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바이오피드백을 적용한 목뼈 안정화운동이 앞쪽머리자세 대학생의 근긴장도, 근지구력 및 머리척추각에 미치는 영향

Effects of Cervical Stabilization Exercise Using Pressure Biofeedback on Muscle Tone, Muscle Endurance and Craniovertebral Angle in Collage Students with Forward Head Posture

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주제분류컴퓨터학

초록

이 연구는 앞쪽머리자세를 가진 대학생을 대상으로 바이오피드백을 적용한 목뼈 안정화 운동중재가 뒤통수근육의 긴장도, 깊은목굽힘근 지구력 및 머리뼈 척추각에 어떠한 영향을 미치는지 알아보고자 실시되었다. 연구 대상자는 바이오피드백 목뼈 안정화 운동군(BCSEG) 12명과 대조군(CG) 12명을 선정하였으며, 8주간 주 3회, 50분간 실시하였다. 이 연구 결과 바이오피드백을 적용한 목뼈 안정화 운동 후 뒤통수밑근은 BCSEG에서 경직도와 근 긴장도가 유의하게 감소하였고(p<.01), 깊은목굽힘근은 BCSEG에서 근지구력(p<.01)과 머리 척추각(p<.01) 유의하게 증가하였다. 이상의 결과를 종합해 보면 바이오피드백을 적용한 목뼈 안정화 운동은 뒤통수밑근과 깊은목굽힘근의 근기능 향상시킴으로써 머리 척추각도 개선을 한 것으로 생각된다. 압력 바이오피드백을 적용한 목뼈 안정화 운동은 FHP를 개선을 위한 중재방법으로 제안될 수 있다.

Abstract

The purpose of this study was to the effects of a cervical stabilization exercise using pressure biofeedback intervention on suboccipital muscle tone, deep neck flexor muscle endurance, and craniovertebral angle in college students with forward head posture. The subjects of the study were selected as BCSEG(n=12) and CG(n=12), and the intervention was performed for 50 minutes, 3 times a week for 8 weeks. The results of the study showed that after biofeedback neck stabilization exercises, the suboccipital muscle significantly decreased in stiffness and muscle tone in the BCSEG(p<.01), and the deep neck flexors significantly increased in muscle endurance(p<.01) and craniovertebral angle(p<.01). The results of the cervical stabilization exercises with biofeedback are thought to improve cranio- vertebral angle by improving muscle function of the suboccipital muscles and deep neck flexors, which cervical stabilization exercises with biofeedback may be suggested as an intervention to improve FHP.

참고문헌 (65)

