• 제목/요약/키워드: Neck ROM

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Neck Pain in Adults with Forward Head Posture: Effects of Craniovertebral Angle and Cervical Range of Motion

  • Kim, Dae-Hyun;Kim, Chang-Ju;Son, Sung-Min
    • Osong Public Health and Research Perspectives
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    • 제9권6호
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    • pp.309-313
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    • 2018
  • Objectives: The purpose of this study was to determine whether the cranial vertebral angle (CVA) and the range of motion (ROM) was different between participants with a forward head posture (FHP), with or without pain. Methods: Forty-four participants who had FHP participated in this study. The FHP was assessed digitally by measuring a lateral view the CVA for each subject. A cervical ROM device measured the cervical ROM. The volunteers were allocated to either, with pain (n = 22), or without pain (n = 22) groups, and pain was evaluated using the Numeric Pain Rating Scale. Results: The FHP in the pain group showed a significant difference in the CVA, and the cervical ROM in both flexion and extension, compared with those in the FHP without pain group (p < 0.05). Logistic regression analysis indicated that the occurrence of cervical area pain was higher amongst subjects who had a decreased CVA and flexion motion. Conclusion: This study suggested that decreased CVA and cervical flexion range, were predictive factors for the occurrence of pain in the cervical region.

비특이적 통증 환자에서 마사지 로봇이 체표면 온도, 통증, 근긴장도, 관절가동범위에 미치는 효과 (Effects of Massage Robot on Skin Temperature, Pain, Muscle Tone, and ROM in Patients with Non-specific Pain)

  • 배소정;권기현;태기식;이현주
    • 대한의용생체공학회:의공학회지
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    • 제44권6호
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    • pp.476-481
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    • 2023
  • The purpose of this study was to investigate the effects on skin temperature, pain, muscle tone, and ROM after applying the massage robot "PIRO-ZERO" to 6 men and 4 women in their 20s who complained of non-specific pain in the shoulder or back for more than 12 weeks. As a result of the study, there was a significant increase in skin temperature not only in the area where the massage was applied, but also on the opposite side and throughout the body due to increased blood flow. Pain in the upper trapezius, rhomboid, and erector spinae muscle was decreased, and muscle tone in the erector spinae muscles was significantly decreased. There was a significant increase in ROM of neck and trunk flexion, which is thought to be because the massage reduced muscle tone around the spine, increasing flexibility. In the future, as the safety and effectiveness of massage robots are further verified and the pressure, speed, and path become more diverse, satisfaction is expected to increase.

Comparison of the effects of muscle stretching exercises and cupping therapy on pain thresholds, cervical range of motion and angle: a cross-over study

  • Yim, Jongeun;Park, Junhyuck;Kim, Hongseop;Woo, Juyeon;Joo, Soyeong;Lee, Sumin;Song, Jewon
    • Physical Therapy Rehabilitation Science
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    • 제6권2호
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    • pp.83-89
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    • 2017
  • Objective: Computers and smartphones have become a necessity for modern people, and the use of these things in an inappropriate position has increased the number of people who complain about neck problems. The purpose of this study was to compare the changes of cervical angle, range of motion (ROM) and pain threshold according to the McKenzie stretching and dry cupping therapy. Design: Cross-over design. Methods: We included 12 male and 6 female college students in their twenties, and conducted a pre- and post-test to evaluate the changes of each variable after the application of the McKenzie stretching and dry cupping therapy. Results: Neither the cervical spine angle nor the turtle neck angle showed any change in both the McKenzie stretching and the dry cupping treatment. In the McKenzie stretching, the pain threshold decreased, and the ROM of the cervical spine increased in all directions but there was no significant difference. The pain threshold was increased in the dry cupping treatment, and the ROM of the cervical spine was significantly increased in all directions (p<0.05). Comparisons of the McKenzie stretching and cupping treatment showed that the cupping treatment produced significantly greater pain thresholds and improvements in ROM of the cervical spine than the McKenzie stretching technique (p<0.05). Conclusions: Cupping treatment is more effective in improving ROM of the cervical spine and pain thresholds than the McKenzie stretching technique. In the future, cupping treatment will be one of the treatment options for pain and ROM impairments of the cervical spine.

