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하승모근 강화운동이 편측 경부통 환자의 통증, 기능장애, 경부 관절가동범위, 하승모근 근력에 미치는 영향: 무작위 할당 대조군 실험

The Effect of Lower Trapezius Strengthening Exercises on Pain, Disability, Cervical Range of Motion and Strength of Lower Trapezius in Patients With Unilateral Neck Pain : A Controlled Randomized Trial

김선엽|김기용
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2015.02|한국전문물리치료학회지 (Physical Therapy Korea)|제22권 제1호|pp. 58-68|DOI http://dx.doi.org/10.12674/ptk.2015.22.1.058

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키워드

DisabilityStrengthening exerciseLower trapezius strengthUnilateral neck pain.
주제분류물리치료학

초록

This study aimed to determine the effect of lower trapezius muscle strengthening exercises on pain, neck disability index (NDI), cervical range of motion (ROM), and lower trapezius muscle strength in patients with unilateral neck pain. Following baseline measurements, the subjects (N=40) with unilateral neck pain were randomized into one of two 5 weeks exercise intervention groups: a experimental group (EG, n1=20) that received strength training of the lower trapezius muscles or a control group (CG, n2=20) that received routine physical therapy program. Each group participated in the intervention for 30 minutes, 3 times a week, for 5 weeks. All participants performed 2 repetitions of each intervention per day. The numeric pain rating scale for pain, NDI, ROM, and lower trapezius strength were recorded both pre- and post-intervention for both groups. Paired t-tests were used to determine significant changes post-intervention compared with pre-intervention and independent t-tests were used to analyze differences in the dependent variables between the 2 groups. After the 5-weeks intervention, both groups experienced significantly decreased pain and disability level (p<.05) and significantly increased cervical flexion, extension, lateral flexion, and rotation ROM (p<.05). The EG that received strength training of the lower trapezius muscles showed greater improvements in pain and functional disability level, cervical rotation, and lower trapezius strength than the CG (p<.05). These results suggest that a lower trapezius strengthening exercises reduce neck pain and neck disability level and enhance cervical ROM and lower trapezius strength level in patients with unilateral neck pain.

Abstract

This study aimed to determine the effect of lower trapezius muscle strengthening exercises on pain, neck disability index (NDI), cervical range of motion (ROM), and lower trapezius muscle strength in patients with unilateral neck pain. Following baseline measurements, the subjects (N=40) with unilateral neck pain were randomized into one of two 5 weeks exercise intervention groups: a experimental group (EG, n1=20) that received strength training of the lower trapezius muscles or a control group (CG, n2=20) that received routine physical therapy program. Each group participated in the intervention for 30 minutes, 3 times a week, for 5 weeks. All participants performed 2 repetitions of each intervention per day. The numeric pain rating scale for pain, NDI, ROM, and lower trapezius strength were recorded both pre- and post-intervention for both groups. Paired t-tests were used to determine significant changes post-intervention compared with pre-intervention and independent t-tests were used to analyze differences in the dependent variables between the 2 groups. After the 5-weeks intervention, both groups experienced significantly decreased pain and disability level (p<.05) and significantly increased cervical flexion, extension, lateral flexion, and rotation ROM (p<.05). The EG that received strength training of the lower trapezius muscles showed greater improvements in pain and functional disability level, cervical rotation, and lower trapezius strength than the CG (p<.05). These results suggest that a lower trapezius strengthening exercises reduce neck pain and neck disability level and enhance cervical ROM and lower trapezius strength level in patients with unilateral neck pain.

참고문헌 (34)