  1. A. Perrin, "About a quarter of US adults say they are'almost constantly'online", Pew Research Center: Internet and Technology. Pew Internet weblog, 14~ (2018)
  2. R. Kumar, "Nomophobia:A rising concern among Indian students", Industrial psychiatry journal, 30(2), pp.230~233 (2021)[DOI]
  3. L. Vakili, "Prevalence of common postural disorders among academic dental staff", Asian journal of sports medicine, 7(2), pp.e29631~ (2016)[DOI]
  4. E. Fishman, "Bike share: a synthesis of the literature", Transport reviews, 33(2), pp.148~165 (2013)[DOI]
  5. E. R. Hickey, "Reliability of the cervical range of motion(CROM)device and plumb-line techniques in measuring resting head posture(RHP)", Journal of Manual and Manipulative Therapy, 8(1), pp.10~17 (2000)[DOI]
  6. M. Nordin, "Basic biomechanics of the musculoskeletal system" (2001), Lippincott Williams and Wilkins
  7. B. Shaghayeghfard, "Evaluation of forward head posture in sitting and standing positions", European spine journal, 25, pp.3577~3582 (2016)[DOI]
  8. J. P. Caneiro, "The influence of different sitting postures on head", neck posture and muscle activity, 2010, pp.15(1), 54~60
  9. H. K. Park, "The exception case about the diagnose forward head posture using the Cranio Vertebra angle, Cranio Rotation angle and Cobb angle : a case report", Journal of Korean Society of Physical Medicine, 10, pp.29~34 (2015)
  10. G. H. E. onzalez, "Forward head posture: its structural and functional influence on the stomatognathic system, a conceptual study", Cranio®, 14(1), pp.71~80 (1996)[DOI]
  11. K. K. Hansraj, "Assessment of stresses in the cervical spine caused by posture and position of the head", Surg Technol Int, 25, pp.277~279 (2014)
  12. E. Szczygiel, "The impact of the position of the head on the functioning of the human body:A systematic review", International Journal of Occupational Medicine and Environmental Health, 33(5), pp.559~568 (2020)[DOI]
  13. M. A. Finley, "Effect of sitting posture on3-dimensional scapular kinematics measured by skin-mounted electromagnetic tracking sensors", Archives of physical medicine and rehabilitation, 84, pp.563~568 (2003)[DOI]
  14. E. Kristjansson, "Reliability of ultrasonography for thecervical multifidus muscle in asymptomatic and symptomatic subjects", Manual therapy, 9, pp.83~88 (2004)[DOI]
  15. V. Janda, "Muscle function testing" (2013), Elsevier
  16. G. Tsiringakis, "Motor control training of deep neck flexors with pressure biofeedback improves pain and disability in patients with neck pain : a systematic review and meta-analysis", Musculoskeletal Science and Practice, 50, pp.102220~ (2020)[DOI]
  17. G. Jull, "Whiplash, headache, and neck pain : research-based directions for physical therapies" (2008), Elsevier Health Sciences
  18. J. W. Lee, "The Test-retest Measurement Reliability of Muscle Strength and Endurance of Deep Neck Flexor Using Pressure Biofeedback Unit According to Visual Feedback", J Phys Perform & Mov Sci, 2(1), pp.1~ (2022)[DOI]
  19. A. J. Gorman, "The effects of concurrent biomechanical biofeedback on novel skill acquisition", Sports biomechanics, 21(3), pp.5297~5311 (2022)[DOI]
  20. S. Schreiber, "The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis—an assessor and statistician blinded randomized controlled trial:‘SOSORT 2015 award winner", Scoliosis, 10(1), pp.1~12 (2015)[DOI]
  21. Y. Nod, "EMG Biofeedback for the treatment of central nervous system disoders", Phys Ther, 9(4), pp.237~245 (1992)
  22. K. J. Song, "Cross-cultural adaptation and validation of the Korean version of the neck disability index", Journal of the Korean Orthopaedic Association, 44(3), pp.350~ (2009)[DOI]
  23. S. Schneider, "Feasibility of monitoring muscle health in microgravity environments using myotone technology", Med & bio engineering & computing, 53, pp.57~66 (2015)
  24. G. A. Jull, "Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test", Journal of manipulative and physiological therapeutics, 31, pp.525~533 (2008)[DOI]
  25. G. Jull, "A randomised control trial of exercise and manipulative therapy for cervicogenic headache", Spine, 27, pp.1835~1843 (2002)
  26. G. A. Jull, "The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain", Manual therapy, 14, pp.696~701 (2009)[DOI]
  27. G. A. Jull, "Deep cervical flexor muscle dysfunction in whiplash", Journal of musculoskeletal pain, 8, pp.143~154 (2000)[DOI]
  28. H. J. Lee, "Correlation between tone of suboccipital muscle and endurance of deep neck flexor muscle according to angle changes in college students", Korean Society of Physical Medicine, 14, pp.137~144 (2019)[DOI]
  29. R. M, Ruivo, "Intrarater and interrater reliability of photographic measurement of upper-body standing posture of adolescents", J Manipulative Physiol Ther, 38(1), pp.74~80 (2015)[DOI]
  30. K. Grimmer-Somers, "Measurement of cervical posture in the sagittal plane", Journal of manipulative and physiological therapeutics, 31(7), pp.509~517 (2008)[DOI]
  31. Y. L. Kuo, "Video analysis of sagittal spinal posture in healthy young and older adults", Journal of manipulative and physiological therapeutics, 32(3), pp.210~215 (2009)[DOI]
  32. S. Neupane, "Text neck syndrome-systematic review", Imperial journal of interdisciplinary research, 3(7), pp.141~148 (2017)
  33. C. H. T. Yip, "The relationship between head posture and severity and disability of patients with neck pain", Manual therapy, 13(2), pp.148~154 (2008)[DOI]
  34. J. M. Wilson, "The effects of endurance, strength, and power training on muscle fiber type shifting", The Journal of Strength & Conditioning Research, 26(6), pp.1724~1729 (2012)[DOI]
  35. S. Uthaikhup, "Structural changes of the cervical muscles in elder women with cervicogenic headache", Musculoskeletal Science and Practice, 29, pp.1~6 (2017)[DOI]