전방머리자세 대상자의 머리-척추각과 목 운동범위, 근력, 목빗근 두께와의 상관관계 분석 (Correlation Analysis between Cervical-Vertebra Angle and Neck Range of Motion, Muscle Strength, and Sternocleidomastoid Thickness)

  • 강민지;박근태;한진태
    • 대한물리치료과학회지
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    • 제31권1호
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    • pp.88-97
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    • 2024
  • Background: This study was to investigate effects of Correlation Analysis between Cervical-Vertebra Angle and Neck Range of Motion, Muscle Strength, Sternocleidomastoid Thickness of Patients with Forward Head Posture Design: Correlation Analysis. Methods: The subjects of this study were a total of 54 people in the forward head position and their ages were between 30 and 50 years old. The subjects cranio-vertebral angles, neck extension, neck flexion, neck rotation angles, neck flexor strength, neck extensor strength, sternocleidomastoid thickness were evaluated through measuring instruments. The thickness of the sternocleidomastoid muscle was measured using an imaging ultrasound diagnostic device (ultra sound, Versana Premier, GE Medical systems, China). CVA was measured by measuring the side photo of the subject was taken with a camera and evaluated.. neck joint range of motion was measured through digital inclinometer for extension, flexion, and neck rotation. neck muscle strength was measured by measuring the using a digital sthenometer. Data analysis in this study was statistically processed using SPSS version 26.0 (IBM SPSS Inc., USA). Correlation analysis was used and the statistical significance level was set at 0.05. Results: The results neck extension(r= 0.70**), neck flexion(r= 0.67**), neck rotation(r= 0.56**), neck extensor muscle strengt(r= 0.85**), neck flexor muscle strength(r= 0.66**), sternocleidomastoid thicknes(r= -0.81**) It indicates that there is a correlation. Conclusion:These results improve the Cervical-vertebra angle of patients with forward head posture should include a program to improve the thickness of the SCM. In the future, study can be used as an evidentiary material for treatment interventions to improve the Cervical-vertebra angle of patients with forward head posture.

적외선치료와 근막이완술이 경부통증환자의 경추가동범위와 통증에 미치는 영향 (The effect of Myofascial Release and Infrared on the Range of Motion and Pain in Persons with Neck Pain)

  • 서현규;공원태
    • 대한정형도수물리치료학회지
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    • 제16권2호
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    • pp.1-8
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    • 2010
  • Purpose : The purpose of this study was to evaluate the Influence of Infra red(IR) and myofascial release(MRF) on the range of motion and pain in persons with neck pain. Methods : 24 subjects with neck pain participated in the experiment. All subject randomly assigned to the IR group and MFR group. Both groups receive 10minutes, 3 times per week during 3 weeks period. laser exercise(LEX) used to measure range of motion of neck and visual analog scale(VAS) used to measure pain. All measurements of each subject were measured at pre-treatment and post-treatment. Results : 1. The neck flexion, extension, right-sidebending, left-rotation, right-rotation range of motion of MFR group was significantly increased.(P<0.05). 2. The neck left-sidebending, left-rotation, right-rotation range of motion of IR group was significantly increased.(P<0.05). 3. As to compare two group, MFR group increases ROM more than IR group. Conclusion : These data suggests that MFR is more beneficial than IR.

