• Title/Summary/Keyword: 경부 신전 장애

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Study for Range of Motion, Neck Disability Index According to Cervical Posture in Adults with Reduced Cervical Lordosis Due to Smartphone Use (스마트폰 사용에 의한 경추부 만곡이 감소된 성인의 경부 자세에 따른 관절가동범위와 목장애지수에 대한 연구)

  • Kim, Su-Hyung;Han, Sang-Chuol;Moon, Jong-Hoon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.4
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    • pp.679-690
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    • 2017
  • The purpose of this study was to investigate the relationship between neck posture and range of motion and neck disability index(NDI) in young adults with reduced cervical lordosis. This study selected 34 young adults with cervical lordosis reduced (Cobb's angle less than 35 degrees). The assessor measured neck flexion, extension, left lateral flexion, right lateral flexion, left rotation, right rotation and forward displacements of all subjects using cervical of range motion instrument, Then, the NDI was evaluated. After all assessments, degree for cervical lordosis was divided into two groups: bottom group(severe cervical lordosis) and top group(mild cervical lordosis). The bottom group was significantly higher in Cobb's angle, extension, left lateral flexion, right lateral flexion, left rotation, right rotation and forward displacement compared to the top group (p<.05). There was no significant difference between the two groups in flexion, NDI(p >.05). In comparison of subscale of NDI, top group was significantly higher in pain, lifting, and headache than bottom group (p <.05). In correlation analysis, Cobb's angle showed significant positive correlation with flexion, extension, left lateral flexion, right lateral flexion, left rotation and right rotation(p<.05), and showed significant negative correlation with forward displacement, NDI(p<.05). Cobb's angle showed a significant negative correlation with pain, lifting, and headache of subscale of NDI(p<.05). The findings of this study potentially suggest that neck posture may affect the cervical range of motion and pain.

Effects of Cervical Joint Mobilization on the Forward Head Posture and Neck Disability Indexes (경부관절가동술이 두부전방자세와 경부장애지수에 미치는 영향)

  • Oh, Hyunju;Hwang, Byeongjun;Choi, Yoorim
    • Journal of the Korean Society of Radiology
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    • v.8 no.2
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    • pp.89-96
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    • 2014
  • This paper tries to examine whether the application of joint mobilization to subjects who have the forward head posture due to malalignment in the cervical joint has influence on posture changes and functions in the cervical joint. The subjects were 39 students from G University in Gyeongsangbuk-do. The cervical joint mobilization was applied to 20 subjects and not to 19. The students with a cervical lordosis angle of $21^{\circ}C$ or less, an anterior weight bearing (AWB) of 15mm or greater, and a cervical extension ROM of $70^{\circ}C$ or less in terms of radiography were selected as subjects under their voluntary agreement. The patients actively performed the joint mobilization slowly 8 times per session while therapists continuously applied sustained accessory glide to their painful joints 3 times per week for 4 weeks along with the cervical expansion and flexion in SNAGS among other Mulligan's (1995) techniques. The measurement was carried out in terms of radiographic inspection and neck disability indexes. As a result of the experiment, it turned out that the subjects with the forward head posture had changes in the cervical AWB and ARA, the ranges of expansion and flexion, and the NDI(Neck Disability Index) after the intervention for the experimental group by applying cervical joint mobilization. There were no changes observed in the control group. In conclusion, the application of joint mobilization turned out to have influence on the improvement of cervical joint postures, and craniocervical region functions.

The Effect of an Interocclusal Appliance on Head and Neck Posture (교합장치물이 두경부 자세에 미치는 영향)