  36. C. Maher, "Reliability of pain and stiffness assessments in clinical manual lumbar spine examination", Physical Therapy, 74(9), pp.801~809 (1994)[DOI]
  37. Y. H. Sung, "Suboccipital muscles, forward head posture, and cervicogenic dizziness", Medicina, 58(12), pp.1791~ (2022)[DOI]
  38. V. Kulkarni, "Quantitative study of muscle spindles in suboccipital muscles of human foetuses", Neurology India, 49(4), pp.355~359 (2001)
  39. J. X. Liu, "Muscle spindles in the deep muscles of the human neck : a morphological and immunocytochemical study", Journal of Histochemistry &Cytochemistry, 51(2), pp.175~186 (2003)[DOI]
  40. D. A. Bakker, "Central projections from cat suboccipital muscles: a study using transganglionic transport of horseradish peroxidase", Journal of Comparative Neurology, 228(3), pp.409~421 (1984)[DOI]
  41. B. Shaghayegh-Fard, "The evaluation of cervical position sense in forward head posture subjects and its comparison with normal subjects", Rehabilitation, 16(1), pp.48~57 (2015)
  42. V. Gurfinkel, "Postural muscle tone in the body axis of healthy humans", Journal of neurophysiology, 96(5), pp.2678~2687 (2006)[DOI]
  43. S. E. Park, "Effects of Occipital Bone Stimulation by Cervical Stabilizing Exercise on Muscle Tone, Stiffness, ROM and Cervical Lordosis in Patient with Forward Head Posture: Single System Design", Journal of international academy of physical therapy research, 7(2), pp.989~993 (2016)[DOI]
  44. E. S. Contractor, "To study the immediate effect of suboccipital muscle energy technique on craniovertebral angle and cranio-horizontal angle on subjects with forward head posture", Int J Health Sci Res, 9(3), pp.83~ (2019)
  45. A. Aggarwal, "Effect of suboccipital release technique in forward head posture: A comparative study", Medical Journal of Dr. DY Patil University, 15(4), pp.534~537 (2022)[DOI]
  46. W. Gong, "Correlations between cervical lordosis, forward head posture, cervical ROM and the strength and endurance of the deep neck flexor muscles in college students", Journal of Physical Therapy Science, 24(3), pp.275~277 (2012)[DOI]
  47. M. D. Nezamuddin, "Efficacy of pressure-biofeedback guided deep cervical flexor training on neck pain and muscle performance in visual display terminal operators", Journal of musculoskeletal research, 16(3), pp.1350011~ (2013)[DOI]
  48. N. Strimpakos, "The assessment of the cervical spine. Part 2:strength and endurance", fatigue, 2011, pp.15(4), 417~430
  49. E. Moghadam, "An ultrasonographic investigation of deep neck flexor muscles cross-sectional area in forward and normal head posture", Journal of bodywork and movement therapies, 22(3), pp.643~647 (2018)[DOI]
  50. H. Ishida, "Correlation between neck slope angle and deep cervical flexor muscle thickness in healthy participants", Journal of bodywork and movement therapies, 19(4), pp.717~721 (2015)[DOI]
  51. J. D. Childs, "Neck pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association", The Journal of Women's & Pelvic Health Physical Therapy, 35(2), pp.57~90 (2011)[DOI]
  52. D. Falla, "An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain", Clinical Neurophysiology, 117(4), pp.828~837 (2006)[DOI]
  53. Y. Dusunceli, "Efficacy of neck stabilization exercises for neck pain: a randomized controlled study", Journal of rehabilitation medicine, 41(8), pp.626~631 (2009)[DOI]
  54. R. M. Ruivo, "Effects of a resistance and stretching training program on forward head and protracted shoulder posture in adolescents", Journal of manipulative and physiological therapeutics, 40(1), pp.1~10 (2017)[DOI]
  55. J. H. Park, "Effects of biofeedback based deep neck flexion exercise on neck pain: meta-analysis", Physical Therapy Korea, 28(1), pp.18~26 (2021)[DOI]
  56. D. Y. Kang, "Deep cervical flexor training with a pressure biofeedback unit is an effective method for maintaining neck mobility and muscular endurance in college students with forward head posture", Journal of physical therapy science, 27(10), pp.3207~3210 (2015)[DOI]
  57. O. M. Giggins, "Biofeedback in rehabilitation", Journal of neuroengineering and rehabilitation, 10, pp.1~11 (2013)[DOI]
  58. H. Ishida, "Correlation between deep cervical flexor muscle thickness at rest and sternocleidomastoid activity during the craniocervical flexion test", Journal of Bodywork and Movement Therapies, 20(1), pp.208~213 (2016)[DOI]
  59. J. H. Hong, "Correlation between contraction ratio, endurance, and muscle tone of cervical muscles", Physical Therapy Rehabilitation Science, 9(4), pp.302~ (2020)[DOI]
  60. S. M. Lee, "Clinical effectiveness of a Pilates treatment for forward head posture", Journal of physical therapy science, 28(7), pp.2009~2013 (2016)[DOI]
  61. Z. Salahzadeh, "Assessment of forward head posture in females: observational and photogrammetry methods", Journal of back and musculoskeletal rehabilitation, 27(2), pp.131~139 (2014)[DOI]
  62. G. Jull, "Retraining cervical joint position sense : the effect of two exercise regimes", Journal of Orthopaedic Research, 25(3), pp.404~412 (2007)[DOI]
  63. B. D. Gupta, "Effect of deep cervical flexor training vs. conventional isometric training on forward head posture, pain, neck disability index in dentists suffering from chronic neck pain", Journal of clinical and diagnostic research: JCDR, 7(10), pp.2261~2264 (2013)[DOI]
  64. A. M. H. Rizo, "Immediate effects of the suboccipital muscle inhibition technique in craniocervical posture and greater occipital nerve mechanosensitivity in subjects with a history of orthodontia use: a randomized trial", Journal of manipulative and physiological therapeutics, 35(6), pp.446~453 (2012)[DOI]
  65. R. Sheikhhoseini, "Effectiveness of therapeutic exercise on forward head posture:a systematic review and meta-analysis", Journal of manipulative and physiological therapeutics, 41(6), pp.530~539 (2018)[DOI]

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