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KMID : 1035420190070030159
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Journal of The Korean Society of Integrative Medicine
2019 Volume.7 No. 3 p.159 ~ p.169
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Effects of Neck Stabilizing Exercise Combined with Transcranial Direct Current Stimulation on Muscle Characteristics and Function in Patients with Cervicogenic Headache
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Park Seung-Kyu
Yang Dae-Jung
Kim Je-Ho
Park Sam-Heon
Yoon Jong-Hyuk
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Abstract
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Purpose: The purpose of this study was to provide an effective method of exercise therapy for patients with cervicogenic headache.
Methods: The subjects were divided into the following three groups according to the intervention received: cervix-stabilizing exercise (n=12, group 1), transcranial direct current stimulation (n=12, group 2), and cervix-stabilizing exercise combined with transcranial direct current stimulation (n=12, group 3). The intragroup and intergroup differences in muscle characteristics and neck disability index were compared and analyzed.
Results: The comparison and analysis of the changes in muscle tone and post hoc analysis revealed statistically significant intragroup decreases in the upper trapezius and suboccipitals in groups Ⅰ and Ⅲ, and statistically significant intergroup differences in the upper trapezius, with greater changes in group Ⅲ than in group Ⅱ, and in the suboccipitals, with greater changes in groupⅢ than in groups Ⅰand Ⅱ. The comparison and analysis of the change in muscle stiffness and post hoc analysis revealed a statistically significanti ntra group decrease in the upper trapezius in group Ⅰand suboccipitals in group Ⅲ, and a statistically significant intergroup difference in both muscles, with greater change in group Ⅲ than in group Ⅱ. The comparison and analysis of change in neck disability index and post hoc analysis revealed a statistically significant intragroup decrease in all the three groups and a statistically significant intergroup difference, with greater change in group Ⅲ than in groups Ⅰ and Ⅱ.
Conclusion: The neck-stabilizing exercise and transcranial direct current stimulation were shown to be effective in decreasing the tone of the cervical muscles by stabilizing the cervical bone and improving muscle durability, and in improving the movement and limitation of joint range of motion by decreasing muscle tone and stiffness.
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KEYWORD
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cervicogenic headache, neck stabilization, transcranial direct current stimulation
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