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목뼈 부위 감각운동 조절 훈련이 만성 목 통증 환자의 통증과 기능, 심리사회적 수준에 미치는 영향 KCI 등재

Effects of Cervical Sensorimotor Control Training on Pain, Function and Psychosocial Status in Patients With Chronic Neck Pain

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  • URLhttps://db.koreascholar.com/Article/Detail/405449
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한국전문물리치료학회지 (Physical Therapy Korea)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
초록

Background: It is reported that the proprioceptive sensation of patients with neck pain is reduced, and neck sensory-motor control training using visual feedback is reported to be effective.
Objects: The purpose of this study is to investigate how sensorimotor control training for the cervical spine affects pain, function, and psychosocial status in patients with chronic cervical pain.
Methods: The subjects consisted of 36 adults (male: 15, female: 21) who had experienced cervical spine pain for more than 6 weeks. An exercise program composed of cervical stabilization exercise (10 minutes), electrotherapy (10 minutes), manual therapy (10 minutes), and cervical sensorimotor control training (10 minutes) was implemented for both the experimental and the control groups. The cervical range of motion (CROM) and head repositioning accuracy were assessed using a CROM device. In the experimental group, the subjects wore a laser device on the head to provide visual feedback while following pictures in front of their eyes; whereas, in the control group, the subjects had the same training of following pictures without the laser device.
Results: There were no statistically significant differences between the two groups in pain, dysfunction, range of motion, or psychosocial status; however, post-test results showed significant decreases after 2 weeks and 4 weeks compared to baseline (p < 0.01), and after 4 weeks compared to after 2 weeks (p < 0.01). The cervical joint position sense differed significantly between the two groups (p < 0.05).
Conclusion: In this study, visual feedback enhanced proprioception in the cervical spine, resulting in improved cervical joint position sense. On the other hand, there were no significant effects on pain, dysfunction, range of motion, or psychosocial status.

목차
INTRODUCTION
MATERIALS AND METHODS
    1. 연구대상자
    2. 연구의 절차
    3. 평가방법 및 측정도구
    4. 중재 방법
    5. 분석방법
RESULTS
    1. 연구대상자의 일반적 특성
    2. 중재 후 측정 시점에 따른 두 군 간에 목 통증 및 기능장애 수준 변화 양상 비교
    3. 측정 시점에 따른 두 군 간에서 목 관절가동범위의 변화 양상비교
    4. 측정 시점에 따른 두 군 간에 삶의 질 수준의 변화 양상 비교
    5. 측정 시점에 따른 두 군 간에 목 관절위치 감각 변화 양상비교
DISCUSSION
CONCLUSIONS
REFERENCES
저자
  • 민인기(대전대학교 보건의료대학원 물리치료학과) | In-gi Min (Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University)
  • 김선엽(대전대학교 보건의료과학대학 물리치료학과) | Suhn-yeop Kim (Department of Physical Therapy, College of Health & Medical Science, Daejeon University) Corresponding Author