The Effect of Neck Exercises on Neck and Shoulder Posture and Pain in High School Students

목 운동이 고교생의 목 어깨 자세와 통증에 미치는 효과

  • Lee, Myoung-Hyo (Department of Physical Therapy, Graduate School of Rehabilitation Science, Daegu University) ;
  • Song, Ju-Min (Department of Physical Therapy, Sunlin College) ;
  • Kim, Jin-Sang (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 이명효 (대구대학교 재활과학대학원 물리치료학과) ;
  • 송주민 (선린대학 물리치료과) ;
  • 김진상 (대구대학교 재활과학대학 물리치료학과)
  • Received : 2010.10.16
  • Accepted : 2011.02.09
  • Published : 2011.02.25

Abstract

Purpose: The purpose of this study was to identify the effect of neck exercises on neck-shoulder posture and pain of high school students with neck disorders. Methods: Twenty seven subjects were randomly assigned to one of 3 groups a craniocervical flexion training group (CCFT), a neck strengthening exercise group (ST), and a basic stretching exercise group (CG). CCFT and ST exercised five times a week for eight weeks under the researcher's guidance. The control group performed basic stretching exercises. Diagnostic radiologic equipment was used for the measurement of neck-shoulder posture. Neck disability index, and numeric rating scales were used. Results: The CCFT showed a significant pre-post treatment difference on measures of neck flexion angle and forward shoulder angle changes compared to the ST and CG groups (p<0.05). The CCFT group also showed a significantly greater improvement on the neck disability index and numeric rating scales changes than the ST and CG groups (p<0.01). Conclusion: Because CCFT decreases neck flexion angle, forward shoulder angle, neck disability index, and pain in the forward head posture, it is useful for treating patients with neck disorders.

