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KMID : 0895820090190010113
Journal of Oriental Rehabilitation Medicine
2009 Volume.19 No. 1 p.113 ~ p.124
Clinical Effect of Bong Chuna Manual Therapy and Acupunture Treatment for Improving Cervical Curvature of Turtle Neck Syndrome and Measurement Method of Radiography
Oh Won-Kyo

Shin Byung-Cheul
Lee Eu-Gene
Abstract
Objectives :The aim of this study was to observe the effect of Bong Chuna manual therapy(BCMT) and acupuncture on the Turtle Neck Syndrome(TNS) by the changes of radiological findings and symptoms.

Methods :Total twenty-eight patients diagnosed as TNS were evaluated. Twenty patients in experimental group were treated by the combination of BCMT and acupuncture, eight patients in control group were treated by acupuncture only. We measured VAS(Visual analogue scale) as pain intensity and Neck Pain and Disability Scale(NDI) at pre- and post-treatment. Also the four line Cobb¡¯s method and Jochumsen method were assessed for evaluating the radiographical changes, additionally we used ¡¯two line method¡¯.

Results :VAS score showed statistically significant reduction in pain intensity in both experimental group and control group after 8 weeks treatment, -44.05¡¾14.91 vs -23.75¡¾14.08 respectively. Also NDI score presented -11.40¡¾8.63 reduction in experimental group, and it was significant statistically, however not in control group, -8.63¡¾9.84 reduction after 8weeks treatment. In radiological findings, the four line Cobb¡¯s method, Jochumsen method and two line method were reduced after 8weeks treatment, -9.30¡¾10.33, -0.65¡¾1.72 and -14.35¡¾5.68 in experimental group respectively, -0.75¡¾1.91, -0.25¡¾0.71 and 0.38¡¾2.20 in control group respectively. However they were statistical significance only in the four line Cobb¡¯s method and two line method in both group.

Conclusion :Combination treatment of CMT and acupuncture showed better effect on pain reduction, VAS score and the correction of neck anteversion than acupuncture only in TNS. Two line method seems valuable for evaluating the improvement of radiographical changes in TNS.
KEYWORD
Turtle neck syndrome, Bong Chuna manual therapy, Acupuncture, Two line method, Four line Cobb¡¯s method, VAS
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