스트레칭과 등척성 운동이 만성 경부통증환자의 근력과 통증에 미치는 영향 = The Effects of Stretching and Isometric Exercise for Chronic Neck Pain Patient in Strength and Pain

다국어 초록 (Multilingual Abstract)

Purpose The purpose of this study was to assess more effective exercise prescription for the people with chronic neck pain by comparing stretching exercise and isometric exercise about strength and pain. Method The research design of the study was that 20 young adults with mild neck disability (5-14 out of 50 in Neck Disability Index) were randomized into 2 groups and underwent stretching exercise(10 peoples) and isometric exercise(10 peoples) at 3 times a week for 5weeks. Measures of pain scale (Visual Analog Scale) and Muscle strength of deep neck flexor (Pressure Biofeedback) were assessed before and after intervention. The pre and post exercise results were compared using paired t-test and the effectiveness of intervention of two groups were compared using Independent t test. Results The results of this study were that pain reduction was seen after stretching and isometric exercise and significantly difference. There was significantly improvement of cervical flexor strength after stretching and isometric exercise. But, there was no significant difference between stretching and isometric exercise groups. Conclusion The stretching and isometric exercise for chronic neck pain patients may use according to preference of patient because the effects of treatment was same. Further studies are needed to analyzed psycho social factors, cost effects, group approach.

참고문헌 (Reference)

1 김영민, "유지-이완 기법이 VDT 작업자의 상지 통증감소에 미치는 효과" 대한직업환경의학회 21 (21): 18-27, 2009

2 이현종, "요통의 통증과 기능장애 평가에 관한 고찰" 대한침구의학회 19 (19): 137-148, 2002

3 오덕원, "여성 만성 경통 환자에 대한 등척성 운동과 안정화 운동치료의 효과 비교" 한국전문물리치료학회 15 (15): 1-10, 2008

4 이성철, "신경 전기 자극과 등척성 운동이 대퇴사두근력에 미치는 영향" 한국생활환경학회 16 (16): 239-245, 2009

5 김종두, "스트레칭 운동이 요통감소에 미치는 영향" 경희대학교 체육대학원 1999

6 안승헌, "만성 경부통 환자의 치료적 접근" 한국코칭능력개발원 7 (7): 15-21, 2005

7 허태원, "근육. 관절 통증 해소를 위한 근골격계 자가 운동치료. 목통증. 컴퓨터 관련 통증" 정담 2006

8 공원태, "경추안정화운동과 경추관절가동술이 경부의 최대근력과 정적근지구력에 미치는 영향" 한국데이터정보과학회 21 (21): 33-42, 2010

9 김재철, "경부 통증 유무에 따른 심부 경부 굴곡근의 근력과 지구력 비교" 대한인간공학회 26 (26): 25-31, 2007

10 Murphy DR, "critical look at static stretching Are we doing our patients harm?" 5 (5): 67-70, 1991

11 Falla D, "Unravelling the complexity of muscle impairment in chronic neck pain" 9 (9): 125-133, 2004

12 Kisner C, "Therapeutic exercise; Foundation and techniques" F.A.Davis Company 2002

13 Vernon H, "The neck disability Index: a study of reliability and validity" 14 (14): 409-415, 1991

14 Medeiros JM, "The influence of isometric exercise and passive stretch on hip joint motion" 57 (57): 518-523, 1977

15 Rubini EC, "The effects of stretching on strength performance" 37 (37): 213-224, 2007

16 Mason M, "The effect of taping, quadriceps strengthening and stretching prescribed seperately or combined on patellofemoral pain" 16 (16): 109-119, 2011

17 White CE, "The effect of isometric shoulder internal and external rotation on the acromiohumeral distance" 91 (91): 193-199, 2012

18 Wegner S, "The effect of a scapular postural correction strategy on trapezius activity in patients with neck pain" 15 : 562-566, 2010

19 Hudswell S, "The craniocervical flexion test using pressure biofeedback: A useful measure of cervical dysfunction in the clinical setting?" 8 (8): 98-105, 2005