  1. Arlotta M, "Selective recruitment of the lower fibers of the trapezius muscle", J Electromyogr Kinesiol, 21(3), pp.403~410 (2011)[DOI]
  2. Behrsin JF, "Levator scapulae action during shoulder movement: A possible mechanism for shoulder pain of cervical origin", Aust J Physiother, 32(2), pp.101~106 (1986)[DOI]
  3. Bush KW, "Validity and intertester reliability of cervical range of motion using inclinometer measurement", J Man Manip Ther, 8(2), pp.52~61 (2000)
  4. Cagnie B, "Individual and work related risk factors for neck pain among office workers: A cross sectional study", Eur Spine J, 16(5), pp.679~686 (2007)
  5. Cook C, "The prevalence of neck and upper extremity musculoskeletal symptoms in computer mouse users", Int J Ind Ergon, 26(3), pp.347~356 (2000)
  6. Cools AM, "Scapular muscle recruitment patterns : Trapezius muscle latency with and without impingement symptoms", Am J Sports Med, 31(4), pp.542~549 (2003)
  7. Cools AM, "Rehabilitation of scapular muscle balance: Which exercises to prescribe?", Am J Sports Med, 35(10), pp.1744~1751 (2007)
  8. Croft PR, "Risk factors for neck pain: A longitudinal study in the general population", Pain, 93(3), pp.317~325 (2001)
  9. DiVeta J, "Relationship between performance of selected scapular muscles and scapular abduction in standing subjects", Phys Ther, 70(8), pp.470~479 (1990)
  10. Ferrari R, "Regional musculoskeletal conditions : Neck pain", Best Pract Res Clin Rheumatol, 17(1), pp.57~70 (2003)
  11. Herr KA, "Pain intensity assessment in older adults: Use of experimental pain to compare psychometric properties and usability of selected pain scales with younger adults", Clin J Pain, 20(4), pp.207~219 (2004)
  12. Hill J, "Predicting persistent neck pain: A 1-year follow-up of a population cohort", Spine(Phila Pa 1976), 29(15), pp.1648~1654 (2004)
  13. Hodges PW, "Moving differently in pain: A new theory to explain the adaptation to pain", Pain, 152(3 Suppl), pp.S90~S98 (2011)[DOI]
  14. Janda V, "Physical Therapy of the Cervical and Thoracic Spine" (2002), Churchill Livingstone
  15. Johnson G, "Anatomy and actions of the trapezius muscle", Clin Biomech (Bristol, Avon), 9(1), pp.44~50 (1994)[DOI]
  16. Johnston V, "Neck movement and muscle activity characteristics in female office workers with neck pain", Spine (Phila Pa 1976), 33(5), pp.555~563 (2008)[DOI]
  17. Jull G, "Management of cervicogenic headache. In: Grant R ed. Physical Therapy of the Cervical and Thoracic Spine", Churchill Livingstone (2002)
  18. Jull G, "Further clinical clarification of the muscle dysfunction in cervical headache", Cephalalgia, 19, pp.179~185 (1999)
  19. Jull G, "Whiplash, Headache and Neck Pain: Research based directions for the physical therapies" (2008), Churchill Livingstone
  20. Kibler WB, "Scapular dyskinesis and its relation to shoulder pain", J Am Acad Orthop Surg, 11(2), pp.142~151 (2003)
  21. 김하연, "수동 견갑골 거상 검사에 따라 분류된 경부통 환자의 견갑골 안정화운동 효과 비교", 한국전문물리치료학회지, 19(3), pp.51~60 (2012), 한국전문물리치료학회
  22. Kendall FP, "Muscles: Testing and function with posture and pain", pp.329~330 (2005), Williams & Wilkins
  23. Korhonen T, "Work related and individual predictors for incident neck pain among office employees working with video display units", Occup Environ Med, 60(7), pp.475~482 (2003)
  24. McCabe RA, "Surface electromyographic analysis of the lower trapezius muscle during exercises performed below ninety degrees of shoulder elevation in healthy subjects", N Am J Sports Phys Ther, 2(1), pp.34~43 (2007)
  25. McArdle WD, "Exercise Physiology: Energy, nutrition, and human performance", pp.490~498 (1996), Lippincott Williams & Wilkins
  26. Mottram SL, "Motion analysis study of a scapular orientation exercise and subjects’ ability to learn the exercise", Man Ther, 14(1), pp.13~18 (2009)
  27. McClure PW, "Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program", Phys Ther, 84(9), pp.832~848 (2004)
  28. Olson SL, "Tender point sensitivity, range of motion, and perceived disability in subjects with neck pain", J Orthop Sports Phys Ther, 30(1), pp.13~20 (2000)
  29. Petersen SM, "Lower trapezius muscle strength in individuals with unilateral neck pain", J Orthop Sports Phys Ther, 41(4), pp.260~265 (2011)[DOI]
  30. Pool JJ, "Minimal clinically important change of the neck disability index and the numerical rating scale for patients with neck pain", Spine (Phila Pa 1976), 32(26), pp.3047~3051 (2007)
  31. Reinold MM, "Current concepts in the scientific and clinical rationale behind exercises for glenohumeral and scapulothoracic musculature", J Orthop Sports Phys Ther, 39(2), pp.105~117 (2009)[DOI]
  32. Sahrmann SA, "Diagnosis and Treatment of Movement Impairment Syndromes", pp.193~261 (2001), Mosby
  33. Salaffi F, "Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale", Eur J Pain, 8(4), pp.283~291 (2004)
  34. 송경진, "한국어판 Neck Disability Index의 문화적 개작과 타당도", 대한정형외과학회지, 44(3), pp.350~359 (2009), 대한정형외과학회

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