한방재활의학과학회지 (Journal of Korean Medicine Rehabilitation)

  • 제34권3호
  • /
  • Pages.75-88
  • /
  • 2024
  • /
  • 1229-1854(pISSN)
  • /
  • 2288-4114(eISSN)
한방재활의학과학회 (The society of Korean Medicine Rehabilitation)
권호 표지
DOI QR코드

DOI QR Code

복와위 자침 자세에 따른 경추 만곡과 추간판 각도의 변화

The Change of Curvature and Intervertebral Disc Angle of Cervical Spine in Prone Position for Acupuncture

  • 박현선 (동국대학교 분당한방병원 한방재활의학과) ;
  • 금동호 (동국대학교 분당한방병원 한방재활의학과)
  • Hyeonsun Park (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Dongho Keum (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital)
  • 투고 : 2024.03.18
  • 심사 : 2024.05.12
  • 발행 : 2024.07.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives This study was designed to compare curvature and intervertebral disc angle of the cervical spine in different prone positions. Methods 30 adults aged 19~60 years were enrolled in this study. Volunteers in this uncontrolled trial were taken an x-ray of cervical spine on lateral. Four radiographs were taken for each volunteer, in standing, prone position with U-type pillow (prone position A), rectangular pillow (prone position B), and prone position without pillow (prone position C). After measuring the cervical angle, Ishihara index, craniovertebral angle, intervertebral angle, we analysed the lordotic angle and foward head posture. The data was anlysed by analysis of variance and pearson correlation coefficient. Results Cervical angles of prone position without pillow (prone position C) significantly decreased compared with those in standing position (p<0.001). Ishihara index of prone position without pillow (prone position C) also significantly decreased compared with those in standing position (p<0.001). Craniovertebral angle of prone position with pillow (prone position A, B) significantly increased with those in standing position (p<0.001). Intervertebral angle of prone position with pillow (prone position A, B) at the C3-7 levels significantly increased with those in standing position (p<0.001). Intervertebral angle of prone position without pillow (prone position C) at the C3-5 levels significantly decreased with those in standing position (p<0.001). The angle of intervertebral disc significntly decreased in kyphotic cervical levels. Conclusions Different prone position clearly resulted changes in cervical spine curvature and intervertebral disc angle. And it is related to cervical spine lordotic angle and sagittal alignment in standing position and prone position.

