국제물리치료학회지 (Journal of International Academy of Physical Therapy Research)

  • 제7권1호
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  • Pages.956-964
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  • 2016
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  • 2092-8475(pISSN)
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  • 2714-0148(eISSN)
국제물리치료연구학회 (International Academy of Physical Therapy Research)
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Effects of Continuous Antagonistic Muscle Strengthening and Evjenth-Hamberg Stretching on the Pressure Pain Threshold of Forward Head Posture Subjects

  • 투고 : 2015.11.15
  • 심사 : 2016.01.25
  • 발행 : 2016.04.01
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초록

The purpose of this study was to identify the effects of continuous muscle strengthening applied to the antagonist of the sternocleidomatoid, upper trapezius, and pectoralis major, which are the shortened muscles of forward head posture(FHP) subjects, and Evjenth-Hamberg stretching(EHS) applied to the shortened muscles on changes in pressure pain threshold(PPT). Twenty subjects were divided into the continuous antagonist strengthening(CAS) group(n=10) and the EHS group(n=10), and each group performed its respective exercise three times a week for a six week period. The results were as follows: The comparison of changes in PPT within each group before and after the treatment showed a statistically significant difference(p<.05) according to the treatment period and a statistically significant difference according to the treatment period and method(p<.05). While the comparison of the tests of between subjects effects between the groups did not show a statistically significant difference, the CAS group exhibited better effects. The above results suggest that the combined application of CAS and EHS generates better effects on changes in PPT than the single application of EHS. Given that stretching and muscle strengthening exercises even for the short research period of six weeks could change the PPT, continuous exercises and a correct postural habit for a longer period of time are likely to help prevent chronic pain and correct FHP.

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참고문헌

  1. Lee CY. Postural patterns of daily life of male high school students by positional distortion. Korea National University of Education A Master's degree 2004.
  2. Faugli HP. Medical exercise therapy, coursenote, Norway, 1996.
  3. Johnson GM. The correlation between surface measurement of head and neck posture and the anatomic position of the upper cervical vertebrae. Spine 1998;23(8):921-927. https://doi.org/10.1097/00007632-199804150-00015
  4. Mekhora K, liston CB, Nanthavanij S. The effect of ergonomic intervention on discomfort in computer users with tension neck syndrome. Int J Ind Ergo 2000;26(3):367-379. https://doi.org/10.1016/S0169-8141(00)00012-3
  5. Erik D. Strategies to address forward head postures Part 1:Sacrificing compleity for stability, Massage Magazine 2006.
  6. Cailliet R. Soft tissue pain and disability 3rd ed, Philadelhia 1996.
  7. Lee DH. The effects of Balance Exercise and Stretching Exercise on Forward Head Posture. aegu University A doctor's degree 2011.
  8. Myers RS. Saunders Manual of Physical Therapy Practice, Philadelphia, W.B., Saunders Co., 1995.
  9. Janda V. Muscles and motor control in cervicogenic disorders:assessment and management. In: Grant R, editor. Physical therapy of the cervical and thoracic spine. New York: Churchill Livingstone, 1994:195-216.
  10. Leon C, Craig L, Graeme C, Laurie H, Patrick CP. Muscle energy Techniques : Advanced soft tissue techniques, 3rd ed, Elsevier Health Sciences, 1996.
  11. Kendall FP, McCreary EK, Provance PG, Rodger MM, Romani WA. Muscles testing and function with posture and pain, 5th ed, Lippincott, Williams & Winkins, 2005.
  12. Wright E, Domenech M, Fisher J. Usefulness of posture training for patients with temporomandibular disorders. J American Den Asso 2000;131(2):202-210 https://doi.org/10.14219/jada.archive.2000.0148
  13. Evjenth O, Hamberg J. Muscle stretching in manual therapy: A clinical manual, Sweden, Alfta rehab, 1994.
  14. Roddey TS, Olson SL, Grant, SE. The effect of pectoralis muscle stretching on the resting position of the scapula in persons with varying degrees of forward head/rounded shoulder posture. J Manual and Manipulative therapy 2002;10(3):124-128. https://doi.org/10.1179/106698102790819247
  15. Fischer AA. Pressure threshold meter: Its use for quantification of tender spots. Arch. Phys. Med. Rehabil. 1986;67:836-838.
  16. Turk DC, Rudy TE. Assessment of cignitive factors in chronic pain. J Consulting and Clinical Psycho, 1986;54:760-768. https://doi.org/10.1037/0022-006X.54.6.760
  17. Caneiro JP, O'Sullivan P, Burnett A, Barach A, O'Neil D, Tveit O, Olafsdottir K. The influence of different sitting postures on head/neck posture and muscle activity. Manual Therapy 2010;15(1):54-60. https://doi.org/10.1016/j.math.2009.06.002
  18. Giallonardo LM. Posture Saunders manual of physical therapy practive, Myers R S(ed), Philadelphia, WB, Saunders Co, 1995:1087-1104.
  19. Jull G, falla D, Hodges P. Cervical flexor muscle retraining; physiological mechanisms of efficacy, Paper presented at 2nd international conference on movement dysfunction, Edingburgh scotland, 2005.
  20. Darling D, Kraus S, Glasheen-Wray M, Relationship of head posture and rest position of mandible. J Prosthe Den 1984;52(1):111-115. https://doi.org/10.1016/0022-3913(84)90192-6
  21. Stephanie SL, Charles AT, Jason PM, William EP, Darin P, The effects of an exercise intervention on forward head and rounded shoulder postures in elite simmers. Br J Spor Med 2010;44:376-381. https://doi.org/10.1136/bjsm.2009.066837
  22. Choi YJ. Effectiveness of an Cervical and Thoracic Stretching and Strengthening Exercise to Improve Forward Head Posture. Korea University Master's degree 2007.