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Comparison of the Effectiveness of Sling Exercise and McKenzie Exercise in Patients with Acute Cervical Whiplash Associated Disorder Following Rear-end Collision

  • Jeong, Mo-Beom;Kim, Jae-Yun;Lee, Dong-Woo
    • The Journal of Korean Physical Therapy
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    • 제28권5호
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    • pp.314-320
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    • 2016
  • Purpose: This study compared the effectiveness of sling exercise and McKenzie exercise in patients with acute cervical whiplash associated disorder (WAD) caused by rear-end collision. Methods: Thirty WAD patients were randomly assigned to one of three groups; a sling exercise (SE) group, a McKenzie exercise (McE) group, and a control group. Members of the SE and McE exercised three times a week for four weeks under the researcher's guidance. Three groups performed TENS treatment three times a week for four weeks. Diagnostic radiological equipment was used to measure whiplash injury. Visual analog scale (VAS), neck disability index (NDI), and range of motion (ROM) were used in this study. Results: The three groups showed a significant pre-post treatment difference in measures of VAS and NDI (p<0.05). The SE group showed a significant pre-post treatment difference in measures of flexion and extension changes compared to the McE and control group (p<0.05). The SE group also showed significantly greater improvement in the VAS, NDI, and ROM changes than the control group (p<0.05). Conclusion: These findings indicate that sling exercise is a stronger and more aggressive intervention for treatment of acute WAD patients.

경부안정화 운동이 민간 경비원의 목통증, 경부장애지수, 관절가동범위에 미치는 효과 (Effects of Cervical Spinal Stabilization Training in Private Security on Chronic Neck Pain and Cervical Function, Neck Pain, ROM)

  • 김성호;권봉안;이완희
    • 시큐리티연구
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    • 제25호
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    • pp.89-107
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    • 2010
  • 이 연구는 만성 경부통을 가진 민간 경비원들을 대상으로 경부 안정화 운동을 실시하여, 목통증, 경부장애지수, 관절가동범위, 근육통증, 재위치감각 변화에 미치는 영향을 비교 분석 하고자 실시하였다. 연구 대상자는 경기 지역 민간경비업체에 종사하는 직원 중 만성 경부통을 호소하는 21명을 대상으로 경부 안정화 운동그룹, 자세교정 운동그룹으로 무선 할당하여, 주3회, 8주간 운동을 실시하였다. 실험 전 후 설문지를 이용하여 목통증과 경부장애지수를 조사하였으며, 관절가동범위, 근육통증, 재위치감각 검사를 실시하여 실험 전 후 변화된 값을 비교 측정하여 다음과 같은 결과를 얻었다. 통증강도와 경부장애지수는 경부 안정화 운동그룹이 실험 후 유의하게 감소하였으며(p<0.05), 관절가동범위, 근육통증, 재위치감각은 경부 안정화 운동그룹에서 실험 후 유의한 향상이 있었으나, 자세교정 운동그룹은 유의한 차이가 없는 것으로 나타났으며(p>0.05), 그룹 간 비교에서도 경부 안정화 운동그룹이 통증, 경부장애지수, 관절가동범위, 근육통증, 재위치감각에서 유의한 향상이 있었다(p<0.05). 본 연구 결과를 볼 때, 만성 경부통을 호소하는 민간 경비원들을 대상으로 경장근과 다열근과 같은 심부근육 강화에 초점을 둔 경부안정화 운동프로그램이 일반적인 자세교정 운동프로그램보다 통증 및 목 기능개선에 효과적인 것으로 나타났다. 따라서 경부 안정화 운동이 만성 경부통을 가진 민간 경비원들의 목 통증 감소와 기능 회복에 효과적이라고 할 수 있겠다.

