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논문KCI 등재

앞쪽머리자세를 가진 대상자의 머리-목 굽힘 검사 시 머리받침 유무에 따른 긴목근과 목빗근의 근두께 변화량 비교

Effect of the Head Support on a Change in Muscle Thickness for Longus Colli and Sternocleidomastoid During Cranio-Cervical Flexion Test in Subjects With Forward Head Posture

정희석|권오윤|송시정|박준상
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2016.09|한국전문물리치료학회지 (Physical Therapy Korea)|제23권 제3호|pp. 11-20|DOI http://dx.doi.org/10.12674/ptk.2016.23.3.011

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참고문헌

키워드

Forward head postureUltrasonography.Cranio-cervical flexion testDeep cervical flexor muscles
주제분류물리치료학

초록

Background: A forward head posture (FHP) is one of the most common types of poor head posture in patients with neck disorder. A prolonged FHP might increase pressure on the posterior cranio-cervical structure and exhibit reduced performance on a cranio-cervical flexion test (CCFT). CCFT is included to activate deep cervical flexor muscles and inhibit excessive activation of superficial cervical flexor muscles. Therefore, the selective activation of deep cervical flexors is needed for effective exercise for FHP. Objects: The purpose of this study was to compare muscle thickness between longus colli (Lco) and sternocleidomastoid (SCM) using ultrasonography in subjects with FHP depending on head support. Methods: This was a cross-sectional, case-control research design study. The ultrasonographic images of Lco and SCM were taken in 17 subjects with FHP during the 5 phases of the CCFT with and without a head support. Towel was used for supporting head to make the neutral head position in supine. Changes in muscle thickness during the test were calculated to infer muscle activation. Data were analyzed using repeated measures of two-way analysis of variance with the significance level of .05. Results: When subjects performed the CCFT with head support, there was a significant difference in muscle thickness of Lco and SCM (p<.05). According to a post hoc paired t-test, change of thickness of Lco was greater at all phases, and change of thickness of SCM muscle was less at phase 4 and 5 in condition with head support (p<.01) compared to condition without head support (p<.01). Conclusion: The result of this study suggest that applying head support for neutral head position during CCFT could be a useful method for activating Lco muscle without excessive activation of SCM muscle.

Abstract

Background: A forward head posture (FHP) is one of the most common types of poor head posture in patients with neck disorder. A prolonged FHP might increase pressure on the posterior cranio-cervical structure and exhibit reduced performance on a cranio-cervical flexion test (CCFT). CCFT is included to activate deep cervical flexor muscles and inhibit excessive activation of superficial cervical flexor muscles. Therefore, the selective activation of deep cervical flexors is needed for effective exercise for FHP. Objects: The purpose of this study was to compare muscle thickness between longus colli (Lco) and sternocleidomastoid (SCM) using ultrasonography in subjects with FHP depending on head support. Methods: This was a cross-sectional, case-control research design study. The ultrasonographic images of Lco and SCM were taken in 17 subjects with FHP during the 5 phases of the CCFT with and without a head support. Towel was used for supporting head to make the neutral head position in supine. Changes in muscle thickness during the test were calculated to infer muscle activation. Data were analyzed using repeated measures of two-way analysis of variance with the significance level of .05. Results: When subjects performed the CCFT with head support, there was a significant difference in muscle thickness of Lco and SCM (p<.05). According to a post hoc paired t-test, change of thickness of Lco was greater at all phases, and change of thickness of SCM muscle was less at phase 4 and 5 in condition with head support (p<.01) compared to condition without head support (p<.01). Conclusion: The result of this study suggest that applying head support for neutral head position during CCFT could be a useful method for activating Lco muscle without excessive activation of SCM muscle.

참고문헌 (40)

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Comparison 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 제3호Comparison of the Thickness of the Neck Flexor Muscles of Subjects With and Without a Forward Head Posture on the Two Initial Head Positions During Cranio-Cervical Flexion Exercise권오윤, 김수정, 전인철, 정성훈, 최규환, 하성민, 황의재한국전문물리치료학회 · 한국전문물리치료학회지2015 · 제22권 제4호Comparison of the Cross-Sectional Area of Longus Colli and MuscleActivity of Sternocleidomastoid in Subjects With Forward HeadPosture on the Two Craniocervical Flexion Methods권오윤, 김현아, 손민찬, 안선희, 정성훈, 황의재한국전문물리치료학회 · 한국전문물리치료학회지2018 · 제25권 제2호머리-목굽힘검사 시 통증 유무에 따른 표층 및 심부 목 굽힘근의 두께 비교연구전덕훈한국운동재활복지협회 · 운동재활·복지2022 · 제3권 제1호Comparison of Upper and Lower Cervical Muscle Strengths Between Subjects With and Without Forward Head Posture권오윤, 안선희, 정성훈, 황의재, Ji-yeon Eun한국전문물리치료학회 · 한국전문물리치료학회지2020 · 제27권 제4호호흡패턴이 머리목 굽힘 운동시 목빗근과 심부 목굽힘근의근두께에 미치는 영향원종임한국전문물리치료학회 · 한국전문물리치료학회지2018 · 제25권 제2호

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