• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.12 no.1
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• pp.57-70
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• 2017

Objectives : The purpose of this study is to find out the factors affecting the cervical angle with kyphosis. Methods : We investigated 340 cases of patients who had cervical kyphosis. We used cervical angle, flexion malposition angle, odontoid process cline angle, axis-atlas cline angle, odontoid process-atlas cline angle and occiput-atlas cline angle. Correlations between cervical angle and flexion malposition angle, odontoid process cline angle, axis-atlas cline angle, odontoid process-atlas cline angle, occiput-atlas cline angle were analyzed by pearson correlation analysis. Results : The correlation between cervical angle and flexion malposition angle was p-value 0.007, and odontoid process cline angle was p-value 0.002, and axis-atlas cline angle was p-value 0.000, and odontoid process-atlas cline angle was p-value 0.000, and occiput-atlas cline angle was p-value 0.012. Conclusions : Flexion malposition angle, odontoid process cline angle are inversely proportional to cervical angle. And correlation is statistically significant(p<0.01). Axis-atlas cline angle, odontoid process-atlas cline angle are proportional to cervical angle. And correlation is statistically significant(p<0.01). Occiput-atlas cline angle is proportional to cervical angle. And correlation is statistically significant(p<0.05).

• Journal of the Korean Society of Physical Medicine
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• v.9 no.2
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• pp.141-149
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• 2014

PURPOSE: This study uses X-rays investigate how university students' smart phone use affects the cervical vertebral angle. METHODS: Ninety-two randomly selected students agreed to participate in this study. The participants' number of hours of smart phone use was gathered using a questionnaire. An X-ray of the participants' cervical vertebrae was taken, and the cervical vertebral angle was measured using the Cobb and the absolute rotation angle (ARA) method. Also, the relation between pain and hours of smart phone use was identified using a visual analog scale (VAS). Using SPSS ver18, the relationships among the cervical vertebral angle and the items in the questionnaire were identified and a frequency analysis, an independent t-test, and the analysis of variance (ANOVA) were calculated. RESULTS: The study showed that an increase in the number hours of smart phone per day led to cervical lordosis(p<0.05). The relationships between points of smart phone addiction and cervical vertebral angle have a negative correlation (p<0.05). Therefore, there are the higher smart phone addiction points, the decrease the cervical vertebral angle. CONCLUSION: The results of the study showed that increase in smart phone use lead to cervical lordosis, and smart phone addiction scores resulted in decreased in the cervical vertebral angle.

• Journal of Korean Medicine Rehabilitation
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• v.34 no.3
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• pp.75-88
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• 2024

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.

• Journal of International Academy of Physical Therapy Research
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• v.7 no.2
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• pp.1051-1055
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• 2016

The purpose of this study was to investigate the effect of the screen size of smart devices on the bending angle of the cervical spine. The subjects of this study were 30 healthy adults(15 men and 15 women) who used smartphones and tablet PC(personal computer). The changes in the bending angle of the upper and lower cervical spine were measured in the subjects after they had used a smartphone and a tablet PC for 300 seconds each. To make sure that all subjects began in the same starting position, an angle-measuring instrument was used to set the angles of the ankle, knee, hip, and arm joints to 90 degree. The subjects were asked to keep the trunk straight. They were asked to hold a smartphone in their hand and to bend their neck so that they could look down at the screen. Once they began using the smartphone in this manner, they were free to change their posture. We used a paired t-test to compare the bending angle of the cervical spine on subjects who used smartphones and tablet PC in the long-term and short-term there production error of cervical and the significance level was cervical. The results showed that, when using a smartphone and a tablet PC for 300 seconds, there was no significant difference in the bending angle of the upper cervical spine(p>.05), although there was a significant difference in the bending angle of the lower cervical spine(p<.05).

• Journal of Korean Medicine Rehabilitation
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• v.25 no.4
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• pp.83-92
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• 2015

Objectives To measure and analyze the curvature of the cervical spine for university students. Methods This study carried out on 132 students. The cervical spine curvature was measured by six measuring methods. The type and numeric value of cervical spine curvature was analyzed by Angle of cervical curve (C1~C7), Angle of cervical curve (C2~C7), Jackson's angle, Ishihara Index, Depth of cervical curve and Method of Jochumsen. Cervical spine curvatures between male and female are compared by Mann-Whitney test. Rate of type of cervical curvature between male and female are compared by linear by linear association. Results 1. The average of angle of cervical curve (C1~C7) is $33.78{\pm}9.85^{\circ}$, angle of cervical curve (C2~C7) is $10.28{\pm}8.12^{\circ}$. The average of Jackson's angle is $14.02{\pm}10.01^{\circ}$, average of Ishihara Index is $8.46{\pm}10.58%$. The average of Depth of cervical curve is $5.15{\pm}4.72mm$ and average of Method of Jochumsen is $0.94{\pm}3.83mm$. 2. More than half of student's cervical curvature showed hypolordosis except Ishihara index. 3. There was significant difference in numeric value of cervical curvature between male and female both groups in terms of Ishihara index. 4. There were insignificant differences between male and female in terms of type of cervical curvature. Conclusions According to above results, we found out average of student's cervical curve. And the results suggest that most of the student's cervical curvature decrease.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.21 no.2
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• pp.33-37
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• 2015

Background: The purpose of this study on the effects of deep cervical flexors strengthening exercise to forward head posture and pain of neck in patients with chronic neck pain. Method: We selected 30 subjects among neck pain patients and carried out measurements. The subjects' forward head posture was measured including head tilt angle (HTA), neck flexion angle (NFA) and forward shoulder angle (FSA), neck disability index (NDI), numeric rating scale (NRS). The subjects underwent deep cervical flexors muscle strengthening with pressure bio-feedback device for 4 weeks. Then, after intervention, the subjects' forward head posture was measured again. It was performed Wilcoxon signed-ranks test for confirming the effect of deep cervical flexor muscles strengthening exercise. Results: As a result of comparison of measurements before and after intervention, we found that there were statistically significant improvement in the subjects' NDI, NRS and forward head posture including head tilt angle, neck flexion angle and forward shoulder angle. Conclusion: We concluded that deep cervical flexors strengthening exercise has the effect of alleviation of neck pain patients and is effective for forward head posture.

