대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제10권2호
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  • Pages.89-94
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  • 2015
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
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The Effect of Neck Assistive Device Considering Mckenzie Type Subjects with Forward Head Posture

  • Lee, Han-Suk (Department of Physical Therapy, Faculty of Health Science, Eulji University) ;
  • Lee, Woo-Cheol (Department of Bio Medical Engineering, Faculty of Health Science, Eulji University) ;
  • Kim, Joon-Ho (Graduate School of Physical Therapy, Faculty of Health Science, Eulji University)
  • 투고 : 2015.05.06
  • 심사 : 2015.05.23
  • 발행 : 2015.05.31
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초록

PURPOSE: The aim of this study was to determine the effect of device considering Mckenzie type for the subjects with forward head posture (FHP). METHODS: The subjects were 35 patients with FHP (mean age was $23.7{\pm}2.8$ years; mean height; $172.1{\pm}11.7$, mean weight; $65.8{\pm}13.9$, mean NDI(Neck Disability Index; $3.7{\pm}3.2$, mean FHP; $6.7{\pm}2.2$). We measured the posture with the Body style S-8.0(LU Commerce, South Korea) to evaluate the FHP. We collected the surface EMG(Myosystem 1400, Noraxon, USA) data to quantify changes in normalized activation levels of muscles in SternoCleidoMastoid muscle(SCM), Scalenus Anterior(SA), Trapezius upper fiber(TU) and Splenius Cervicis(SC), during the subjects were instructed to glide their head into a "chin-in" position for a retraction without and with device. RESULTS: The condition with device significantly decreased the %RVC of SA($90.84{\pm}40.54$), SCM($74.98{\pm}43.65$) and TU($67.60{\pm}47.83$) compared to the condition without device(SA;$100.39{\pm}56.32$, SCM;$119.03{\pm}109.26$, Trapezius;$80.55{\pm}39.27$). But the %RVC of capitis($65.87{\pm}47.83$) with device was increased($70.82{\pm}52.78$). There was significant difference in the %RVC between SCM and Trapezius muscle in two conditions. CONCLUSION: New device for FHP reduces the EMG activities of the TU, SCM and SA muscle. We have to develop the function of feedback to facilitate the motion in the future.

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참고문헌

  1. Bernaards CM, Ariens GA, Hildebrandt VH. The (cost-)effectiveness of a lifestyle physical activity intervention in addition to a work style intervention on the recovery from neck and upper limb symptoms in computer workers. BMC Musculoskelet Disord. 2006;7(80):1-11. https://doi.org/10.1186/1471-2474-7-1
  2. Clare HA, Adams R, Maher CG. A systematic review of efficacy of McKenzie therapy for spinal pain. Aust J Physiother. 2004;50(4):209-16. https://doi.org/10.1016/S0004-9514(14)60110-0
  3. Edmondston SJ, Chan HY, Ngai GC, et al. Postural neck pain: an investigation of habitual sitting posture, perception of 'good' posture and cervicothoracic kinaesthesia. Man Ther. 2007;12(4):363-71. https://doi.org/10.1016/j.math.2006.07.007
  4. Falla D, Dall'Alba P, Rainoldi A, et al. Location of innervation zones of sternocleidomastoid and scalene muscles--a basis for clinical and research electromyography applications. Clin Neurophysiol. 2002;113(1):57-63. https://doi.org/10.1016/S1388-2457(01)00708-8
  5. Falla D, Jull G, Russell T, et al. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007;87(4):408-17. https://doi.org/10.2522/ptj.20060009
  6. Kjellman G, Oberg B. A randomized clinical trial comparing general exercise, McKenzie treatment and a control group in patients with neck pain. J Rehabil Med. 2002;34(4):183-90. https://doi.org/10.1080/16501970213233
  7. Kim KH. Design and Implementation of Pervasive Systems for Preventing Forward Head Posture Syndrome. Master's Degree. Graduate School of Hongik University. 2013.
  8. Kim DH, Kwon H, Yoo WG. Effect of Assistive Device for Neck Retraction (ANR) on Neck Muscles during Neck Retraction Exercise. J Phys Ther Sci. 2013;25(5);537-8. https://doi.org/10.1589/jpts.25.537
  9. Lee MY, Lee HY, Yong MS. Characteristics of cervical position sense in subjects with forward head posture. J Phys Ther Sci. 2014;26(11):1741-3. https://doi.org/10.1589/jpts.26.1741
  10. Lee KJ, Han HY, Cheon SH, et al. The effect of forward head posture on muscle activity during neck protraction and retraction. J Phys Ther Sci. 2015;27(3):977-9. https://doi.org/10.1589/jpts.27.977
  11. Neuman DA. Kinesiology of the musculoskeletal system. Singapore. Mosby. 2010.
  12. O'Leary S, Jull G, Kim M, et al. Training mode-dependent changes in motor performance in neck pain. Arch Phys Med Rehabil. 2012;93(7):1225-33. https://doi.org/10.1016/j.apmr.2012.02.018
  13. Quek J, Pua Y H, Clark RA. Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults. Man Ther. 2013;18(1):65-71. https://doi.org/10.1016/j.math.2012.07.005
  14. Shin SH, Hwang SJ, Moon IH. Desing of McKenzie-type neck muscle rehabilitation device considering range of motion of cervical vertebral. RESKO Technical conference. 2014;11:25-7.
  15. Sommerich CM, Joines SMB, Hermans V, et al. Use of surface electromyography to estimate neck muscle activity. Journal of Electromyography and Kinesiology. 2000;10(6):377-98. https://doi.org/10.1016/S1050-6411(00)00033-X
  16. Yoo WG. Effect of the Neck Retraction Taping (NRT) on Forward Head Posture and the Upper Trapezius Muscle during Computer Work. J Phys Ther Sci. 2013;25(5):581-2. https://doi.org/10.1589/jpts.25.581

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