본문 바로가기
KERD
논문KCI 등재

Differences of Spinal Curvature, Thoracic Mobility, and Respiratory Strength Between Chronic Neck Pain Patients and People Without Cervical Pain

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류재활의학

초록

Objective To investigate the differences of spinal curvature, thoracic sagittal mobility, and respiratory strength between patients with chronic neck pain (CNP) and people without cervical pain, and to determine the correlation between respiratory strength and thoracic mobility in CNP patients. Methods A total of 78 participants were finally included in this study, of whom 30 had no cervical pain and 48 had CNP. The Neck Disability Index (NDI), cervical lordotic curvature, thoracic kyphotic curvature, thoracic sagittal range of motion (ROM), maximal inspiratory pressure (MIP), and maximal expiratory pressure (MEP) were measured and analyzed. Results In males, thoracic sagittal ROMMEP-MIP and MEP showed a significant difference between the no cervical pain group and the CNP group. In females, thoracic kyphotic curvature, thoracic sagittal ROMMEP-MIP, MIP, and MEP were significantly different between the no cervical pain group and the CNP group. Thoracic kyphotic curvature was significantly correlated with MEP and MIP in all population groups, and significantly correlated with NDI in the female group. Thoracic sagittal ROMMEP-MIP had a significant linear relationship with NDI, MEP, and MIP in all population groups. Conclusion The thoracic mobility during forced respiration was reduced in patients with CNP and was correlated with respiratory strength. Changes in the biomechanics of the cervicothoracic spine and rib cage due to CNP may contribute to impairment of respiratory strength.

Abstract

Objective To investigate the differences of spinal curvature, thoracic sagittal mobility, and respiratory strength between patients with chronic neck pain (CNP) and people without cervical pain, and to determine the correlation between respiratory strength and thoracic mobility in CNP patients. Methods A total of 78 participants were finally included in this study, of whom 30 had no cervical pain and 48 had CNP. The Neck Disability Index (NDI), cervical lordotic curvature, thoracic kyphotic curvature, thoracic sagittal range of motion (ROM), maximal inspiratory pressure (MIP), and maximal expiratory pressure (MEP) were measured and analyzed. Results In males, thoracic sagittal ROMMEP-MIP and MEP showed a significant difference between the no cervical pain group and the CNP group. In females, thoracic kyphotic curvature, thoracic sagittal ROMMEP-MIP, MIP, and MEP were significantly different between the no cervical pain group and the CNP group. Thoracic kyphotic curvature was significantly correlated with MEP and MIP in all population groups, and significantly correlated with NDI in the female group. Thoracic sagittal ROMMEP-MIP had a significant linear relationship with NDI, MEP, and MIP in all population groups. Conclusion The thoracic mobility during forced respiration was reduced in patients with CNP and was correlated with respiratory strength. Changes in the biomechanics of the cervicothoracic spine and rib cage due to CNP may contribute to impairment of respiratory strength.

참고문헌 (37)

