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Effect of Acupuncture Combined with Wooden Neck Pillow Self-exercise Program on Cervical Curvature Measurement Methods and Deep Flexor Muscle Strength

  • Journal of Korean Medicine Rehabilitation
  • Abbr : JKMR
  • 2017, 27(1), pp.37-51
  • Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
  • Research Area : Medicine and Pharmacy > Korean Medicine

권정국 1 Keum Dong-ho 1

1동국대학교

Accredited

ABSTRACT

ObjectivesThis study was designed to identify the effect of acupuncture combined with wooden neck pillow self-exercise program (WSP). Methods25 eligible subjects with chronic neck pain were recruited from September 2015 to August 2016. Subjects were treated by acupuncture twice a week for 4 weeks, al-so were educated WSP and exercised every day for 4 weeks. They were assessed using PI-NRS, NDI and the maximum muscle strength of deep cervical flexor muscles (DCF) be-fore and after treatment. Also the Cobb’s angle (C1-C7), Ishihara index, Park method were assessed for evaluating the radiographical changes. Variables were compared using paired t-test. And correlates analysis was used for analyzing relationship between differentials in the maximum muscle strength of DCF and differentials in cervical spine curvature measure-ment methods. ResultsAmong the 25 subjects, 4 subjects were lost to follow-up or excluded in accord-ance with the criteria. Significant differences on NRS, NDI and the maximum muscle strength of DCF were seen after treatment (p<0.001). In radiological finding, cervical spine curvature measurement methods were significantly increased (p<0.001, p<0.05, p<0.05). Differentials in the maximum muscle strength of DCF significantly correlates to dif-ferentials in Ishihara index (R=0.479, p<0.05).ConclusionsAcupuncture combined with WSP may decrease neck pain intensity and associated disability, and also increase the muscle strength of DCF and cervical lordosis, in patients with chronic neck pain. Especially, Improving the muscle strength of DCF has a re-lationship with improving Ishihara index. However, due to the design of this study, this treat-ment can not be compared with other treatments. Future randomized project should be needed. (J Korean Med Rehabil 2017;27(1):37-51)

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