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The Effect of Functional Postural Trunk Exercise on Pain, Activities of Daily Living, Range of Motion, Deep Cranio-cervical Flexor Muscle Endurance in Neck Pain Patient by Acute Whiplash-Associated Disorders

체간의 기능적 자세운동이 급성 편타성-관련손상에 의한 경부통 환자의 통증과 기능장애수준, 관절가동범위, 두경부 심부굴곡근 지구력에 미치는 영향

  • Choi, Hyun-Woong (Eulji Professional Training Center, Daejeon Eulji Orthopedics Clinic) ;
  • Kim, Suhn-Yeop (Department of Physical Therapy, Daejeon University)
  • 최현웅 (대전을지정형외과 특수운동센터) ;
  • 김선엽 (대전대학교 물리치료학과)
  • Received : 2013.10.21
  • Accepted : 2013.11.07
  • Published : 2013.11.30

Abstract

PURPOSE: The main objective of this study is observing the effects of the functional postural trunk exercise (FPTE) on deep cranio-cervical flexor (CCF) muscle endurance applied on neck pain patients suffering from the acute whiplash-association disorder (WAD). METHODS: The study was tested with 47 patients with neck pain. All patients were equally treated with the ordinary therapy, only experimental group (n=23) was treated with FPTE: assumption of an upright lumbo-pelvic and spinal postural position, adding a neck lengthening manoeuvre in addition. Patients attended physical therapy for 3 times a week, for 4 weeks. Visual analogue scale (VAS) for pain, neck disability index (NDI), range of motion (ROM), were recorded both before and after the intervention. Also muscle activity in the CCF test was employed to analyze the changes between before and after. RESULT: After 4 weeks of training intervention, a remarkable increase in muscle endurance, rotation, extension ROM (p<.05) and decrease in pain and NDI (p<.05) in both groups. Further, the differences between groups were muscle endurance (F=60.350, p<.01), pain, and the left rotation ROM (p<.05). CONCLUSION: From the results, the experimental group had significant the increase in muscle endurance, and the significant decrease in pain. Whilst further research in this category is necessary, these observations suggest that applying exercise in early diagnosis can be of help to treat the neck pain patients suffering from the WAD.

Keywords

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