Journal of the Ergonomics Society of Korea (대한인간공학회지)

Ergonomics Society of Korea (대한인간공학회)
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Effect of Craniocervical Flexion Exercise on Pain and Cross Sectional Area of Longus Colli Muscle in Workers with Chronic Neck Pain

두경부 굴곡 운동이 만성 경부통 근로자의 통증 및 경장근 단면적에 미치는 영향

  • 천승철 (우송대학교 보건복지대학 작업치료학과) ;
  • 장기연 (우송대학교 보건복지대학 작업치료학과)
  • Received : 2010.09.02
  • Accepted : 2010.11.26
  • Published : 2010.12.31
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Abstract

This study compared the effects of craniocervical flexion exercise with conservative cervical flexion exercise in workers with chronic neck pain. Subjects were randomly allocated to two groups: control (n=20) and experimental group (n=20), respectively. The conservative exercise for the control group consisted of cervical flexion exercise, whereas the experimental group performed a craniocervical flexion exercise. To compare the two groups, the visual analogue scale (VAS) for a pain, neck disability index (NDI) for a neck disability scale, and cross sectional area (CSA) of longus colli muscle using ultrasound image were assessed on pre-intervention, post-intervention, and 2 weeks follow-up. 2-way repeated ANOVA was used with Bonferroni post-hoc test. (1) There were significant main effects (within and between groups) (p<0.05) and interaction effect (p<0.05) in VAS. Post-hoc test revealed that there were significant differences in all pair-wise comparisons. (2) There were significant main effects (within and between groups) (p<0.05) and interaction effect (p<0.05) in NDI. Post-hoc test revealed that there were significant differences between pre-intervention and post-intervention, pre-intervention and 2 weeks follow-up. (3) There were significant main effects (within and between groups) (p<0.05) and interaction effect (p<0.05) in CSA of longus colli muscle. Post-hoc test revealed that there were significant differences in all pair-wise comparisons. The findings indicate that craniocervical flexion exercise are more effective for improving pain, neck disability, and CSA of longus colli muscle than cervical flexion exercise in workers with chronic neck pain.

