Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Cervical and Thoracic Joint Mobilization on the Cervical Pain, Cervical Range of Motion and Balance in Adults with Forward Neck Posture

목뼈 및 등뼈 관절가동술이 전방머리자세 성인의 목통증, 목 관절가동범위 및 균형에 미치는 영향

  • 이상빈 (남서울대학교 물리치료학과)
  • Received : 2020.03.04
  • Accepted : 2020.04.20
  • Published : 2020.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the effect of cervical and thoracic joint mobilization on cervical pain, cervical range of motion(ROM) and balance in adults with forward neck posture. A total 26 subjects were divided into a cervical joint mobilization group(CMG, n=13) and a thoracic joint mobilization group(TMG, n=13). performed joint mobilization three times per week for four weeks. As for changes in pain and ROM, statistically significant decrease were founded within group comparison(p<.05). In changes of static balance within group comparison, the CMG showed statically significant improvement in right foot on eyes closed(p<.05), while there were no significant changes in the TMG(p<.05). There were no significant differences were observed between group comparison(p<.05). In changes of dynamic balance within group comparison, the CMG and TMG were showed statistically significant improvement(p<.05). In conclusion, the joint mobilization on cervical and thoracic were effective on improving cervical pain, cervical range of motion and balance in adults with forward neck posture.

본 연구는 목뼈와 등뼈에 적용한 관절가동술이 전방머리자세를 가진 성인의 목통증, 목관절가동범위 및 균형에 미치는 영향을 알아보고자 실시되었다. 전방머리자세로 판명된 대학생 26명을 목뼈 관절가동술 그룹과 등뼈 관절가동술 그룹으로 13명 씩 무작위 배정하여 모든 대상자에게 각각 하루 10회, 1회당 30초 적용, 30초 휴식으로, 주 3회, 4주간 관절가동술을 적용한 후 변화를 비교하였다. 연구 결과, 통증과 관절가동범위에서 두 그룹 모두 유의한 효과가 있었고(p<.01), 그룹 간 비교에서는 유의한 차이가 없었다. 정적 균형의 그룹 내 변화에서 목뼈 관절가동술 그룹이 오른발 및 눈을 감았을 때 유의한 개선을 보였고(p<.05), 등뼈 관절가동술 그룹에서는 유의한 변화가 없었다(p<.05). 왼발 정적 균형은 두 그룹 모두 유의한 개선이 없었고(p<.05). 그룹 간 정적 균형의 비교에서도 유의한 차이가 없었다(p<.05). 동적 균형의 그룹 내 변화에서 목뼈 관절가동술 그룹이 앞쪽, 왼쪽, 오른쪽에서 유의한 개선을 보였고(p<.05), 등뼈 관절가동술 그룹이 앞쪽과 오른쪽에서 유의한 개선을 보였다(p<.05). 그룹 간 동적 균형에서는 왼쪽에서 유의한 차이가 나타났다(p<.05). 본 연구를 통하여 목뼈 및 등뼈 관절가동술은 전방머리자세 성인의 통증, 관절가동범위, 균형 능력에 대하여 유의한 효과가 있었다.

