times a week for five weeks The effects were evaluated by measuring the Visual Analog Scale score, the Neck Disability Index score, and the craniovertebral angle, before and after the intervention. Independent t-tests were used to compare differences between two groups, and to compare differences between pre- and post-intervention, paired t-tests were used. Results: As measured before and after the intervention, the scapular correction exercise group showed significant improvement in all variables (p<0.05), while the general neck exercise group improved only in the neck disability index score. The differences between the two groups revealed further improvement in the scapular correction exercise group compared to the general neck exercise group (p<0.05). Conclusion: We found that five weeks of the scapular correction exercise to modify the position and movements of the scapula is clinically an important treatment tool for recovery from chronic mechanical neck pain symptoms and restoration of proper neck function.