본문 바로가기
KERD
논문KCI 등재

등척성 목 폄 시 만성 목 통증이 있는 환자와 정상인 간의 근육 피로도, 근력 및 지구력 비교

Comparison of Muscle Fatigue, Strength, and Endurance in Adults with and without Chronic Neck Pain during Isometric Neck Extension

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Background: Chronic neck pain (CNP) is associated with weakness in the deep neck flexor muscles, a shortening of the neck extensors, and a reduction in endurance. In addition, muscle imbalance can lead to neck pain and musculoskeletal dysfunction. This study compared neck extensor muscle fatigue, muscle strength, and muscle endurance time between patients with CNP and healthy adults during isometric neck extension. Methods: Thirty participants (15 patients with CNP and 15 healthy adults) were recruited in this research. The outcome measures included splenius capitis (SC) muscle fatigue, isometric neck extensor strength, and muscle endurance. The independent T-test was used to compare the continuous dependent variables between the CNP group and the healthy group. Results: The independent T-test indicated that muscle fatigue in the left SC differed significantly between the CNP group and the healthy group. A significant difference was also noted in the isometric neck extensor and neck extensor strength between the groups. Conclusion: Our results provided promising clinical evidence that patients with CLP have reduced neck extensor strength and endurance and increased SC muscle fatigue, which results in neck pain.

Abstract

Background: Chronic neck pain (CNP) is associated with weakness in the deep neck flexor muscles, a shortening of the neck extensors, and a reduction in endurance. In addition, muscle imbalance can lead to neck pain and musculoskeletal dysfunction. This study compared neck extensor muscle fatigue, muscle strength, and muscle endurance time between patients with CNP and healthy adults during isometric neck extension. Methods: Thirty participants (15 patients with CNP and 15 healthy adults) were recruited in this research. The outcome measures included splenius capitis (SC) muscle fatigue, isometric neck extensor strength, and muscle endurance. The independent T-test was used to compare the continuous dependent variables between the CNP group and the healthy group. Results: The independent T-test indicated that muscle fatigue in the left SC differed significantly between the CNP group and the healthy group. A significant difference was also noted in the isometric neck extensor and neck extensor strength between the groups. Conclusion: Our results provided promising clinical evidence that patients with CLP have reduced neck extensor strength and endurance and increased SC muscle fatigue, which results in neck pain.

참고문헌 (30)