키워드

참고문헌

  1. Lu Y. Brief on the standardization of the practitioner's posture in acupuncture operation. Chinese Acupuncture & Moxibustion. 2015;35(7):691-4.
  2. Lu Y. Analysis on standardization of patient posture for acupuncture treatment. Chinese Acupuncture & Moxibustion. 2018;38(2):185-9.
  3. Jeong DU, Yeo KC, Yoon I, Moon SI. A clinical study on effectiveness of acupuncture treatment of acute ankle sprain combined with positional release therapy. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2009;4(1):19-29.
  4. Lee YJ, Kim MR, Lee EJ, Kim EJ, Nam D, Jang BH, Cho JH, Oh MS, Cha YY, Song YK, Shin BC, Kim S, Lee MS, Ha IH. An evidence-based approach for the development of a clinical practice guideline for the treatment of neck pain using traditional Korean medicine. European Journal of Integrative Medicine. Yangsan: Korean Acupuncture & Moxibustion Medicine Society. 2021;44:101337.
  5. Jo NG, Kim KS, Kim SC, Kim EJ, Nam DW, Song HS, Lee JD, Lee EY, Hong GY. Korean Acupuncture & Moxibustion Medicine Society. Guideline of Acupuncture and moxibustion treatment for Neck pain. 2013:89-90.
  6. Brink RC, Colo D, Schlosser TPC, Vincken KL, van Stralen M, Hui SCN, Shi L, Chu WCW, Cheng JCY, Castelein RM. Upright, prone, and supine spinal morphology and alignment in adolescent idiopathic scoliosis. Scoliosis and Spinal Disorders. 2017;12:6.
  7. Choi CH, Koh YD, Kim DJ, Kim JO. Comparision of lumbar lordosis according to different operative positions. Journal of Korean Society of Spine Surgery. 2000;7(1):77-82.
  8. Ombregt L. A system of orthopaedic medicine. 3rd ed. Amsterdam:Elsevier. 2015:705-13.
  9. Bogduk N, Windsor M, Inglis A. The innervation of the cervical intervertebral discs. Spine. 1988;13(1):2-8.
  10. Yoon JG. Relationship between the muscle activity and muscle fatigue of the upper trapezius and erector spinae during a walking with the backpack. Journal of Coaching Development. 2011;13(4):181-8.
  11. Harrison DE, Harrison DD, Cailliet R, Troyanovich SJ, Janik TJ, Holland B. Cobb method or Harrison posterior tangent method: which to choose for lateral cervical radiographic analysis. Spine. 2000;25(16):2072-8.
  12. Ishihara A. Roentgenographic studies on the normal pattern of the cervical curvature. Nihon Seikeigeka Gakkai Zasshi. 1968;42(11):1033-44.
  13. Watson DH, Trott PH. Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia. 1993;13(4):272-84.
  14. Been E, Shefi S, Soudack M. Cervical lordosis: the effect of age and gender. The Spine Journal. 2017;17(6):880-8.
  15. Song KS. Static and dynamic analysis of sagittal alignment of the cervical spine with sigmoid configurations. Journal of Advanced Spine Surgery. 2015;5(1):8-16.
  16. Deng Q, Wu Y, He C, Sun Y, Ma G, Tian Y. Efficacy differences between different position in patients treated with electroacupuncture for lumbar herniated disc. Chinese Acupuncture & Moxibustion. 2016;36(7):689-93.
  17. Chu H, Park K, Jang J, Shin HR, Yang M, Kim DR, Ryu WH, Ryu HS, Yeom SR, Lee S, Kim CH. Comparison of cervical hyeopcheok acupoint's depth change with cervical rotation in a prone position: protocol and pilot study result for accurate observation of cervical hyeopcheok acupoint by ultrasonography. J Korean Med Rehabil. 2019;29(4):81-8.
  18. Keum Y, Lim H, Choi S, Jung J, Eom D, Song J. A review on selection of specific points-needling depth of LU7 and point location of BL62 & KI6. Korean Journal of Acupuncture. 2020;37(1):31-6.
  19. Maigne R. Diagnosis and treatment of pain of vertebral origin. 2nd ed. Seoul:Koonja. 2008:3-6.
  20. Cailliet R. Neck and arm pain. 3rd ed. Philadelphia: Davis. 1991:348-67.
  21. Christie HJ, Kumar S, Warren SA. Postural aberrations in low back pain. Archives of Physical Medicine and Rehabilitation. 1995;76(3):218-24.
  22. Shah JS, Hampson WG, Jayson MI. The distribution of surface strain in the cadaveric lumbar spine. The Journal of Bone and Joint Surgery. 1978;60-B(2):246-51.
  23. Beattie PF, Brooks WM, Rothstein JM, Sibbitt WL Jr, Robergs RA, MacLean T, Hart BL. Effect of lordosis on the position of the nucleus pulposus in supine subjects. A study using magnetic resonance imaging. Spine. 1994;19(18):2096-102.
  24. Fennell AJ, Jones AP, Hukins DW. Migration of the nucleus pulposus within the intervertebral disc during flexion and extension of the spine. Spine. 1996;21(23):2753-7.
  25. Cramer GD, Darby SA. Basic and clinical anatomy of the spine, spinal cord, and ANS. 2nd ed. Amsterdam: Elsevier. 2009:40-9.
  26. Chen SH, Hui YL, Yu CM, Niu CC, Lui P W. P araplegia by acute cervical disc protrusion after lumbar spine surgery. Chang Gung Medical Journal. 2005;28(4):254-7.
  27. Deem S, Shapiro HM, Marshall LF. Quadriplegia in a patient with cervical spondylosis after thoracolumbar surgery in the prone position. Anesthesiology. 1991;75(3):527-8.
  28. Louis R. Vertebroradicular and vertebromedullar dynamics. Clinical Anatomy. 1981;3:1-11.
  29. Hansraj KK. Assessment of stresses in the cervical spine caused by posture and position of the head. Surgical Technology International. 2014;25:277-9.
  30. Takeshima T, Omokawa S, Takaoka T, Araki M, Ueda Y, Takakura Y. Sagittal alignment of cervical flexion and extension: lateral radiographic analysis. Spine. 2002;27(15):E348-55.
  31. Katsuura A, Hukuda S, Imanaka T, Miyamoto K, Kanemoto M. Anterior cervical plate used in degenerative disease can maintain cervical lordosis. Journal of Spinal Disorders. 1996;9(6):470-6.