Keywords

References

  1. Shumway-Cook A, Wollacoot MH. Motor control: translating research into clinical practice. 3rd ed. Philadelphia, Lippincott Williams & Wilkins, 2006.
  2. Cho CY. Survey of faulty postures and associated factors among Chinese adolescents. J Manipulative Physiol Ther. 2008;31(3):224-9. https://doi.org/10.1016/j.jmpt.2008.02.003
  3. Mekhora K, Liston CB, Nanthavanih S. The effect of ergonomic intervention on discomfort in computer users with tension neck syndrome. Int J Ind Ergon. 2000; 26(3):367-79. https://doi.org/10.1016/S0169-8141(00)00012-3
  4. Chansirnukor W, Wilson D, Grimmer K et al. Effects of backpacks on students: Measurement of cervical and shoulder posture. Aus J Physiother. 2001;47(2):110-6. https://doi.org/10.1016/S0004-9514(14)60302-0
  5. Park SA, Lee KI, Kim KY. Daily living habits and knowledge of good posture among the middle school students. Journal of Sport and Leisure Studies. 2008;33(1):603-14.
  6. Bae SS, Kim BJ, Lee KH. A study of muscle imbalance of head, cervical and shoulder region. J Kor Soc Phys Ther. 2001;13(3):769-76.
  7. Hickey ER, Romndeau MJ, Corrente JR et al. Reliability of the cervical range of motion device and plumb line techniques in measuring resting head posture (RHP). J Man Manip Ther. 2000;8(1):10-7. https://doi.org/10.1179/106698100790811346
  8. Szeto GPY, Straker L, Raine S. A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers. Appl Ergon. 2002;33(1):75-84. https://doi.org/10.1016/S0003-6870(01)00043-6
  9. Harrison DE, Harrison DD, Bets JJ. Increasing the cervical lordosis with chiropractic biophysics seated combined extension-compression and transverse load cervical traction with cervical manipulation: nonrandomized clinical control trial. JMPT. 2003;26(3):139-51.
  10. Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine(Phila Pa 1976). 2002;27(7):694-701. https://doi.org/10.1097/00007632-200204010-00005
  11. Falla D, Jull G, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine (Phila Pa 1976). 2004; 29(19):2108-14. https://doi.org/10.1097/01.brs.0000141170.89317.0e
  12. Kim JC. Comparison of the strength and endurance of the deep neck flexors between subjects with and without neck pain. Yonsei Uiversity. Dissertation of Master's Degree. 2006.
  13. An SH. The therapeutic approach of chronic neck pain. Journal of Coaching Development. 2005;7(3):15-21.
  14. Jull G, Falla D, Vicenzino B et al. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther. 2009;14(6);696-701. https://doi.org/10.1016/j.math.2009.05.004
  15. Jull G, Kristjansson E, Dall'alba P. Impairment in the cervical flexor: a comparison of whiplash and insidious onset neck pain patients. Man Ther. 2004;9(2):89-94. https://doi.org/10.1016/S1356-689X(03)00086-9
  16. Jull G, Sterling M, Falla D et al. Whiplash, headache and neck pain:research based directions for physical therapies. Edinburgh, Elsevier UK, 2008.
  17. McArdle WD, Katch FI, Katch VL. Exercise physiology: energy, nutrition, and human performance. 4th ed. Baltimore, Lippincott Williams & Wilkins, 1996.
  18. Kim JK, Lee SJ. Effect of stretching exercise as work-related musculoskeletal pain of neck and shoulder. The Korean Journal of Physical Education. 2004;43(3):655-62.
  19. Yoo WG, Kim MH, Yi CH. Intra-rater and inter-rater reliability of various forward head posture measurements. The Korean Academy of University Trained Physical Therapists. 2005;12(4):41-7.
  20. Yoo WG, Yi CH, Kim MH. Effects of a proximity-sensing feedback chair in head, shoulder, and trunk postures when working at a visual display terminal. J Occup Rehabil. 2006;16(4):631-7. https://doi.org/10.1007/s10926-006-9059-7
  21. Watson DH, Trott PH. Cervical headache: An investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia. 1993;13(4):272-84. https://doi.org/10.1046/j.1468-2982.1993.1304272.x
  22. Vernon H, Mior S. The neck disability index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-15.
  23. Kim TH, Kim JH, Gong WT. Rasch analysis to neck disability index with neck pain subjects. J Kor Soc Phys Ther. 2009;21(3):1-8. https://doi.org/10.1589/jpts.21.1
  24. Cleland JA, Childs JD, Whitman. Psychometric properties of the neck disability index and numeric pain rating scale in patients with mechanical neck pain. Arch Phys Med Rehabil. 2008;89(7):1415-6. https://doi.org/10.1016/j.apmr.2008.05.005
  25. Kim SY, Lee HJ. Literature review on the association between a cervical dysfunction and the change of neuromuscular control activity. The Journal of KoreanAcademy of Orthopedic Manual Therapy. 2006;12(1):57-67.
  26. Kim MI, Jung DC. A research for solving problems over common spiral caries and chronic posture. Korea Sport Research. 2004;15(2):1411-22.
  27. Chae YW, Lee HM. The effect of craniocervical exercise on tension-type headache. J Kor Soc Phys Ther. 2009; 21(4):9-16.
  28. Chae YW. The effect of forward head posture and cervical ROM on chronic and episodic tension-type headache in university students. J Kor Soc Phys Ther. 2009;21(2):71-7. https://doi.org/10.1589/jpts.21.71
  29. Hur JG. Effects of neck stabilization exercise to the patients with chronic neck pain. Korea Sport Research. 2006; 17(1):121-34.
  30. Kwon MH. A comparing of strength and cervical posture between people with and without cervical pain. Dankook University. Dissertation of Master's Degree. 2004.
  31. Chiu TT, Law EY, Chiu TH. Performance of the craniocervical flexion test in subjects with and without chronic neck pain. J Orthop Sports Phys Ther. 2005;35(9):567-74. https://doi.org/10.2519/jospt.2005.35.9.567