  • Eun-Ha Kim;Keum-Back Shin;Ik-Jun Lim
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.81-97
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    • 1994
  • 두개하악장애는 환자의 신체적 소인, 관련조직의 구조적 변화, 정신적 스트레스 등의 복합적 요인에 의 발생하는 다인성 질환으로 최근 대두되는 원인중의 하나가 신체, 특히 두경부의 자세이상이다. 비정상적인 두경부자세는 하악의 위치변화를 수반하여 종종 두개하악장애를 야기시키게 되나 이를 설명할 수 있는 과학적 증거는 아직 부족한 실정이다. 저자는 두경부 자세가 교합장치물에 의해 변화되는지를 저작근의 근전도학적 측면에서 규명하고자 21세에서 26세의 치과대학생으로 치아상실 및 교합간섭이 없고 두 개하악장애의 증후 및 경부운동제한을 가지지 않은 정상인 20명을 대상으로 각도계를 사용하여 시상면상에서 인위적으로 유도한 세 가지의 두경부자세변화 (0$^{\circ}$, 30$^{\circ}$ 굴절, 45$^{\circ}$ 신전)에 따른 교합안정장치의 장착(1시 간) 전후 및 안정위와 근접촉위(초기치아접촉위)에서의 두경부 근육(측두근, 교근, 악이복근)의 근전도를 Bioelectric Microprocessor EM2ⓡ를 사용하여 측정한 후 통계학적으로 비교, 분석, 평가하여 다음과 같은 결과를 얻었다. 1. 교합안정장치 장착전 하악 안정위 및 근접촉위에서 두부의 30$^{\circ}$굴절은 악이복근의 근활성도를, 45$^{\circ}$신전은 교근 및 악이복근의 근활성도를 증가시켰다.(p<0.05) 2. 교합안정장치 장착후 하악 안정위에서 두부의 30$^{\circ}$굴절은 악이복근의 근활성도를, 45$^{\circ}$신전은 교근 및 악이복근의 근활성도를 증가시켰으며, 하악 근접촉위에서 두부의 45$^{\circ}$신전은 악이복근의 근활성도를 증가시켰다(p<0.05). 3. 교합안정장치 장착 전후 및 두부의 30$^{\circ}$굴절, 45$^{\circ}$신전에 따른 측두군 및 교근의 하악 근접촉위에서의 근활성도가 안정위에서의 근활성도에 비해 유의한 증가를 나타냈다(p<0.05).

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Effects of Cervical Stretching Program on Pain, Fatigue and Range of Motion of Nursing College Students Overusing Smartphones (경부스트레칭프로그램이 스마트폰 과다 사용하는 간호대학생의 경부통증, 피로, 관절운동범위에 미치는 효과)

  • Kang, Moon-Jung;Kim, Namsuk
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.3
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    • pp.241-249
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    • 2019
  • The purpose of this study was to evaluate the effect of cervical stretching program on neck pain, fatigue and range of motion caused by overuse of smartphone. Methods: We treated stretching program to measure the pain, fatigue, and range of motion of the neck before and after cervical stretching program for experiment group (n=25), control group(n=27) nursing college students using the smartphone. The general characteristics of the subjects and the range of neck pain, fatigue, and cervical range of motion were analyzed using descriptive statistics. The results of the cervical stretching program for neck pain, fatigue, and range of motion of the neck were analyzed using independent t-test. Results: After cervical stretching program, the pain of the neck(t=2.86, p=.006), fatigue(t=5.44, p<.001). flexion(t=-2.10, p=.041), extension(t=-2.84, p=.006), right lateral flexion(t=-2.4, p=.047), left lateral flexion(t=-2.05, p=0.46) and right rotation(t=-4.48, p<.001), left rotation(t=-3.38, p=.001) range of rotation were improved. Conclusion: The results of this study suggest that a cervical stretching program can be used as an effective intervention for health problems in musculoskeletal disorders due to smartphone overuse.

Treatment of Carcinoma in Situ of Glottis by KTP Fiberoptic Laryngeal Laser Surgery Under Local Anesthesia (국소 마취 하 굴곡 내시경 후두 레이저 수술로 치료한 성문 제자리 암종 1례)

  • Lee, Yun Ji;Lee, Eunsang;Park, Ki Nam;Lee, Seung Won
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.30 no.1
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    • pp.53-56
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    • 2019
  • The optimal treatments of carcinoma in situ of glottis include radiotherapy, laser surgery and vertical partial laryngectomy. Conventional surgical treatments need general anesthesia and radiotherapy has several complications. Recently, the effectiveness of 532 nm potassium titanyl phosphate (KTP) laser has been proven and widely used in vocal fold diseases even some cases of vocal fold dysplasia. A patient with difficult laryngeal exposure underwent fiberoptic laryngeal laser surgery using KTP laser under local anesthesia, showed improved voice outcome and the glottic lesion was removed successfully without local recurrence and regional metastasis 18 months after surgery.