DOI QR코드

DOI QR Code

Effects of Self-stretching and Joint Mobilization to Upper Thoracic Vertebrae in Craniovertebral Angle and Autonomic System Function in Chronic Cervical Pain

만성 목통증에 대한 자가신장과 위등뼈 관절가동술이 머리척추각 및 자율신경계 기능에 미치는 효과

  • Nam, Ki-Won (Department of Physical Therapy, Dongshin University) ;
  • Kim, Se-Hun (Department of Physical Therapy, Dongshin University) ;
  • Seo, Dong-Yel (Department of Physical Therapy, Dongshin University)
  • 남기원 (동신대학교 물리치료학과) ;
  • 김세훈 (동신대학교 물리치료학과) ;
  • 서동열 (동신대학교 물리치료학과)
  • Received : 2018.03.15
  • Accepted : 2018.03.27
  • Published : 2018.05.31

Abstract

PURPOSE: This study aimed to examine the effects of self-stretching (SS) and joint mobilization (JM) on pain, craniovertebral angle (CVA), autonomic system function in chronic cervical pain patient with forward head posture (FHP). METHODS: A total of 30 male college students were selected as study subjects, and were divided into Group I (general physical therapy; GPT, n=10), Group II (GPT+SS, n=10), Group III (GPT+JM, n=10). All groups were evaluated three times a week for 4 weeks. Pain was measured by visual analogue scale (VAS), CVA was measured using digital goniometer and autonomic system function (heart rate; HR, skin conductivity; SC, LF norm, HF norm, LF/HF ratio) was measured by Biofeedback ProComp Infiniti. After 4 weeks, paired t-test was used to compare the changes within the group and one way ANOVA was used to compare those between the groups. RESULTS: In Group I, VAS was significantly decreased. In Group II and III was a significantly change in all items. In comparison between Group I and II was a difference in all items except HR. In comparison between Group I and III was a difference in all items. In comparison between Group II and III was a difference in VAS, LF norm and LF/HF ratio. CONCLUSION: This study showed that SS and JM can effectively reduce pain and normalize the autonomic system function.

