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      목 근육에 대한 근에너지기법 적용이 전방머리자세에 미치는 영향 = The Effect of Applying the Muscle Energy Technique to Neck Muscles on the Forward Head Posture

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      https://www.riss.kr/link?id=A107297320

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      Purpose : The purpose of this study is to compare muscle activity after applying two muscle energy techniques (MET) to subjects with forward head posture to see if the post isometric relaxation (PIR) technique is more effective than the reciprocal inh...

      Purpose : The purpose of this study is to compare muscle activity after applying two muscle energy techniques (MET) to subjects with forward head posture to see if the post isometric relaxation (PIR) technique is more effective than the reciprocal inhibition (RI) technique.
      Methods : The muscle activity was measured using EMG after applying the PIR and RI techniques to 30 adults at K College. Subjects were selected for forward head posture whose ear center was 2.5 ㎝ front of the center of the shoulder. EMG equipment was used to measure muscle activity, and the measurement sites were measured in cervical flexor and extensor muscles. The experiment period was performed once a week for a total of two weeks, and after the pre-measurement was performed for 5 minutes PIR and RI exercise. In the PIR technique, the head is tilted back in a sitting position, and the experimenter applies resistance with the same force for 7~10 seconds and repeats 3-5 times after rest. In the RI technique, in a sitting position, the subject gives the force to bend the head forward, and the experimenter applies resistance with the same force for 7 to 10 seconds, and repeats 3 to 5 times after rest.
      Results : The result is same as the following. In the comparison of muscle activity, there was a significant decrease in both PIR and RI at 1 and 2 weeks. And there was a greater decrease in muscle activity in PIR. There was no difference in the comparison of decrease in muscle activity at 1 week and 2 week.
      Conclusion : Both PRI and RI can be said to be effective in improving the function of the forward head posture in the neck muscles. Therefore, the selection of the two techniques in clinical practice should be appropriately performed under the judgment of experts according to the patient’s situation.

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      참고문헌 (Reference)

      1 박기훈, "카이로프랙틱과 근에너지기법(MET)이 만성목통증환자의 관절가동범위와 통증정도에 미치는 영향" 한국스포츠리서치 18 (18): 789-800, 2007

      2 차상주, "자세이완기법과 근에너지기법을 중심으로 한 經筋과 현대 도수치료술의 상관성 연구" 한의병리학회 26 (26): 630-640, 2012

      3 임상훈, "슬괵근 유연성 증가에 대한 근에너지기법(MET)과 스트레칭 운동의 효과 비교연구" 한방재활의학과학회 19 (19): 201-211, 2009

      4 강효정, "동작관찰과 시각적 되먹임 융합 운동이 머리전방자세와 둥근어깨의 정렬, 통증과 기능에 미치는 영향" 한국융합학회 9 (9): 123-128, 2018

      5 이현옥, "네발기기 자세에서 PNF 후방흔듬 운동 시 견갑골 안정근의 근활성도" 대한고유수용성신경근촉진법학회 10 (10): 1-6, 2012

      6 김성호, "경부안정화 운동이 민간 경비원의 목통증, 경부장애지수, 관절가동범위에 미치는 효과" 한국경호경비학회 (25) : 89-108, 2010

      7 Youdas JW, "The efficacy of two modified proprioceptive neuromuscular facilitation stretching techniques in subjects with reduced hamstring muscle length" 26 (26): 240-250, 2010

      8 Won DY, "The effects of the neck extensor strength exercise and the thoracic extensor strength exercise on the forward head posture and the cervical range of motion" 18 (18): 41-49, 2011

      9 Choi IS, "The effects of the combination of muscle energy technique and acupressure on pain, range of motion, muscle strength and disability in patient with frozen shoulder" Graduate school of Sahmyook University 2017

      10 Jung MG, "The effects of proper posture memorizing exercise on neck disability index and pain in workers with chronic neck pain" Graduate school of Yonsei University 2012

      1 박기훈, "카이로프랙틱과 근에너지기법(MET)이 만성목통증환자의 관절가동범위와 통증정도에 미치는 영향" 한국스포츠리서치 18 (18): 789-800, 2007

      2 차상주, "자세이완기법과 근에너지기법을 중심으로 한 經筋과 현대 도수치료술의 상관성 연구" 한의병리학회 26 (26): 630-640, 2012

