Effect of Acupuncture Combined with Wooden Neck Pillow Self-exercise Program on Cervical Curvature Measurement Methods and Deep Flexor Muscle Strength (경침 자가 운동 프로그램을 병행한 침 치료가 경추 만곡도와 심부 굴곡근 근력 변화에 미치는 영향)

권정국; Keum Dong-ho (금동호)

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)

KEYWORDS

Chronic neck pain, Wooden neck pillow, Deep cervical flexor muscle, Cervical lordosis, Ishihara index

Citation status

* References for papers published after 2023 are currently being built.

[journal] Webb R / 2003 / Prevalence and predictors of intense, chronic and disabling neck and back pain in the UK general population / Spine 28 : 1195~1202

[journal] Tsang S / 2014 / Altered spinal kinematics and muscle recruitment pattern of the cervical and thoracic spine in people with chronic neck pain during functional task / J. Electromyogr. Kinesiol 24 : 104~113

[book] Brotzman B / 2011 / Clinical orthopaedic rehabilitation - an evidence-based approach / Han-Mi : 455~465

[thesis] Jung DY / 2006 / The relationship of cervical spine curvature and neck pain / Master / Kyung-Hee University

[journal] Hiratzka J / 2011 / Degenerative Cervical kyphosis : anatomy, biomechanics and etiology / Semin Spine Surg 23 : 170~172

[journal] 오현주 / 2014 / Effects of Cervical Joint Mobilization on the Forward Head Posture and Neck Disability Indexes / 한국방사선학회논문지 / 한국방사선학회 8(2) : 89~96

[journal] Gross A / 2015 / Manipulation and mobilization for neck disorders / Cochrane review

[journal] Kim BB / 2016 / Effects of suboccipital release with craniocervical flexion exercise on craniocervical alignment and extrinsic cervical muscle activity in subjects with forward head posture / Journal of Electromyography and Kinesiology 30 : 31~37

[journal] Park KJ / 2012 / The case report of chuna treatment on neck pain patients with kyphotic cervical curvature / The Journal of Korea CHUNA Manual Medicine for Spine & Nerves 7(1) : 95~101

[journal] 오원교 / 2009 / Clinical Effect of Bong Chuna Manual Therapy and Acupunture Treatment for Improving Cervical Curvature of Turtle Neck Syndrome and Measurement Method of Radiography / 한방재활의학과학회지 / 한방재활의학과학회 19(1) : 113~124

[journal] 이승덕 / 2004 / Increased cervical lordosis after deep acupuncture in patients with neck pain: nonrandomized clinical control trial / Journal of Acupuncture Research / 대한침구의학회 21(6) : 195~208

[journal] 이현재 / 2014 / The Comparative Study on the Effect of Trigger Point Treatment, Self-Exercise Treatment, Trigger Point - Self-Exercise Cooperative Treatment for Neck Pain Caused by Traffic Accidents / 한방재활의학과학회지 / 한방재활의학과학회 24(2) : 131~140

[journal] 박재원 / 2015 / Two Cases Report of Chronic Neck Pain Patients with Kyphotic Cervical Curvature Measured by Radiography / 한방재활의학과학회지 / 한방재활의학과학회 25(4) : 139~146

[journal] Lee CH / 2016 / The study of effectiveness of wooden pillow and comparion evaluation of diagnosis method on straighening of cervical curvature patient / Research onstitute of Korean medicone 24(2) : 1~16

[journal] 심성윤 / 2007 / An Overview of Pain Measurements / Korean Journal of Acupuncture / 경락경혈학회 24(2) : 77~97

[journal] Jung DY / 2005 / An analysis of relationship among cervical spine curvature measurement methods / Journal of Korean Medicine Rehabilitation 15(4) : 65~76

[journal] 이향숙 / 2010 / Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture(STRICTA) : Extending the CONSORT Statement / Korean Journal of Acupuncture / 경락경혈학회 27(3) : 1~23

[journal] Jull A / 2008 / Clinical assessment of the deep cervical flexor muscles : the craniocervical flexion test / Journal of Manipulative and Physiological Therapeutics 31(7) : 525~533

[book] Neumann D / 2011 / Neumann kinesiology : Kinesiology of the Musculoskeletal System / E PUBLIC : 327~331