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편타 손상으로 인한 경항통 환자를 대상으로 한 약침치료에 대한 임상적 고찰 (The Clinical Study of Herbal Acupuncture for Neck Pain Caused by Whiplash Injury)

  • 장소영;차정호;정기훈;이태호;황희상;유정석;이은용;노정두
    • Journal of Acupuncture Research
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    • 제24권4호
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    • pp.35-41
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    • 2007
  • Objective : This study was performed to evaluate the effect of herbal acupuncture treatment in whiplash injury caused by traffic accident. Methods : The clinical study was carried out 44 cases of whiplash injury patients who had been admitted in Semyung university oriental hospital from March 2004 to December 2006. 24 cases of patients were treated with herbal acupuncture, 20 cases of patients were don't. We compared visual analigue scale(VAS) and range of motion(ROM) of both groups. Results: 1. VAS of herbal acupuncture treated group were significantly decreased compared with non - herbal acupuncture treated group. 2. ROM of herbal acupuncture treated group were significantly improved compared with non - herbal acupuncture treated group. Conclusion : In this study, herbal acupuncture is effective in whiplash injury patients caused by traffic accident.

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신경가동술과 관절가동술이 경추 신경근병증 환자의 기능장애, 통증, 관절가동범위에 미치는 영향 (The Effects of Neural Mobilization with Joint Mobilization on Dysfunction, Pain, and Range of Motion in Cervical Radiculopathy Patients)

  • 한지훈;송창호
    • PNF and Movement
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    • 제19권3호
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    • pp.361-374
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    • 2021
  • Purpose: The study aimed to investigate the effects of neural mobilization with joint mobilization on dysfunction, pain, and range of motion in cervical radiculopathy patients. Methods: Forty-seven cervical radiculopathy patients were recruited for the study. The subjects were randomly allocated to three groups. Group A (n=16) received a neural mobilization with joint mobilization, Group B (n=15) received a neural mobilization (NM), Group C (n=16) received a joint mobilization (JM). All groups had five sets for a day, three days a week, for four weeks. All subjects were evaluated before and after intervention by their neck disability index (NDI), numeric pain rating scale (NPRS), and range of motion (ROM). Results: The results were as follows: First, the NDI was significantly decreased in all groups (p<0.05). Group A had more significantly decreased NDI than Group B and C (p<0.05). Secondly, the NPRS was significantly decreased in all groups (p<0.05). Group A had more significantly decreased cervical NPRS than Group B (p<0.05). Groups A and B were more effective at decreasing upper extremity NPRS than Group C (p<0.05). Thirdly, the ROM was significantly increased in all the groups (p<0.05). Group A had more significantly improved cervical rotation ROM than Group B (p<0.05). Significant short-term effects of the NM with JM on dysfunction, pain, and range of motion in cervical radiculopathy patients were recorded in this study. Conclusion: These findings gave some indications that it may be feasible to include NM with JM in interventions with cervical radiculopathy patients.

상완골 불안정성 외과적 경부 이분 골절의 경피적 핀 삽입 고정술 (Percutaneous Pinning in Unstable Two-parts Fracture of Surgical Neck in Humerus)

  • 박진영;노한진;김명호
    • Clinics in Shoulder and Elbow
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    • 제3권1호
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    • pp.26-32
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    • 2000
  • Purpose : The aim of this study is the assessment of the clinical outcomes after percutanous pinning of unstable two-parts fracture of surgical neck in humerus. Materials and Methods: This study was based on thirteen cases of non-comminuted unstable surgical neck fracture of humerus among 19 cases, which followed-up more than one year. Follow-up averaged 29 months. We treated with percutaneous pinning techniques and assessed clinical outcomes. Functional evaluation was performed using the standard method of research committee of American Shoulder and Elbow Surgeons(ASES). Results: Last follow-up ROM of shoulder joint were 142 degrees of forward elevation, 57 degrees of external rotation, 72 degrees of external rotation in 90 degrees abduction, and T8 of internal rotation. Pain scale was l(range : 0∼3). ASES scores was 86.2(range : 63.3~98.3). Patient satisfaction based on ASES were excellent in 6 cases, good in 5 cases, fair in 1 case, poor in 1 case. A case of fair result was caused by limitation of motion in shoulder joint and poor case was paraplegia patient after traffic accident. Conclusion : Percutaneous pinning is recommended for non-comminuted unstable fracture of surgical neck in humerus.

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