• Journal of International Academy of Physical Therapy Research
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• v.9 no.2
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• pp.1513-1516
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• 2018

The purpose of this study was to identify the effect of upper thoracic mobilization on cervical alignment in stroke patients with forward head posture. The subject's of this study were two stroke patients with forward head posture and a cervical curve angle (four-line Cobb's method; FLCM) less than $40^{\circ}$. The intervention, central posterior-anterior (PA) mobilization, was applied to the T1-T4 vertebrae (upper thoracic spine) following the Maitland concept. This mobilization was applied three times per week for four weeks. In the results, the cervical curve angle (FLCM) increased for both subject 1 and 2. However, Jochumsen method score was decreased in subject 1, while it was increased in subject 2. These results demonstrate that upper thoracic mobilization had the positive effect on the cervical curve angle but not on Jochumsen method score. These findings suggest that PA mobilization on the upper thoracic spine could correct cervical curve angle measured by FLMC in stroke patients with FHP.

• Clinical Pain
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• v.18 no.1
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• pp.8-15
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• 2019

Objective: To determine the relationship between cervical sagittal parameters and the degree of the cervical disc degeneration at each cervical level by using cervical plain radiographs and disc degeneration grading. Method: This study analyzed 110 patients with posterior neck pain. Cervical radiographic measurements included the occipito-cervical (O~C2) angle; sagittal Cobb angles of C1~C2, C2~C7; and sagittal vertical axis (SVA) of C1~C7 and C2~C7. The degenerations of cervical discs at each level were evaluated through Pfirrmann grading system by magnetic resonance images of the cervical spine. The correlations between the cervical sagittal measurements and the disc degeneration at each level were analyzed by Spearman's correlation. Results: A significant correlation was found for the C2~C7 angle with disc degenerations at C2~C6 levels. O~C2 angle was correlated significantly with disc degenerations at C2~C4 and C5~C7 levels. There was significant correlation between C1~C2 angle and disc degeneration at C6~C7 level. No significant relationship was found between the cervical SVA and the cervical disc degeneration at all cervical levels. Conclusion: Cervical sagittal parameters representing cervical angles (C2~C7, O~C2, and C1~C2 angles) were significantly correlated with the degree of the cervical disc degeneration. These findings suggest that the loss of the natural cervical lordosis rather than loss of natural SVA could be correlated with progression of the cervical disc degeneration.

• International Journal of Costume and Fashion
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• v.5 no.1
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• pp.1-13
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• 2005

Two hundreds of female aged 19 years old and up were recruited to evaluate the postural changes and bilateral variation of asymmetry over age. To find out the differences among the age group, subjects were classified into 5 groups, early young age(19-29), late young age(30-39), early middle age(40-49), late middle age(50-59), and old age(60-). 35 body measurements were taken by the 3-D body scanner which allowed us to take measurements which cannot be measured using traditional methods, including the shape of a cross section, slice area surface are, and volume. Bilateral variations were observed as a function of age; Depth of scapular point level, scapular point to center back, and blade angle. Postural change of anterior cervical angle, upper anterior thoracic angle, upper posterior thoracic angle, posterior cervical angle, and center back/center front ratio were also exhibited. In each measurements, subjects were classified into normal, and abnormal group. Percentiles of abnormal in shoulder line angle, blade angle, neck point $\∼$ acromial point $\∼$ scapular point, posterior cervical angle, and upper posterior thoracic angle were increased over age group. The upper body of lateral view was classified into 3 types of posture based on the previous research; straight, erect(leaning back), and stooped(bent forward). The percentiles of subjects who have straight postures were decreased as a function of age, but those of stooped postures were increased. Subjects who have erect postures did not so. The stooped posture group shows the big cervical fossa angle, anterior cervical angle, posterior cervical angle, upper posterior thoracic angle, and the small upper anterior thoracic angle comparing to the straight and erect posture group. These results could be apply for clothing construction reflecting the changes in back, shoulder, neck, and the bilateral asymmetry according to the target age group.

• Physical Therapy Rehabilitation Science
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• v.5 no.2
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• pp.101-105
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• 2016

Objective: The purpose of this study was to measure the change in pain threshold of levator scapular muscle, carniovertebral angle, and head position angle when applying a head-weight device on healthy adult. Design: Cross-sectional study. Methods: This study was conducted with 21 healthy adult male and female who voluntarily agreed to participate in this study after being informed of the purpose and method of this study. After measuring the cervical angle and pain threshold of levator scapular muscle, subject was instructed to walk for 5 minutes on a treadmill at a speed of less than 5 km/h while wearing after wearing head-weight device of 0.5 kg. Then, cervical spine angle and pain threshold of levator scapula muscle were re-measured. Measurement of cervical spine angle was conducted with photo by using the Bluebeam Revu software and the pain pressure thresholds (PPTs) were measured using an electronic algometer over potential trigger points on the body. Results: The results cervical angle showed a significant change, from $49.62^{\circ}$ to $52.10^{\circ}$ (p<0.05). PPT showed a significant change, from 30.71 to 36.89 (p<0.05). Conclusions: These findings suggest that applying head-weight device has a positive influence on increasing cervical angle and reducing pain when applied as a therapeutic intervention method of forward head posture.