Keywords

References

  1. Chae YW. The effect of forward head posture and cervical ROM on chronic and episodic tension-type headache in university students. J Kor Soc Phys Ther. 2009; 21(2):71-7. https://doi.org/10.1589/jpts.21.71
  2. Chiu TW, Wright A. To compare the effects of different rates of application of a cervical mobilisation technique on sympathetic outflow to the upper limb in normal subject. Manual Therapy. 1996;1(4):198-203. https://doi.org/10.1054/math.1996.0269
  3. Cleland JA, Glynn P, Whitman JM, et al. Short-term effects of thrust versus non-thrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Phys Ther. 2007; 87(4):431-40. https://doi.org/10.2522/ptj.20060217
  4. Dixon JS, Bird HA. Reproducibility along a 10 cm vertical visual analogue scale. Annals of the rheumatic diseases. 1981;40(1):87-9. https://doi.org/10.1136/ard.40.1.87
  5. Evans DW. Mechanisms and effects of spinal high-velocity, low amplitude thrust manipulation: previous theories. J Manipulative Physiol Ther. 2002;25(4):251-62. https://doi.org/10.1067/mmt.2002.123166
  6. Evans P. The T4 Syndrome. Physiotherapy. 1997;83(4):186-9. https://doi.org/10.1016/S0031-9406(05)66077-4
  7. Fernández-de-Las-Peñas C, Caudrado ML, Pareja JA. Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. Cephalalgia. 2006;26(9):1061-70. https://doi.org/10.1111/j.1468-2982.2006.01162.x
  8. Grimmer KA, Williams MT, Gill TK. The association between adolescent head-on-neck posture, backpack weight, and anthropometric features. Spine. 1999;24(21): 2262-7. https://doi.org/10.1097/00007632-199911010-00015
  9. Han SW, Song JH. The effect of massage therapy on human autonomic nerve system. J Korean Soc Phys Med. 2003;10(1):206-11.
  10. Hwang BG, Kim GC, Park YK. Effects of Self-stretching Exercise and Upper Thoracic Joint Mobilization on Range of Motion and Pain of the Patients with Chronic Neck Pain. J Korean Soc Phys Med. 2012;7(4):509-14. https://doi.org/10.13066/kspm.2012.7.4.509
  11. Hwangbo PN. The effects of thoracic joint mobilization and self-stretching exercise on the pulmonary function of patients with chronic neck pain. Master's Degree. Daegu University. 2011.
  12. Jeong MS, Choi WJ, Lee KW, et al. The effects of acupuncture stimulation on skin conductance response of anxiety patients and normal subjects. J. of Oriental Neuropsychiatry. 2009;20(2):101-10.
  13. Jowsey P, Perry J. Sympathetic nervous system effects in the hands following a grade III postero-anterior rotatory mobilisation technique applied to T4: A randomised, placebo-controlled trial. Manual Therapy. 2010; 15(3):248-53. https://doi.org/10.1016/j.math.2009.12.008
  14. Kang JH, Kim YN. The Influence of Transcutaneous Electrical Stimulation on Autonomic Function. J Korean Soc Phys Med. 2009;4(4):241-7.
  15. Kim IB, Kim CY, Kim EK, et al. The Effects of Manual Passive Exercise Performed by Physical Therapists on Autonomic Nervous System. J Korean Soc Phys Med. 2015;10(1):9-14. https://doi.org/10.13066/kspm.2015.10.1.9
  16. Kim IB, Kim EK, Kang JH. The Influence of Position Change on Autonomic Nervous System Function. J Korean Soc Phys Med. 2014;9(1):63-8. https://doi.org/10.13066/kspm.2014.9.1.63
  17. Kim JG, Park YB, Park YJ, et al. Nonlinear Correlation Dimension Analysis of EEG and HRV. The Journal Of Korea Institute Of Oriental Medical Diagnostics. 2007;11(2):84-95.
  18. Kristal-Boneh E, Raifel M, Froom P, et al. Heart rate variability in health and disease. Scand J Work, Environment & Health. 1995;21(2):85-95. https://doi.org/10.5271/sjweh.15
  19. Lee BK, Yang JM, Kang KH. Comparison of between Upper Thoracic Manipulation and Cervical Stability Training on Range of Motion and Neck Disability in Patients with Chronic Mechanical Neck Pain. J Korean Soc Phys Med. 2015;10(2):35-45 https://doi.org/10.13066/kspm.2015.10.2.35
  20. Lee DH. The effects of balance exercise and stretching exercise on forward head posture. Doctor's Degree. Daegu University. 2011.
  21. Lee JS, Kang DH, An HJ, et al. Psychophysiological characteristics of chronic pain patients measured by biofeedback system. Sleep Medicine and Psychophysiology. 2009;16(2):79-84.
  22. Lss KS, Jung HY. Analysis of the change of the forward head posture according to computer using time. J Korean Soc Phys Med. 2009;4(2):117-24.
  23. Oh DG. Effects of combined treatment of chiropratic and exercise on musculoskeletal and autonomic nervous fuction in forward head posture patients. Doctor's Degree. Kyung Hee University. 2015.
  24. Olson KA. Manual physical therapy of the spine. US. Saunders. 2008.
  25. Perkes I, Baguley IJ, Nott MT, et al. A review of paroxysmal sympathetic hyperactivity after acquired brain injury. Annals of Neurology. 2010;68(2):126-35. https://doi.org/10.1002/ana.22066
  26. Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008;13(2):148-54. https://doi.org/10.1016/j.math.2006.11.002
  27. Zusman M. Mechanisms of musculoskeletal physiotherapy. Physical Therapy Reviews. 2004;9(1):39-49. https://doi.org/10.1179/108331904225003973