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KMID : 0608320180250020060
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Physical Therapy Korea
2018 Volume.25 No. 2 p.60 ~ p.70
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Comparison of the Cross-Sectional Area of Longus Colli and MuscleActivity of Sternocleidomastoid in Subjects With Forward HeadPosture on the Two Craniocervical Flexion Methods
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Son Min-Chan
Hwang Ui-Jae
Jung Sung-Hoon
Ahn Sun-Hee
Kim Hyun-A
Kwon Oh-Yun
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Abstract
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Background: The craniocervical flexion (CCF) exercise is one of the effective exercise in correcting forward head posture (FHP). However, some people with FHP achieve CCF with compensatory movements, for example, low cervical flexion using superficial neck flexors such as the sternocleidomastoid (SCM) muscle. No study has yet investigated whether a dualpressure biofeedback unit (D-PBU) method to prevent low cervical flexion would be helpful in performing pure CCF movement.
Objects: The purpose of this study was to compare the effects of the CCF using D-PBU method and the traditional CCF method on the cross-sectional area (CSA) of the longus colli muscle (LCM) and the activity of SCM muscle in subjects with FHP.
Methods: Twentyfour FHP subjects (male: 16, female: 8) were recruited for this study. All subjects performed CCF using two different methods: the traditional CCF method and the CCF using D-PBU method. The CSA of the LCM was measured via ultrasound, and surface electromyography was used to measure SCM muscle activity.
Results: The change in CSA of the LCM was significantly larger during the CCF using D-PBU method (1.28±.09) compared with the traditional CCF method (1.19±.08) (p<.05). The SCM muscle activity using the CCF using D-PBU method (2.01±1.97 %MVIC) was significantly lower than when using the traditional CCF method (2.79±2.32 %MVIC) (p<.05).
Conclusion: The CCF using D-PBU method can be recommended for increasing LCM activation and decreasing SCM muscle activity during CCF movement in subjects with FHP.
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KEYWORD
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Craniocervical flexion, Crosssectional area, Dualpressure biofeedback unit, Forward head posture, Muscle activity
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