Keywords

References

  1. 남기봉, 정석희, 김성수, 사무직 여성 근로자의 경부 통증 유무와 관련된 요인 연구, 한방재활의학과학회지, 19(2), 213-225, 2009.
  2. 신두철, 신원섭, 송창호, VDT 증후군을 가진 사무직 근로자를 위한 심부경부굴곡 운동의 효과 연구, 대한인간공학회지, 27(4), 59-64, 2008. https://doi.org/10.5143/JESK.2008.27.4.059
  3. 한태륜, 김진호, 정선근, 권범선, 이경우, 초음파로 측정한 요천추부 다열근의 크기와 배부 근련간의 관련, 대한재활의학회지, 23(4), 809-814, 1999.
  4. Berg, H. E., Berggren, G. and Tesch, P. A., Dynamic neck strength training effect on pain and function, Archives of physical medicine and rehabilitation, 75(6), 661-665, 1994. https://doi.org/10.1016/0003-9993(94)90189-9
  5. Boonstra, A. M., Schiphorst Preuper, H. R., Reneman, M. F., Posthumus, J. B. and Stewart, R. E., Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. International journal of rehabilitation research, 31, 165-169, 2008. https://doi.org/10.1097/MRR.0b013e3282fc0f93
  6. Boyd-Clark, L. C., Briggs, C. A. and Galea, M. P., Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine, Spine, 27(7), 694-701, 2002. https://doi.org/10.1097/00007632-200204010-00005
  7. Cagnie, B., Derese, E., Vandamme, L., Verstraete, K., Cambier, D. and Danneels, L., Validity and reliability of ultrasonography for the longus colli in asymptomatic subjects, Manual Therapy, 14(4), 421-426, 2009. https://doi.org/10.1016/j.math.2008.07.007
  8. Chiu, T. T., Law, E. Y. and Chiu, T. H., Performance of the craniocervical flexion test in subjects with and without chronic neck pain. The Journal of orthopaedic and sports physical therapy, 35(9), 567-571, 2005. https://doi.org/10.2519/jospt.2005.35.9.567
  9. Conley, M. S., Meyer, R. A. and Bloomberg, J. J., Feeback, D. L., Dudley, G. A., Noninvasive analysis of human neck muscle function. Spine, 20(23), 2505-2512, 1995. https://doi.org/10.1097/00007632-199512000-00009
  10. Cote, P., Cassidy, J. D. and Carroll, L., The Saskatchewan Health and Back Pain Survey. The prevalence of neck pain and related disability in Saskatchewan adults, Spine, 23(15), 1689-1698, 1998. https://doi.org/10.1097/00007632-199808010-00015
  11. Daniels, L. and Worthingham, C., Muscle Testing, techniques of manual examination, W.B. Sauders, 1996.
  12. Falla, D. L., Jull, G. A. and Hodges, P. W., Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test, Spine, 29(19), 2108-2114, 2004. https://doi.org/10.1097/01.brs.0000141170.89317.0e
  13. Falla, D., Jull, G., Hodges, P. and Vicenzino, B., An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain. Clinical Neurophysiology, 117(4), 828-837, 2006. https://doi.org/10.1016/j.clinph.2005.12.025
  14. Hagberg, M. and Wegman, D. H., Prevalence rates and odds ratios of shoulder-neck diseases in different occupational groups. British Journal of Industrial Medicine, 44(9), 602-610, 1987.
  15. Hanten, W. P, Lucio, R. M., Russell, J. L. and Brunt, D., Assessment of total head excursion and resting head posture. Archives of Physical Medicine and Rehabilitation, 72(11), 877-880, 1991. https://doi.org/10.1016/0003-9993(91)90003-2
  16. Highland, T. R., Dreisinger, T. E., Vie, L. L. and Russell, G. S., Changes in isometric strength and range of motion of the isolated cervical spine after eight weeks of clinical rehabilitation, Spine, 17(6 Suppl), S77-S82, 1992. https://doi.org/10.1097/00007632-199206001-00003
  17. Jacobson, J. A., Fundamentals of Musculoskeletal Ultrasound. Saunders, 2008.
  18. KEELE, K. D., The pain chart. Lancet, 2(6514), 6-8, 1948.
  19. O'Leary, S., Jull, G., Kim, M. and Vicenzino, B., Specificity in retraining craniocervical flexor muscle performance, The Journal of orthopaedic and sports physical therapy, 37(1), 3-9, 2007. https://doi.org/10.2519/jospt.2007.2237
  20. Randlov, A., Ostergaard, M., Manniche, C., Kryger, P., Jordan, A., Heegaard, S. and Holm, B., Intensive dynamic training for females with chronic neck/shoulder pain. A randomized controlled trial. Clinical Rehabilitation, 12(3), 200-210, 1998. https://doi.org/10.1191/026921598666881319
  21. Rodriquez, A. A., Bilkey, W. J. and Agre, J. C., Therapeutic exercise in chronic neck and back pain, Archives of physical medicine and rehabilitation, 73(9), 870-875, 1992.
  22. Vernon, H. and Mior, S., The Neck Disability Index: a study of reliability and validity. Journal of manipulative and physiological therapeutics, 14(7), 409-415, 1991.
  23. Viljanen, M., Malmivaara, A., Uitti, J., Rinne, M., Palmroos, P. and Laippala, P., Effectiveness of dynamic muscle training, relaxation training, or ordinary activity for chronic neck pain: Randomised controlled trial. British Medical Journal, 327(7413), 475, 2003. https://doi.org/10.1136/bmj.327.7413.475
  24. Wainner, R. S., Fritz, J. M., Irrgang, J. J., Boninger, M. L., Delitto, A. and Allison, S., Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine, 28(1), 52-62, 2003. https://doi.org/10.1097/00007632-200301010-00014
  25. Wang, W. T. J., Olson, S. L., Campbell, A. H., Hanten, W. P. and Gleeson, P. B., Effectiveness of physical therapy for patients with neck pain: An individualized approach using a clinical decision-making algorithm. American Journal of Physical Medicine and Rehabilitation, 82(3), 203-218, 2003. https://doi.org/10.1097/00002060-200303000-00009
  26. Ylinen, J. and Ruuska, J., Clinical use of neck isometric strength measurement in rehabilitation, Archives of physical medicine and rehabilitation, 75(4), 465-469, 1994. https://doi.org/10.1016/0003-9993(94)90173-2