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KMID : 0895820170270010037
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Journal of Oriental Rehabilitation Medicine
2017 Volume.27 No. 1 p.37 ~ p.51
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Effect of Acupuncture Combined with Wooden Neck Pillow Self-exercise Program on Cervical Curvature Measurement Methods and Deep Flexor Muscle Strength
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Kwon Jeong-Gook
Keum Dong-Ho
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Abstract
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Objectives : This study was designed to identify the effect of acupuncture combined with wooden neck pillow self-exercise program (WSP).
Methods : 25 eligible subjects with chronic neck pain were recruited from September 2015 to August 2016. Subjects were treated by acupuncture twice a week for 4 weeks, also were educated WSP and exercised every day for 4 weeks. They were assessed using PI-NRS, NDI and the maximum muscle strength of deep cervical flexor muscles (DCF) before and after treatment. Also the Cobb`s angle (C1-C7), Ishihara index, Park method were assessed for evaluating the radiographical changes. Variables were compared using paired t-test. And correlates analysis was used for analyzing relationship between differentials in the maximum muscle strength of DCF and differentials in cervical spine curvature measurement methods.
Results : Among the 25 subjects, 4 subjects were lost to follow-up or excluded in accordance with the criteria. Significant differences on NRS, NDI and the maximum muscle strength of DCF were seen after treatment (p＜0.001). In radiological finding, cervical spine curvature measurement methods were significantly increased (p＜0.001, p＜0.05, p ＜0.05). Differentials in the maximum muscle strength of DCF significantly correlates to differentials in Ishihara index (R=0.479, p＜0.05).
Conclusions : Acupuncture combined with WSP may decrease neck pain intensity and associated disability, and also increase the muscle strength of DCF and cervical lordosis, in patients with chronic neck pain. Especially, Improving the muscle strength of DCF has a relationship with improving Ishihara index. However, due to the design of this study, this treatment can not be compared with other treatments. Future randomized project should be needed.
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KEYWORD
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Chronic neck pain, Wooden neck pillow, Deep cervical flexor muscle, Cervical lordosis, Ishihara index
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