Effect of Active Intervention after Kaltenborn’s Cervical Joint Mobilization on The Cervical Spine Alignment and Muscle Activity in Patients with Forward Head Posture

이강진; Jungsuk Roh; CHOI HOUNG SIK; Heon Seock Cynn; choi kyu hwan; Tackhoon Kim

Journal of the Korean Society of Physical Medicine

Abbr : J Korean Soc Phys Med
2015, 10(2), pp.17-27
Publisher : The Korean Society of Physical Medicine
Research Area : Other physical therapy

이강진 ¹ , Jungsuk Roh ² , CHOI HOUNG SIK ³ , Heon Seock Cynn ⁴ , choi kyu hwan ⁵ , Tackhoon Kim ⁶

¹ 한서대학교 대학원 물리치료학과
² 한서대학교
³ 한서대학교
⁴ 연세대학교
⁵ 안산대학교
⁶ 한서대학교

ABSTRACT

PURPOSE:The purpose of this study was to compare the effects of three interventions (intervention by passive range of motion exercise plus manual cervical traction, Mulligan’s joint mobilization, and strengthening exercises) after Kaltenborn’s joint mobilization on the cervical spine alignment, and muscle activity in patients with a forward head posture. METHODS:The subjects were 39 students from H University in Chungnam and C University in Jeonbuk. The subjects in each group attended training sessions three times a week for four weeks. We used one-way ANOVA and Scheffe’s post hoc test to compare values between groups, and used paired t-test to compare the values of the dependent variables within groups. RESULTS:The results showed that the active intervention group experienced a significant increase compared to the passive intervention group in terms of the craniovertebral angle, cervical lordosis angle, and had significant decreases compared to the passive intervention group in terms of the upper trapezius muscle activity. The active intervention group also had significant increases in craniovertebral angle and decreased anterior scalene muscle activity than the active-assistive intervention group. The active-assistive intervention group had significant decreases compared to the active intervention group in terms of the serratus anterior, levator scapulae, and splenius capitis muscle activity. CONCLUSION:It appears that the subjects with a forward head posture had significant improvements in the cervical lordosis angle, cranial rotation angle, craniovertebral angle, and muscle activity after intervention by Mulligan’s joint mobilization (active-assistive intervention component) and strengthening exercises (active intervention component) after applying Kaltenborn’s joint mobilization.
KEYWORDS

Active intervention , Cervical spine alignment , Forward head posture , Joint mobilization , Muscle activity
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