20 Ylinen J, "Stretching exercise vs manual therapy in treatment of chronic neck pain: a randomized, control crossover trail" 39 (39): 126-132, 2007

21 Halbertsma JPK, "Repeated passive stretching: acute effect on the passive muscle moment and extensibility of short hamstrings" 80 (80): 407-414, 1999

22 Bijur PE, "Reliability of the visual analog scale for measurement of acute pain" 8 (8): 1153-1157, 2001

23 Edmondston SJ, "Reliability of Isometric muscle endurance tests in subjects with postural neck pain" 31 (31): 348-354, 2008

24 Hagberg M, "Rehabilitaion of neck-shoulder pain in women industrial workers: a randomized trial comparing isometric shoulder endurance training with isometric shoulder strength training" 81 (81): 1051-1058, 2000

25 Axen K, "Progressive resistance neck exercise using a compressible ball copupled with an air pressure gauge" 16 (16): 275-280, 1992

26 Cheng CH, "Position accuracy and electromyographic response during head reposition in young adults with chronic neck pain" 20 (20): 1014-1020, 2010

27 Morgan DL, "Popping sarcomere hypothesis explains stretch-induced muscle damage" 31 (31): 541-545, 2004

28 Magnusson SP, "Passive properties of human skeletal muscle during stretch maneuvers" 8 (8): 65-77, 1998

29 Posner J, "Neck pain" 136 (136): 758-759, 2002

30 Zohn DA, "Musculoskeletal pain; Diagnosis and Physical Treatment" Little, Brown and Company 1976

31 Borg-stein J, "Musculoskeletal head and neck pain" 2 (2): 85-92, 2004

32 남덕현, "Medex 운동치료 프로그램이 경추근력과 통증에 미치는 영향" 18 : 299-319, 2000

33 尹貞浩, "Mckenzie 운동요법이 만성 경부통 환자의 머리·어깨자세에 미치는 영향" 韓國體育大學校 社會體育大學院 1998

34 Sarig-Bahat H, "Evidence for exercise therapy in mechanical neck disorders" 8 (8): 10-20, 2003

35 Wang WTJ, "Effectivness of Physical therapy for patients with neck pain : An individualized approach using a clinical decision-making algorithm" 82 (82): 203-218, 2003

36 Hakkinen A, "Effect of manual therapy and stretching on neck muslce strength and mobility in chronic neck pain" 39 (39): 575-579, 2007

37 Nelson RT, "Eccentric training and static stretching improve hamstring flexibility of high School males" 39 (39): 254-258, 2004

38 Aggarwal P, "Clinical approach to neck pain" 5 (5): 193-198, 2010

39 Watson DH, "Cervical headache : An investigation of natural head posture and upper cervical flexor muscle performance" 13 (13): 272-284, 1993

40 Mclearn SM, "An investigation to determine the association between neck pain and upper disability for paitents with non-specific neck : A secondary analysis" 16 (16): 434-439, 2011

41 Falla D, "An electromyographic analysis of the deep cervical flexor muscles during performance of craniocervical flexion" 83 (83): 899-906, 2003

42 Manoel ME, "Acute effects of static, dynamic and proprioceptive neuromuscular facilitation stretching on muscle power in women" 22 (22): 1528-1534, 2009

43 Ylinen J, "Active neck muscle training in the treatment of Chronic neck pain in Women, a randomized controlled trail" 289 (289): 2509-2516, 2003

44 Marshell PW, "A randomized controlled trial for the effect of passive stretching on measures of hamstring extensibility, passive stiffness, strength and stretch tolerance" 14 (14): 535-540, 2011

45 Kjellman G, "A randomized clinical trial comparing general exercise treatment and a control group in patients with neck pain" 34 (34): 183-190, 2002

46 Wewer ME, "A critical review of visual analogue scales in the measurement of clinical phenomena" 13 (13): 227-236, 1990

47 정지연, "8주간 경부 자가 운동이 만성경부통증 환자의 통증, 경부기능장애지수, 가동범위 및 경추배열에 미치는 영향" 한국체육학회 46 (46): 437-445, 2007