• 대한치과교정학회지
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• 제28권4호
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• pp.499-515
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• 1998

두경부 자세 및 혀, 설골의 위치와 두개안면골격간의 연관성을 알아보기 위해, 원광대학교 치과대학 재학생 중 선천적 두경부 이상이나 결손치가 없고 과거 교정 치료나 보철치료의 경험이 없는 남자 50명과 여자 40명을 대상으로 natural head position(NHP)상태에서 두부방사선 사진을 채득하여 전통적인 두개내 참고선과 두개의 진성 참고선을 이용하여 계속한 결과 다음과 같은 결론을 얻었다. 1. 두경부 자세변수들에서는 남녀간 차이가 없었으나, 설골의 위치는 남자가 여자에 비해 더 전하방에 위치하였으며, 더 큰 전하방 경사도를 보였다. 2. 경추의 경사도가 클수록 NHP에서 안면돌출도는 작게 나타났으며, 경추의 전방만곡이 증가할수록 수직적인 안모형태를 보였다. 3. 두경부각이 작을수록 두개저에 대하여 설골이 전방에 위치하였으며, 두경부각과 설골의 수직적인 위치는 연관성을 보이지 않았다. 4. 하악골이 전돌될수록 설골은 전방에 위치하였으며, 두개안면형태와 설골의 수직적인 위치는 미약한 연관성을 나타냈다.

• 한방재활의학과학회지
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• 제20권1호
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• pp.133-139
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• 2010

Objectives : The purpose of this study was to compare about quantity of pain and fatigue according to cervical spine curvature of patient with neck pain. Methods : Cervical spine curvature was measured using the sagittal radiography of the cervical spine, neck pain was evaluated using the VAS and neck fatigue was evaluated using fatigue symptom checklist. Based on four line Cobb's method, 51 subjects were divided into hypolordosis group, normal group, hyperlordosis group. Window version SPSS 12K was used for statistical analysis about relation between pain and cervical spine curvature of each group, also about between fatigue and cervical spine curvature of each group. Results : 1. A significant difference was not found between pain and cervical curvature of each group. 2. A significant difference was not found between fatigue and cervical curvature of each group. Conclusions : There was no relation between pain and cervical curvature of each group, also fatigue and cervical curvature.

• 대한추나의학회지
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• 제5권1호
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• pp.151-161
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• 2004

Objectives : To investigate and compare the curvature of the cervical spine of the patients with whiplash and insidious onset neck pain. Method : Clinical study carried out in 33 insidious onset neck pain outpatients and 34 whiplash onset neck pain inpatients in Conmaul Oriental Hospital. Cervical spine curvature was measured using five measuring Methods. Type of cervical spine curvature was analyzed by Jochumsen method. Ishihara Index. T-test was used to compare the cervical spine angle of the two groups. Results : The prevalence of 'straight' and 'kyphotic' cervical spines was 46.5% in the insidious onset cases and 26.47% in the whiplash onset cases. In Jackson's angle, Jochumsen method, Ishihara Index, and Park's method, angle of the Cervical spine curvature was significantly lower in the insidious onset cases. (P<0.01) Conclusion : The results suggest that the cervical spine of neck pain patients is 'straight' and 'kyphotic' and more significant in insidious onset cases.

• 한방재활의학과학회지
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• 제21권2호
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• pp.239-252
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• 2011

Objectives : To investigate and compare the curvature of the cervical spine for the neck pain patients and asymptomatic participants. Methods : Clinical study was carried out for 64 neck pain patients in Conmaul oriental hospital and 56 asymptomatic volunteers. Cervical spine curvature was measured by 7 types of measuring methods. Results : Curvature angles of the cervical spine were significantly lower in the patients group(p<0.05). In segmental analysis of curvature, segmental curvature of C3-C4 were significantly lower in the patients group. There is no significant relationship among the classifications by the types of cervical spine curvature in the 2 groups. Conclusions : The results suggest that the cervical spines of neck pain patients are straightened and kyphotic and most of cervical curvature decrease are occurred at middle cervical spine.