Keywords

References

  1. J. Saal. (1992). The new back school prescription: stabilization training. Part II. Occupational Medicine, 7(1), 33-42.
  2. M. Moore. (2004). Upper crossed syndrome and its relationship to cervicogenic headache. Journal of manopulative and physiological Therapeutics, 27(6), 414-420. DOI : 10.1016/j.jmpt.2004.05.007
  3. S. Sahrmann. (2011). Movement system impairment syndromes of the extremities, cervical and thoracic spines. Mosby Pub.
  4. S. Edmondston, H. Chan, G. Ngai, M. Warren, J. Williams, S. Glennon et al. (2007). Postural neck pain: an investigation of habitual sitting posture, perception of 'good' posture and cervicothoracic kinaesthesia. Manual Therapy, 12(4), 363-371. DOI : 10.1016/j.math.2006.07.007
  5. H. W. Jung. (2013). The Study on Correlation between the Forward Head Posture and Spinal Alignment (Master dissertation, Sang-Ji University).
  6. C. Cheng, J. Wang, J. Lin, S. Wang & K. Lin. (2010). Position accuracy and electromyographic responses during head reposition in young adults with chronic neck pain. Journal of Electromyography and kinesiology, 20(5), 1014-1020. DOI : 10.1016/j.jelekin.2009.11.002
  7. S. Y. Kim & H. J. Jang. (2012). Clinical Importance and Measurement in Thoracic Kyphosis. Journal of Korean Orthopedic Manual Physical Therapy, 18(1), 1-10.
  8. H. J. Oh, B. J. Hwang & Y. R. Choi. (2014). Effects of Cervical Joint Mobilization on the Forward Head Posture and Neck Disability Index. Journal of the Korean Society of Radiology, 8(2), 89-96. DOI : 10.7742/jksr.2014.8.2.89
  9. E. Sandow. (2011). Case Studies in Cervicothoracic Spine Function: Evaluation and Treatment of Two Dancers with Mechanical Neck Pain. Journal of Dance Medicine and Science, 15(1), 37-44.
  10. S. Y. Park, S. B. Lee, J. H. Choi, K. O. Min & S. H. Kim. (2016). Effects of Maitland Orthopedic Manipulative Physiotherapy and Stretching applied to Cervical Vertebra on Pain, Range of Motion, and Muscle Tone of Adults with Forward Neck Posture. Journal of International Academy of Physical Therapy Research, 7(1), 925-932. https://doi.org/10.20540/JIAPTR.2016.7.1.925
  11. J. Cleland, P. Glynn, J. Whitman, S. Eberhart, C. MacDonald & J. Childs. (2007). Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Physical Therapy, 87(4), 431-440. DOI : 10.2522/ptj.20060217
  12. T. S. Ko, H. B. Jung & J. A. Kim. (2009). The Effects of Thoracic Mobilization on Pain, Disability Index and Spinal Mobility in Chronic Low Back Pain Patients. Institute of Special Education & Rehabilitation Science, 48(2), 115-137. DOI : 10.1589/jpts.26.1711
  13. P. N. Hwangbo. (2011). The Effects of Thoracic Joint Mobilization and Self Stretching Exercise on the Pulmonary Function of Patients with Chronic Neck Pain (Master dissertation, Dae-gu University).
  14. N. R. Ha, H. M. Shin, M. C. Kim & H. J. Oh. (2016). Effects of Abdominal Breathing and Thoracic Expansion Exercises on Head Position and Shoulder Posture in Patients with Rotator Cuff Injury. Journal of Korean Society of Physical Medicine, 11(4), 1-9. DOI : 10.13066/kspm.2016.11.4.1
  15. K. W. Lee. (2012). The Effects of Thoracic Manipulative Therapy and Deep Neck Flexor Exercise on Chronic Neck Pain Patients. (Doctoral dissertation, Ph. D. Dissertation, Shamyook University).
  16. E. Bicalho, A. Joao, S. Palma, M. Jones, L. Jose & M. Elisangela. (2010). Immediate effects of a high-velocity spine manipulation in paraspinal muscles activity of nonspecific chronic low-back pain subjects. Manual Therapy, 15(5), 768-776. DOI : 10.1016/j.math.2010.03.012
  17. G. Ganesh, P. Mohanty, M. Pattnaik & C. Mishra. (2015). Effectiveness of mobilization therapy and exercises in mechanical neck pain. Physiother. Theory Pract., 31, 99-106. DOI : 10.3109/09593985.2014.963904
  18. K. S. Lee. (2017). Effects of Joint Mobilization in Cervical and Upper Thoracic Spine and Therapeutic Exercise on Functional Impairment in Individual with Chronic Neck Pain (Master dissertation, Cheongju University).
  19. P. Carli, M. Patrizi, L. Pepe, G. Cavaniglia D. Riva, L. D'ottavi. (2010). Postural control and risk of falling in bipodalic and monopodalic stabilometric tests of healthy subjects before, after visuo-proprioceptive vestibulo-postural rehabilitation and at 3 months thereafter: role of the proprioceptive system. Acta otorhinolarygologica italica, 30(4), 182-189.
  20. H. J. Jung. (2018). The Effect of Thoracic Joint Mobilization on the Changes of the Thoracic Kyphosis Angle and Static and Dynamic Balance (Master dissertation, Dongeui University).
  21. J. H. Lee. (2016). Effects of forward head posture on static and dynamic balance control. Journal of Physical Therapy Science, 28, 274. DOI : 10.1589/jpts.28.274
  22. E. Poole, J. Treleaven & G. Jull. (2008). The influence of neck pain on balance and gait parameters in community-dwelling elders. Manual Therapy, 13, 317-324. DOI : 10.1016/j.math.2007.02.002