PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Mandible Position on Proprioception and Range of Motion during Neck Stabilization Exercise using a Sling

슬링을 이용한 목 안정화 운동 시 아래턱 위치가 고유수용성감각과 관절가동범위에 미치는 영향

  • 채정병 (마산대학교 물리치료과) ;
  • 정주현 (김해대학교 물리치료과)
  • Received : 2018.01.22
  • Accepted : 2018.02.26
  • Published : 2018.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The aim of this study was to investigate the effect of mandible position on proprioception and range of motion (ROM) during neck stabilization exercise using a sling in healthy adults. Methods: The subjects were randomly assigned to either a sling exercise and mandible open group (n=10) or a sling exercise and mandible closed group (n=12). The sling exercise-mandible open group and sling exercise-mandible closed group took part in an exercise program for 30min, three times per week for 4 weeks. After each training session, head repositioning accuracy (HRA) and the ROM of the cervical spine were measured. Wilcoxon's test was conducted to verify changes within each group, and the Mann-Whitney U test was performed to examine between-group differences. Results: The HRA of the cervical spine was significantly increased during left rotation and extension in the sling exercise-mandible open group. In addition, there were significant differences in both rotations and extension in the two groups. The ROM of the cervical spine increased significantly during both rotations in the sling exercise-mandible closed group. In addition, there was a significant difference in right rotation and extension in both groups. Conclusion: Cervical stabilization exercise using a sling, with the mandible closed increased proprioception and the ROM of the cervical spine.

Keywords

References

  1. Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine. 1994;19(2):1307-1309. https://doi.org/10.1097/00007632-199406000-00001
  2. Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine. 2002;27(7):694-701. https://doi.org/10.1097/00007632-200204010-00005
  3. Cote P, Cassidy JD, Carrol L. The saskatchewan health and back pain survey. the prevalence of neck pain and related disability in saskatchewan adults. Spine. 1998;23(15):1689-1698. https://doi.org/10.1097/00007632-199808010-00015
  4. Childs JD, Cleland JA, Elliott JM, et al. Neck pain: clinicalpractice guidelines linked to the international classification of functioning disability, andhealthfrom theorthopedic section of the american physical therapy association. The Journal of Orthopaedic and Sports Physical Therapy. 2008;38(9):1-34. https://doi.org/10.2519/jospt.2008.0100
  5. Falla DL, Jull GA, 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):2108-2114. https://doi.org/10.1097/01.brs.0000141170.89317.0e
  6. Ferreira PH, Ferreira ML, Maher CG, et al. Specific stabilisation exercise for spinal and pelvic pain: a systematic review. The Australian Journal of Physiotherapy. 2006;52(2):79-88. https://doi.org/10.1016/S0004-9514(06)70043-5
  7. Gordon SJ, Trott P, Grimmer KA. Waking cervical pain and stiffness, headache, scapular or arm pain: gender and age effects. The Australian Journal of Physiotherapy. 2002;48(1):9-15. https://doi.org/10.1016/S0004-9514(14)60277-4
  8. Hoving JL, Koes BW, de Vet HC, et al. Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. a randomized, controlled trial. Annals of Internal Medicine. 2002;136(10):713-722. https://doi.org/10.7326/0003-4819-136-10-200205210-00006
  9. Jull G, O'Leary S, Falla D. Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. Journal of Manipulative and Physiological Therapeutics. 2008;31:525-533. https://doi.org/10.1016/j.jmpt.2008.08.003
  10. Jun IS. The effects of cranio-cervical flexion exercise accompanied by mandibular opening on the thickness of deep cervical flexors and static stability in neck pain patients. Daegu University. Dissertation of Doctorate Degree. 2014.
  11. Jun I, Lee J, Kim H, et al. The effects of mouth opening on changes in the thickness of deep cervical flexors in normal adults. Journal of Physical Therapy Science. 2015;27(1):239-241. https://doi.org/10.1589/jpts.27.239
  12. Koolstra JH, van Eijden TM. Functional significance of the coupling between head and jaw movements. Journal of Biomechanics. 2004;37(9):1387-1392. https://doi.org/10.1016/j.jbiomech.2003.12.021
  13. Murphy DR. Conservative management of cervical spine syndromes. New York. McGraw-Hill Medical. 2000.
  14. Neumann DA. Kinesiology of the musculoskeletal system: Foundation for rehabilitation, 2nd ed. London. Mosby. 2010.
  15. Rix GD, Bagust J. Cervicocephalic kinesthetic sensibility in patients with chronic, nontraumatic cervical spine pain. Archives of Physical Medicine and Rehabilitation. 2001;82(7):911-919. https://doi.org/10.1053/apmr.2001.23300
  16. Sahrmann SA. Movement system impairment syndromes of the extremities, cervical and thoracic spines. New York. Mosby. 2011.
  17. Wang WT, Olson SL, Campbell AH, et al. 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. 2003;82(3):203-218. https://doi.org/10.1097/01.PHM.0000052700.48757.CF
  18. Yun KH. Effect of craniocervical flexion exercise using sling on recruitment of deep cervical flexor. Daegu University. Dissertation of Master's Degree. 2013.