  1. Cohen SP, "Epidemiology, diagnosis, and treatment of neck pain", Mayo Clin Proc, 90, pp.284~299 (2015)
  2. Liu F, "Association of depression", anxiety symptoms with neck pain : a systematic review and meta-analysis of literature in China, 2018, pp.2018, 3259431~
  3. Dimitriadis Z, "Pulmonary function of patients with chronic neck pain : a spirometry study", Respir Care, 59, pp.543~549 (2014)
  4. Kapreli E, "Respiratory dysfunction in chronic neck pain patients : a pilot study", Cephalalgia, 29, pp.701~710 (2009)
  5. Dimitriadis Z, "Respiratory weakness in patients with chronic neck pain", Man Ther, 18, pp.248~253 (2013)
  6. Wirth B, "Respiratory dysfunction in patients with chronic neck pain : influence of thoracic spine and chest mobility", Man Ther, 19, pp.440~444 (2014)
  7. Morita D, "Range of motion of thoracic spine in sagittal plane", Eur Spine J, 23, pp.673~678 (2014)
  8. Lau KT, "Relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability", Man Ther, 15, pp.457~462 (2010)
  9. Ozer Kaya D, "An investigation of sagittal thoracic spinal curvature and mobility in subjects with and without chronic neck pain : cutoff points and pain relationship", Turk J Med Sci, 47, pp.891~896 (2017)
  10. Rahman NN, "Correlation between thoracolumbar curvatures and respiratory function in older adults", Clin Interv Aging, 12, pp.523~529 (2017)
  11. Vernon H, "The neck disability index : state-of-the-art, 1991-2008", J Manipulative Physiol Ther, 31, pp.491~502 (2008)
  12. Song KJ, "Cross-cultural adaptation and validation of the Korean version of the neck disability index", Spine(Phila Pa 1976), 35, pp.E1045~E1049 (2010)
  13. Guo GM, "Cervical lordosis in asymptomatic individuals : a meta-analysis", J Orthop Surg Res, 13, pp.147~ (2018)
  14. Teixeira FA, "Reliability and validity of thoracic kyphosis measurements using flexicurve method", Rev Bras Fisioter, 11, pp.173~177 (2007)
  15. Yanagawa TL, "Assessment of thoracic kyphosis using the flexicurve for individuals with osteoporosis", Hong Kong Physiother J, 18, pp.53~57 (2000)
  16. Greendale GA, "The reliability and validity of three nonradiological measures of thoracic kyphosis and their relations to the standing radiological Cobb angle", Osteoporos Int, 22, pp.1897~1905 (2011)
  17. Dimitriadis Z, "Test", retest reliability of maximum mouth pressure measurements with the MicroRPM in healthy volunteers, 2011, pp.56, 776~782
  18. Gil Obando LM, "Normal values of the maximal respiratory pressures in healthy people older than 20 years old in the City of Manizales-Colombia", Colomb Med(Cali), 43, pp.119~125 (2012)
  19. Neder JA, "Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation", Braz J Med Biol Res, 32, pp.719~727 (1999)
  20. Ritchie C, "Derivation of a clinical prediction rule to identify both chronic moderate", severe disability and full recovery following whiplash injury, 2013, pp.154, 2198~2206
  21. Ratnovsky A, "Anatomical model of the human trunk for analysis of respiratory muscles mechanics", Respir Physiol Neurobiol, 148, pp.245~262 (2005)
  22. Perri MA, "Pain and faulty breathing : a pilot study", J Bodyw Mov Ther, 8, pp.297~306 (2004)
  23. Lee DG, "Biomechanics of the thorax-research evidence and clinical expertise", J Man Manip Ther, 23, pp.128~138 (2015)
  24. Gordon AM, "The variation in isometric tension with sarcomere length in vertebrate muscle fibres", J Physiol, 184, pp.170~192 (1966)
  25. Zhang G, "Effect of intercostal muscle contraction on rib motion in humans studied by finite element analysis", J Appl Physiol(1985), 125, pp.1165~1170 (2018)
  26. Komi P, "Strength and power in sport" (2003), John Wiley & Sons
  27. Kapreli E, "Neck pain causes respiratory dysfunction", Med Hypotheses, 70, pp.1009~1013 (2008)
  28. Jull G, "Further clinical clarification of the muscle dysfunction in cervical headache", Cephalalgia, 19, pp.179~185 (1999)
  29. Watson DH, "Cervical headache : an investigation of natural head posture and upper cervical flexor muscle performance", Cephalalgia, 13, pp.272~284 (1993)
  30. Castelein B, "Are chronic neck pain, scapular dyskinesis and altered scapulothoracic muscle activity interrelated? A case-control study with surface and fine-wire EMG", J Electromyogr Kinesiol, 31, pp.136~143 (2016)
  31. Luque-Suarez A, "Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain : a systematic review", Br J Sports Med, 53, pp.554~559 (2019)
  32. Leeuw M, "The fear-avoidance model of musculoskeletal pain : current state of scientific evidence", J Behav Med, 30, pp.77~94 (2007)
  33. Albarrati A, "Effect of upright and slouched sitting postures on the respiratory muscle strength in healthy young males", Biomed Res Int, 2018, pp.3058970~ (2018)
  34. Costa R, "Body position influences the maximum inspiratory and expiratory mouth pressures of young healthy subjects", Physiotherapy, 101, pp.239~241 (2015)
  35. Segizbaeva MO, "Effects of body positions on respiratory muscle activation during maximal inspiratory maneuvers", Adv Exp Med Biol, 756, pp.355~363 (2013)
  36. McAviney J, "Determining the relationship between cervical lordosis and neck complaints", J Manipulative Physiol Ther, 28, pp.187~193 (2005)
  37. Grob D, "The association between cervical spine curvature and neck pain", Eur Spine J, 16, pp.669~678 (2007)

관련 논문AI추천

뼈 가동성 운동이 기계적 목통증 환자의 목등뼈부 기능 수준과 자세, 통증 수준에 미치는 영향김선엽, 이화정한국전문물리치료학회 · 한국전문물리치료학회지2019 · 제26권 제3호호흡 재교육 훈련이 만성 목통증 환자의 통증과 기능장애 수준, 자세, 삶의 질, 폐 기능에 미치는 영향: 무작위 대조군 실험김선엽, 이상휴대한정형도수물리치료학회 · 대한정형도수물리치료학회지2024 · 제30권 제1호Effect of Posterior-Anterior Mobilization of the Thoracic Spine on Pain, Respiratory Function, and Thoracic Circumference in Patients With Chronic Low Back Pain박주정, 천승철한국전문물리치료학회 · 한국전문물리치료학회지2018 · 제25권 제4호소도구를 이용한 등뼈 자가 관절 가동성 운동이 만성 목통증 환자의 통증, 관절가동범위, 기능장애에 미치는 영향김선엽, 김수진, 이민지한국전문물리치료학회 · 한국전문물리치료학회지2020 · 제27권 제1호Effect of Posture Correction Band on Pulmonary Function in Individuals With Neck Pain and Forward Head Posture김수진, Jae-hyeon Kim, Yeon-woo Jeong한국전문물리치료학회 · 한국전문물리치료학회지2020 · 제27권 제4호Effect 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 제4호

이 간행물의 다른 논문 (11건)