      3 임상훈, "슬괵근 유연성 증가에 대한 근에너지기법(MET)과 스트레칭 운동의 효과 비교연구" 한방재활의학과학회 19 (19): 201-211, 2009

      4 강효정, "동작관찰과 시각적 되먹임 융합 운동이 머리전방자세와 둥근어깨의 정렬, 통증과 기능에 미치는 영향" 한국융합학회 9 (9): 123-128, 2018

      5 이현옥, "네발기기 자세에서 PNF 후방흔듬 운동 시 견갑골 안정근의 근활성도" 대한고유수용성신경근촉진법학회 10 (10): 1-6, 2012

      6 김성호, "경부안정화 운동이 민간 경비원의 목통증, 경부장애지수, 관절가동범위에 미치는 효과" 한국경호경비학회 (25) : 89-108, 2010

      7 Youdas JW, "The efficacy of two modified proprioceptive neuromuscular facilitation stretching techniques in subjects with reduced hamstring muscle length" 26 (26): 240-250, 2010

      8 Won DY, "The effects of the neck extensor strength exercise and the thoracic extensor strength exercise on the forward head posture and the cervical range of motion" 18 (18): 41-49, 2011

      9 Choi IS, "The effects of the combination of muscle energy technique and acupressure on pain, range of motion, muscle strength and disability in patient with frozen shoulder" Graduate school of Sahmyook University 2017

      10 Jung MG, "The effects of proper posture memorizing exercise on neck disability index and pain in workers with chronic neck pain" Graduate school of Yonsei University 2012

      11 Joo DY, "The effects of compound program of muscle energy technique and therapeutic massage on patient with chronic low back pain" 29 (29): 87-98, 2007

      12 Falla DL, "Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test" 29 (29): 2108-2114, 2004

      13 Adler SS, "PNF in practice: an illustrated guide" Spinger-Verlag 155-167, 2008

      14 Sola AE, "Myofascial pain syndromes" Lea & Febiger 352-367, 1990

      15 Chaitow L, "Muscle energy techniques" Churchill Livingstone 218-, 2001

      16 Chaitow L, "Muscle energy techniques" Elsevier 319-, 2006

      17 Neumann DA, "Kinesiology of the musculoskeletal system: foundations for physical rehabilitation" Mosby 597-, 2002

      18 Nagarwal AK, "Improvement of hamstring flexibility : a comparison between two PNF stretching technique" 4 (4): 25-33, 2010

      19 Lee HJ, "Immediate effects of muscle energy technique on pelvic angle, muscle tone, muscle thickness of psoas major muscle in patients with low back pain with hip flexor shortening" Graduate school of Baekseok University 2017

      20 Nachtwey MN, "Effects of the PNF-hold-relax-technique, direct and indirect, on hamstring muscle flexibility" Inter Proprioceptive Neuromuscular Facilitation Association 2003

      21 Katherine H, "Effectiveness of an exercise program to improve forward head posture in normal adults: a randomized, controlled 10-week trial" 13 (13): 163-176, 2005

      22 Contractor ES, "Effect of spencer muscle energy technique on pain and functional disability in cases of adhesive capsulitis of shoulder joint" 3 (3): 126-131, 2016

      23 Akodu AK, "Correlation among smartphone addiction, craniovertebral angle, scapular dyskinesis, and selected anthropometric variables in physiotherapy undergraduates" 13 (13): 528-534, 2018

      24 Agrawal SS, "Comparison between post isometric relaxation and reciprocal inhibition manueverson hamstring flexibility in young healthy adults : randomizaed clinical trial" 5 (5): 33-37, 2016

      25 Suri SA, "Comparative study on the effectiveness of Maitland mobilization technique versus muscle energy technique in treatment of shoulder adhesive capsulitis" 7 (7): 1-6, 2013

      26 Zito G, "Clinical tests of musculoskeletal dysfunction in the diagnosis of cervicogenic headache" 11 (11): 118-129, 2006

      27 Nicholas AS, "Atlas of osteopathic techniques" Lippincott Williams & Wilkins 506-, 2008

      28 Korea Occupational Safety & Health Agency, "Analysis of industrial acciden status"

      29 Kumar A, "A comparative study on the efficacy of Maitland’s mobilization and muscle energy technique on frozen shoulder" 9 (9): 39-43, 2015

      30 Lee DH, "(The) effects of balance exercise and stretching exercise on forward head posture" Graduate school of Daegu University 2011

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