[book] Calais-Germain, Blandine / 2009 / Anatomy of movement / Youngmoon : 77~88

[journal] Mayoux-Benhamou / 1994 / Longus colli has a posturel function on cervical curvature / Surg Radiol Anat 16(4) : 367~371

[journal] 김동민 / 2008 / The Study about the Correlation between Cervical Hypolordosis and Neck Pain / Journal of Acupuncture Research / 대한침구의학회 25(5) : 69~76

[thesis] Yoo JH / 2008 / Analysis of cervical kyphosis : lateral radiographic study / Master / Chung-Ang University

[journal] Grob D / 2007 / The association between cervical spine curvature and neck pain / Eur Spine 16 : 669~678

[journal] 이한길 / 2010 / The Study of Comparison about Pain and Fatigue according to Cervical Spine Curvature of Patient with Neck Pain / 한방재활의학과학회지 / 한방재활의학과학회 20(1) : 133~139

[book] Sahrmman S / 2011 / Movement system impairment syndromes of the extremities, cervical and thoracic spine / Elsevier : 65~69

[journal] 송창호 / 2008 / The Effects of a Deep Cervical Flexion Exercise for Sedentary Workers with VDT Syndrome / 대한인간공학회지 / 대한인간공학회 27(4) : 59~64

[journal] Domenech A / 2011 / The deep neck flexor endurance test : normative data scores in healthy adults / American Academy of Physical Medicine and Rehabilitation 3 : 105~110

[journal] O’Leary S / 2007 / Muscle specificity in tests of cervical flexor muscle performance / Journal of Electromyography and Kinesiology 17 : 35~40

[journal] Jull A / 2009 / The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain / Manual Therapy 14 : 696~701

[thesis] Shin DC / 2007 / The effects of a deep cervical flexion exercise on neck-shoulder pain, muscle strengthening, and cervical alignment in sedentary workers / Master / Sahm-yook University

[journal] Kazunori I / 2007 / Randomised trial of trigger point acupuncture compared with other acupuncture for treatment of chronic neck pain / Complementary Therapies in Medicine 15 : 172~179

[journal] Gerber LH / 2015 / Dry needling alters trigger points in the upper trapezius muscle and reduces pain in subjects with chronic myofascial pain / American Academy of Physical Medicine and Rehabilitation 7(7) : 711~718

[journal] Zhaohui L / 2011 / Assessment of a traditional acupuncture therapy for chronic neck pain : A pilot randomised controlled study / Complementary Therapies in Medicine 19 : 26~32

[journal] Wilke J / 2014 / Short-term effects of acupuncture and stretching on myofascial trigger point pain of the neck : a blinded, placebo-controlled RCT / Complement Ther Med 22(5) : 835~841

[journal] Téllez C / 2016 / Effectiveness of dry needling for chronic nonspecific neck pain : a randomized, single-blinded, clinical trial / Pain 157(9) : 1905~1917

[journal] 김재철 / 2007 / Strength and Endurance of the Deep Neck Flexors of Industrial Workers With and Without Neck Pain / 대한인간공학회지 / 대한인간공학회 26(4) : 25~31

[book] Micheal A / 2015 / NASM essential of corrective exercise training / Han-Mi : 217~225

[journal] McGregora A / 2005 / Cervical spine mobilizations in subjects with chronic neck problems : An interventional MRI study / Journal of Back and Musculoskeletal Rehabilitation 18 : 21~28

[journal] 김태훈 / 2015 / Effect of Suboccipital Muscle Inhibition and Combination Technique on the Flexibility of Hamstring in Individuals with Shortened Hamstring / PNF and Movement / 대한고유수용성신경근촉진법학회 13(1) : 31~37

[journal] Katsushi T / 2001 / Relationship between cervical curvature index(Ishihara)and cervical spine angle(C2–7) / J Orthop Sci 6 : 223~226

[journal] Ishihara A / 1968 / Roentgenographic studies on the normal pattern of the cervical curvature / Nihon seikeigeka gakkai zasshi 42(11) : 1033~1044

KJCKorea
Journal Central

Journal of Korean Medicine Rehabilitation 2023 KCI Impact Factor : 0.6