• 한방재활의학과학회지
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• 제25권4호
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• pp.139-146
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• 2015

We researched two patients complaining about chronic neck pain with kyphotic cervical curvature. We assumed that the patients' symptom was caused by weakened deep neck flexor and activated superficial muscles around neck. So, acupuncture therapy, SCENAR therapy and self exercise with wooden neck pillow were used to treat the patients. We measured their pain by numerical rating scale (NRS) and neck disability index (NDI) before and after treatment. And cervical curvature was evaluated by Cobb method (C1-C7) and Ishihara Index. As a result, NRS and NDI significantly reduced and cervical curvature was also improved. Therefore, we conclude that acupuncture therapy with SCENAR therapy and self exercise using wooden neck pillow is an effective treatment to reduce chronic neck pain with kyphotic cervical curvature. But there is a limit on this study due to insufficient number of cases and absence of control group. Further studies will be needed.

• 척추신경추나의학회지
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• 제5권1호
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• pp.31-40
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• 2010

Objectives: To investigate the change of the cervical spine curvature after whiplash injury. Methods: Clinical study carried out in 46 patients who already had neck pain and took a cervical lateral X-Ray in Jaseng Oriental hospital. these patients had whiplash injury whitin one year. We followed up the cervical lateral X-Ray after that. Cervical spine curvature was measured using four measuring method. Type of cervical spine curvature was analyzed by Jochumsen method, Ishihara Index. T-test was used. Results: By Jackson's Angle and Cobb's angle, it is tend to be more Iordotic curvature after whiplash injury. In Jochumsen method, Ishihara Index the cervical spine curvature was significantly increased their Iordotic angle(P<0.05). Conclusion: The results suggest that after whiplash injury, patients cervical curvature change more Iordortic curve.

• 척추신경추나의학회지
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• 제18권2호
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• pp.65-73
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• 2023

Objectives This case study aimed to investigate efficacy of Chuna manual therapy (CMT) on acute neck pain patients with abnormal cervical curvature. Methods CMT was administered to five patients with abnoraml cervical curvature in the Department of Korean Medicine Rehabilitation, College of Korean Medicine, Semyung University Korean Hospital from June 2018 to May 2023. Cervical angle, Jackson's angle, Jochumsen method, Ishihara index and visual analog scale (VAS) scores were evaluated before and after treatment. Results In cases 1, 2, 3, 4, and 5, the cervical angle, Jackson's angle, Jochumsen method, Ishihara index all increased, while VAS scores decreased after CMT. Conclusions The observed improvements suggest that CMT is effective in restoring the cervical curvature and alleviating neck pain in patients with acute neck pain.

• 한방재활의학과학회지
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• 제19권1호
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• pp.113-124
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• 2009

Objectives : The aim of this study was to observe the effect of Bong Chuna manual therapy(BCMT) and acupuncture on the Turtle Neck Syndrome(TNS) by the changes of radiological findings and symptoms. Methods : Total twenty-eight patients diagnosed as TNS were evaluated. Twenty patients in experimental group were treated by the combination of BCMT and acupuncture, eight patients in control group were treated by acupuncture only. We measured VAS(Visual analogue scale) as pain intensity and Neck Pain and Disability Scale(NDI) at pre- and post-treatment. Also the four line Cobb's method and Jochumsen method were assessed for evaluating the radiographical changes, additionally we used 'two line method'. Results : VAS score showed statistically significant reduction in pain intensity in both experimental group and control group after 8 weeks treatment, $-44.05{\pm}14.91$ vs $-23.75{\pm}14.08$ respectively. Also NDI score presented $-11.40{\pm}8.63$ reduction in experimental group, and it was significant statistically, however not in control group, $-8.63{\pm}9.84$ reduction after 8weeks treatment. In radiological findings, the four line Cobb's method, Jochumsen method and two line method were reduced after 8weeks treatment, $-9.30{\pm}10.33$, $-0.65{\pm}1.72$ and $-14.35{\pm}5.68$ in experimental group respectively, $-0.75{\pm}1.91$, $-0.25{\pm}0.71$ and $0.38{\pm}2.20$ in control group respectively. However they were statistical significance only in the four line Cobb's method and two line method in both group. Conclusions : Combination treatment of CMT and acupuncture showed better effect on pain reduction, VAS score and the correction of neck anteversion than acupuncture only in TNS. Two line method seems valuable for evaluating the improvement of radiographical changes in TNS.