  1. Arimi SA, "The relevance of proprioception to chronic neck pain : A correlational analysis of flexor muscle size and endurance, clinical neck pain characteristics, and proprioception", Pain Med, 19(10), pp.2077~2088 (2018)[DOI]
  2. L. C. BOYD-CLARK, "Comparative histochemical composition of muscle fibres in a pre- and a postvertebral muscle of the cervical spine", Journal of Anatomy, 199(6), pp.709~716 (2001), Wiley[DOI]
  3. Barbara Cagnie, "Differences in Isometric Neck Muscle Strength Between Healthy Controls and Women With Chronic Neck Pain: The Use of a Reliable Measurement", Archives of Physical Medicine and Rehabilitation, 88(11), pp.1441~1445 (2007), Elsevier BV[DOI]
  4. Barbara Cagnie, "Pain-induced Changes in the Activity of the Cervical Extensor Muscles Evaluated by Muscle Functional Magnetic Resonance Imaging", The Clinical Journal of Pain, 27(5), pp.392~397 (2011), Ovid Technologies (Wolters Kluwer Health)[DOI]
  5. Cram, JR, "Biofeedback Applications. Electromyography: Physiology, Engineering, and Noninvasive Applications", pp.435~452 (2004), John Wiley & Sons, Inc
  6. Jason R. Fuller, "Posture-movement changes following repetitive motion-induced shoulder muscle fatigue", Journal of Electromyography and Kinesiology, 19(6), pp.1043~1052 (2009), Elsevier BV[DOI]
  7. Falla D, "Neck flexor muscle fatigue is side specific in patients with unilateral neck pain", Eur J Pain, 8(1), pp.71~77 (2004)[DOI]
  8. D. Falla, "Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain", Experimental Brain Research, 157(1), pp.43~48 (2004), Springer Science and Business Media LLC[DOI]
  9. Leila Ghamkhar, "Relationship Between Proprioception and Endurance Functionality of the Cervical Flexor Muscles in Chronic Neck Pain and Asymptomatic Participants", Journal of Manipulative and Physiological Therapeutics, 41(2), pp.129~136 (2018), Elsevier BV[DOI]
  10. Prem P. Gogia, "Electromyograhic Analysis of Neck Muscle Fatigue in Patients With Osteoarthritis of the Cervical Spine", Spine, 19(5), pp.502~506 (1994), Ovid Technologies (Wolters Kluwer Health)[DOI]
  11. Griegel-Morris P, "Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects", Phys Ther, 72(6), pp.425~431 (1992)[DOI]
  12. Gyeong-tae Gwak, "Prediction Model for the Risk of Scapular Winging in Young Women Based on the Decision Tree", 한국전문물리치료학회지, 27(2), pp.140~148 (2020), 한국전문물리치료학회[DOI]
  13. Lee HJ, "Neck muscle endurance, self-report, and range of motion data from subjects with treated and untreated neck pain", J Manipulative Physiol Ther, 28(1), pp.25~32 (2005)[DOI]
  14. Lindstrom R, "Association between neck muscle coactivation, pain, and strength in women with neck pain", Man Ther, 16(1), pp.80~86 (2011)[DOI]
  15. A. F. MANNION, "Muscle fibre size and type distribution in thoracic and lumbar regions of erector spinae in healthy subjects without low back pain: normal values and sex differences", Journal of Anatomy, 190(4), pp.505~513 (1997), Wiley[DOI]
  16. Misailidou V, "Assessment of patients with neck pain : A review of definitions, selection criteria, and measurement tools", J Chiropr Med, 9(2), pp.49~59 (2010)[DOI]
  17. Ana Carolina Oliveira, "Neck muscle endurance and head posture: A comparison between adolescents with and without neck pain", Manual Therapy, 22, pp.62~67 (2016), Elsevier BV[DOI]
  18. Anneli Peolsson, "Neck Muscle Endurance in Nonspecific Patients With Neck Pain and in Patients After Anterior Cervical Decompression and Fusion", Journal of Manipulative and Physiological Therapeutics, 30(5), pp.343~350 (2007), Elsevier BV[DOI]
  19. RAJ RAO, "NECK PAIN, CERVICAL RADICULOPATHY, AND CERVICAL MYELOPATHY", The Journal of Bone and Joint Surgery-American Volume, 84(10), pp.1872~1881 (2002), Ovid Technologies (Wolters Kluwer Health)[DOI]
  20. Sally Raine, "Head and shoulder posture variations in 160 asymptomatic women and men", Archives of Physical Medicine and Rehabilitation, 78(11), pp.1215~1223 (1997), Elsevier BV[DOI]
  21. Asghar Rezasoltani, "Preliminary study of neck muscle size and strength measurements in females with chronic non-specific neck pain and healthy control subjects", Manual Therapy, 15(4), pp.400~403 (2010), Elsevier BV[DOI]
  22. Hyo-Lyun Roh, "Effect of a Home-based Exercise Program on Elderly Women’s Health", Journal of Physical Therapy Science, 24(5), pp.449~453 (2012), Society of Physical Therapy Science[DOI]
  23. Yoo WG, "The relationship between the active cervical range of motion and changes in head and neck posture after continuous VDT work", Ind Health, 47(2), pp.183~188 (2009)[DOI]
  24. Solomon SR, "Impact of rank-based normalizing transformations on the accuracy of test scores", Journal of Modern Applied Statistical Methods, 8(2), pp.448~462 (2009)[DOI]
  25. A. THORSTENSSON, "Fibre types in human lumbar back muscles", Acta Physiologica Scandinavica, 131(2), pp.195~202 (1987), Wiley[DOI]
  26. Travell J, "Myofascial Pain and Dysfunction; The Trigger Point Manual(the upper extremities)" (2008), Williams & Wilkins
  27. Vernon H, "The neck disability index : A study of reliability and validity", J manipulative Physiol Ther, 14(7), pp.409~415 (1991)
  28. Nina K Vøllestad, "Measurement of human muscle fatigue", Journal of Neuroscience Methods, 74(2), pp.219~227 (1997), Elsevier BV[DOI]
  29. Ylinen J, "Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements", Arch Phys Med Rehabil, 85(8), pp.1303~1308 (2004)[DOI]
  30. Mahboobeh Zabihhosseinian, "Neck muscle fatigue alters the cervical flexion relaxation ratio in sub-clinical neck pain patients", Clinical Biomechanics, 30(5), pp.397~404 (2015), Elsevier BV[DOI]

관련 논문AI추천

머리-목굽힘검사 시 통증 유무에 따른 표층 및 심부 목 굽힘근의 두께 비교연구전덕훈한국운동재활복지협회 · 운동재활·복지2022 · 제3권 제1호Effect of Deep Neck Flexor Performance on the Stability of the Cervical Spine in Subject With and Without Neck Pain권오윤, 김시현, 이원휘, 정도헌, 정성대한국전문물리치료학회 · 한국전문물리치료학회지2011 · 제18권 제4호비특이성 만성 경부통 환자에게 적용한 동적 균형 운동이 통증과 기능적 수준, 심리사회적 수준에 미치는 효과권유희, 김선엽대한정형도수물리치료학회 · 대한정형도수물리치료학회지2023 · 제29권 제3호Comparison of Muscle Thickness and Changing Ratio for Cervical Flexor Muscles During the Craniocervical Flexion Test Between Subjects With and Without Forward Head Posture권오윤, 황의재, Lee Jae-hyun한국전문물리치료학회 · 한국전문물리치료학회지2022 · 제29권 제3호자가 운동이 만성 목 통증 환자의 관절가동범위, 근력, 근 긴장도와 경직도, 목장애지수 및 삶의 질에 미치는 영향박건영, 변용현한국레저사이언스학회 · 한국레저사이언스학회지2025 · 제16권 제4호Comparison of Upper and Lower Cervical Muscle Strengths Between Subjects With and Without Forward Head Posture권오윤, 안선희, 정성훈, 황의재, Ji-yeon Eun한국전문물리치료학회 · 한국전문물리치료학회지2020 · 제27권 제4호

이 간행물의 다른 논문 (9건)