대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제17권4호
  • /
  • Pages.1-13
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  • 2022
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
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Effects of Cervical Stabilization and Scapular Stabilization Exercise on the Proprioception and Craniovertebral Angle and Upper Trapezius Muscle Tone of People with F orward Head Posture

  • Seung-Hwan, Lee (Department of Physical Therapy, College of Health Science, Sunmoon University) ;
  • Byoung-Ha, Yoo (Department of Physical Therapy, College of Health Science, Sunmoon University) ;
  • Hyun-Seo, Pyo (Department of Physical Therapy, College of Health Science, Sunmoon University) ;
  • Dongyeop, Lee (Department of Physical Therapy, College of Health Science, Sunmoon University) ;
  • Ji-Heon, Hong (Department of Physical Therapy, College of Health Science, Sunmoon University) ;
  • Jae-Ho, Yu (Department of Physical Therapy, College of Health Science, Sunmoon University) ;
  • Jin-Seop, Kim (Department of Physical Therapy, College of Health Science, Sunmoon University) ;
  • Seong-Gil, Kim (Department of Physical Therapy, College of Health Science, Sunmoon University)
  • 투고 : 2022.10.17
  • 심사 : 2022.11.14
  • 발행 : 2022.11.30
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초록

PURPOSE: This study examined the effects of the craniovertebral angle, proprioception (joint error test), and the upper trapezius on the muscle tone when comparing cervical stabilization and scapula stabilization exercises and when two exercises were performed together. METHODS: The participants in this study agreed in advance, and this study was carried out by recruiting 27 university students in their twenties with mild frontal posture. The subjects were assigned randomly to three groups that performed cervical stabilization exercises, scapular stabilization exercises, and both cervical and scapular stabilization exercises. One-way repeated ANOVA was used to analyze the evaluation values of the 1st, 3rd, and 6th weeks of exercise intervention within the group, and one-way ANOVA was used to compare the difference in the effects of exercise intervention among the three groups. RESULTS: Proprioception was significantly different in the cervical stabilization exercises (CSE) group and the cervical stabilization exercises + Scapular stabilization exercises (CSE+SSE) groups at three weeks, and there was a significant difference between the scapular stabilization exercises (SSE) group and the CSE+SSE group (p < .05). At six weeks, there was a significant difference between the CSE group and the CSE+SSE group, and there was a significant difference between the SSE group and the CSE+SSE group (p < .05). There was a significant difference between three and six weeks in the CSE group (p < .05). In the SSE group, there was a significant difference between pre and six weeks, and between three and six weeks (p < .05). In the CSE+SSE group, there was a significant difference between pre and three weeks, and between pre and six weeks (p < .05). On the other hand, there were no significant differences between CVA and muscular tone in all three groups (P > .05). CONCLUSION: In all groups, the proprioception (joint error test) showed significant improvement, and the CSE+SSE group showed greater improvement than the other groups. As a result, the appropriate combination of neck stabilization exercise and scapular stabilization exercise effectively improved proprioception in the presence of forward head posture (FHP).

키워드

과제정보

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korean Government (MSIT) (No. NRF-2022R1G1A1012129).