• 한국전자통신학회논문지
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• 제12권4호
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• pp.679-690
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• 2017

본 연구는 경부 전만이 감소된 성인을 대상으로 경부 자세에 따른 관절가동범위와 목 장애지수의 비교 및 상관관계를 알고자 하였다. 본 연구를 경부 전만이 감소된(Cobb's 각도 35도 이하) 젊은 성인 34명을 선별하였다. 평가자는 경부 관절가동범위 측정기구를 사용하여 모든 대상자의 굴곡, 신전, 좌측굴곡, 우측굴곡, 좌측회전, 우측회전, 전방 변위를 측정하였으며, 설문을 통하여 목 통증지수를 평가하였다. 모든 평가 후, 경부 전만이 감소된 대상자를 하위집단(전만의 심각한 감소)과 상위집단(전만의 경미한 감소)으로 나누어 관절가동범위와 목 통증지수를 비교하였다. 연구 결과, 하위집단은 상위집단과 비교하여 Cobb's 각도, 신전, 좌측굴곡, 우측굴곡, 좌측회전, 우측회전, 전방 변위에서 유의하게 더 높았으며(p<.05), 굴곡과 목 장애지수는 유의한 차이가 없었다(p>.05). 목 장애지수의 하위항목 비교에서 하위집단은 상위집단보다 통증, 들어올리기, 두통에서 유의하게 더 높았다(p<.05). 평가 간에 상관분석에서 Cobb's 각도는 굴곡, 신전, 좌측굴곡, 우측굴곡, 좌측회전, 우측회전과 유의한 양의 상관이 있었으며(p<.05), 전방 변위, 목 통증지수와 유의한 음의 상관이 있었다(p<.05). Cobb's 각도는 목 통증지수의 하위항목인 통증, 들어올리기, 두통과 유의한 음의 상관을 보였다(p<.05). 본 연구의 결과는 경부의 자세가 관절가동범위와 통증에 영향을 줄 수 있음을 시사한다.

• 척추신경추나의학회지
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• 제10권1호
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• pp.63-74
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• 2015

Objectives : This study is planned to classify correlation between thoracic kyphosis angle and prevalence of cervical intervertebral disc. Methods : We Measured the thoracic kyphosis angel of the 110 men and 179 women patients with neck pain in 00 Korean Medicine Hospital. We use Cobb's angle method and Thoracic cage dimension method for measuring the thoracic kyphosis. And We use Magentic Resonance Imaging(MRI) for classifying the patient who has cervical intervertebral disc or not. Results : 1. There was statistical difference on the thoracic cage dimension with gender(P<0.001), while there was no statistical difference on Cobb's angle with gender(P=0.882). 2. Age and thoracic cage dimension(r=0.383) is statistically more correlative than age and cobb's angle(r=-0.59). Conclusions : 1. Thoracic cage dimension and gender, Thoracic cage dimension and age were statistically concerned on patient who has neck pain, while Cobb's angle had no statistical correlation with age and gender. 2. There was no statistical difference on the Cobb's angle and Thoracic cage Dimension between patient who has one or more cervical disc herniation(Protrusion disc, Extrusion disc) segment and patient who didn't have cervical disc herniation(Protrusion disc, Extrusion disc) segment.