참고문헌

  1. Yoo WG, Kim MH. Effect of different seat support characteristics on the neck and trunk muscles and forward head posture of visual display terminal workers. Work, 2010;36(1):3-8. https://doi.org/10.3233/WOR-2010-1002
  2. Cho CY. Survey of faulty postures and associated factors among Chinese adolescents. J Manipulative Physiol Ther, 2008;31(3):224-9. https://doi.org/10.1016/j.jmpt.2008.02.003
  3. Park SA, Lee KI, Kim KY. Daily living habits and knowledge of good posture among the middle school students. Journal of Sport and Leisure Studies, 2008;33(1):603-14. https://doi.org/10.51979/KSSLS.2008.08.33.603
  4. Grimmer KA, Williams MT, Gill TK. The associations between adolescent head-on-neck posture, backpack weight, and anthropometric features. Spine, 1999;24(21):2262-7. https://doi.org/10.1097/00007632-199911010-00015
  5. Chansirinukor W, Wilson D, Grimmer K, Dansie B. Effects of backpacks on students: Measurement of cervical and shoulder posture. J Physiother, 2001;47(2):110-16.
  6. Choi YJ, Hwang R. Effect of cervical and thoracic stretching and strengthening exercise program on forward head posture. Korean J Urol, 2011;11(10):293-300.
  7. De-la-Llave-Rincon AI, Fernandez-de-las-Penas C, Palacios-Cena, et al. Increased forward head posture and restricted cervical range of motion in patients with carpal tunnel syndrome. JOSPT Cases, 2009;39(9):658-64. https://doi.org/10.2519/jospt.2009.3058
  8. Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther, 2008;13(2):148-54. https://doi.org/10.1016/j.math.2006.11.002
  9. Panjabi MM. The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. J Spinal Disord, 1992;5(4):390-7. https://doi.org/10.1097/00002517-199212000-00002
  10. Jeong DW, Kim YW. Changes in cervicocephalic joint position sense in sustained forward head posture. J Korean Soc Integr Med, 2017;5(2):11-7.
  11. Kim EK, Kim JS. Correlation between rounded shoulder posture, neck disability indices, and degree of forward head posture. J Phys Ther Sci, 2016;28(10):2929-32. https://doi.org/10.1589/jpts.28.2929
  12. Cheng CH, Wang JL, Lin JJ, et al. Position accuracy and electromyographic responses during head reposition in young adults with chronic neck pain. J Electromyogr Kinesiol, 2010;20(5):1014-20. https://doi.org/10.1016/j.jelekin.2009.11.002
  13. de Vries J, Ischebeck BK, Voogt LP, et al. Joint position sense error in people with neck pain: A systematic review. Man Ther, 2015;20(6):736-44. https://doi.org/10.1016/j.math.2015.04.015
  14. Gunaydin OE, Ertekin E, Gunaydin G. Four weeks of exercise regimen for sedentary workers with rounded shoulder posture: A randomized controlled study. Sao Paulo Med J, 2022;S1516-31802022005023219.
  15. Izraelski J. Assessment and treatment of muscle imbalance: The Janda approach. J Can Chiropr Assoc. 2012 Jun;56(2):158.
  16. Moon SB, Lee WJ, Hong CB, et al. Effects of cervical extension exercise and Mckinzie exercise on the pain and cervical muscle strength in patients with cervicalgia. Korean Journal of Sports Science, 2007;16(3):687-98.
  17. Chiu TT, Lam TH, Hedley AJ. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine, 2005;30(1):E1-E7. https://doi.org/10.1097/01.brs.0000149082.68262.b1
  18. Falla D, Jull G, Hodges P, Vicenzino B. An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain. Cli Neurophysiol, 2006;117(4):828-37.
  19. Ozdemir F, Toy S, Kizilay F, et al. Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study. Turk J Phys Med Rehabil, 2021;67(1):77-83. https://doi.org/10.5606/tftrd.2021.6775
  20. obush DC, Simoneau GG, Dietz KE, et al. The lennie test for measuring scapular position in healthy young adult females: A reliability and validity study. J Orthop Sports Phys Ther, 1996;23(1):39-50.
  21. Culham E, Peat M. Functional anatomy of the shoulder complex. J Orthop Sports Phys Ther, 1993;18(1):342-50. https://doi.org/10.2519/jospt.1993.18.1.342
  22. Bae WS, Lee KC, Kim YH. Comparison between McKenzie stretch exercise and scapula stability exercise on neck muscle activation in the forward head posture. J Korean soc integr med, 2016;4(1):13-20. https://doi.org/10.15268/KSIM.2016.4.1.013
  23. Park SW, Baek YH, Seo JS, et al. Effect of forward head posture on scapula stability exercise and McKenzie stretch exercise. J Korean Soc Integr Med, 2015;3(4):61-7. https://doi.org/10.15268/KSIM.2015.3.4.061
  24. 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
  25. Kocur P, Wilski M, Goliwas M, et al. Influence of forward head posture on myotonometric measurements of superficial neck muscle tone, elasticity, and stiffness in asymptomatic individuals with sedentary jobs. J Manipulative Physiol Ther, 2019;42(3):195-202. https://doi.org/10.1016/j.jmpt.2019.02.005
  26. Kang NY, Im SC, Kim K. Effects of a combination of scapular stabilization and thoracic extension exercises for office workers with forward head posture on the craniovertebral angle, respiration, pain, and disability: A randomized-controlled trial. Turk J Phys Med Rehabil, 2021;67(3):291-9. https://doi.org/10.5606/tftrd.2021.6397
  27. Kim BG, Park RJ. The influence of Lumbar stabilizing exercise for Lumbosacral region angle. J Kor Phys Ther, 2004;16(4):613-31.
  28. Cho J, Lee E, Lee S. Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: a randomized clinical trial. BMC Musculoskelet Disord, 2017;18(1):525.
  29. Kang JI, Choi HH, Jeong DK., et al. Effect of scapular stabilization exercise on neck alignment and muscle activity in patients with forward head posture. J Phys Ther Sci, 2018;30(6):804-8.
  30. Park SH, Lee MM. Effects of lower trapezius strengthening exercises on pain, dysfunction, posture alignment, muscle thickness and contraction rate in patients with neck pain; randomized controlled Trial. Med Sci Monit, 2020;26:e920208.