The Effect of Functional Adjustment Procedure on Cervical Kyphosis and Postural Balance
본 연구는 S시 N구 소재의 T의원에 내원환자 중 경추 단순방사선촬영(X-ray) 후 Cobb’s angle 35°이하 또는 Jochumsen’s depth 3mm이하로 경추후만곡이 나타나고 자세 불균형이 있는 참가자 12명을 대상으로 선정하여 기능교정이 경추 만곡도와 자세균형에 미치는 효과를 분석 하고자 실시하였다. 연구목적을 달성하기 위하여 단일군 전후 실험 설계(one group pre test-post test design)로 연구 참가자에게 주 2회 20분씩 기능교정 치료를 8주간 실시하였다. 사전조사로 치료 전 상담과 경추부 Lateral view X-ray 촬영과 Exbody 720 체형분석기를 이용하여 신체의 우측면을 촬영을 하였다. 사후조사는 기능교정 치료 후 Lateral view X-ray촬영과 Exbody 720 체형분석기 이용하여 신체의 우측면을 동일하게 촬영을 하였다. 각각 수집된 자료는 SPSS 21.0을 이용하여 분석하였다. 실증분석을 통하여 기능교정 치료 후에 경추후만곡 및 자세균형이 개선되는 결과를 얻어, 경추후만곡과 자세균형에 대한 기능교정 치료가 긍정적인 효과가 있는 것을 확인하였다. 또한 기능교정 치료가 병적 장애의 물리치료 및 삶의 질 향상에 기여하여 현대인의 신체적 균형을 이루어 2차적인 질병으로 진행되지 않도록 중재적 역할을 하여 일상생활에 큰 도움이 될 것으로 기대된다.
This study selected on the subjects of this study the twelve subjects who had a Cobb’s angle less than 35°or Jochumsen’s depth less than 3 mm after cervical plain X-ray, and was conducted to analyze the effect of functional adjustment procedure on cervical kyphosis and postural balance. To achieve the purpose of the study, with one-group pre-test and post-test experiment design, twenty-minute sessions of functional orthodontic treatment were given to the participants for 8 weeks. Pre-treatment counseling, cervical lateral view X-ray, and Exbody 720 body image analyzer were used for preliminary examination, and the right side of the body was photographed. After the functional adjustment procedure, the right side of the body was photographed using a lateral view X-ray and an Exbody 720 body type analyzer. The collected data were analyzed using SPSS 18.0. and the results of the study are summarized as follows. First, a corresponding sample t-test was performed to statistically validate the effect of functional adjustment procedure of Jochumsen`s depth and Cobb’s angle of curvature of the study participants. The t-test was pre- and post-categorical, and the significance level was measured at the 95% confidence level. The results showed that there was a statistically significant difference (p<.05) in the pre- and postdisplacement of the posterior curved Jochumsen`s depth. There was also a significant difference (p<.05) in the pre- and post-displacement of the effect of functional adjustment procedure on Cobb’s angle. Second, a response sample t-test was performed to statistically validate the effect of functional adjustment procedure on postural balance of study participants. The t-test was pre- and post-categorical, and the significance level was measured at the 95% confidence level. The results of the analysis showed that the pre- and post-displacement of the knee flexion angle, pelvic tilt angle, tilt angle of the ear canal at the center of the humerus, and LOH were statistically significant (p<.05). On the other hand, there was no significant difference in the postoperative displacement of the functional correction effect on the central angle of the humerus in the iliac crest nodule. Through the empirical analysis, this study showed that after the functional orthodontic treatment, the cervical kyphosis and postural balance were improved, and it was confirmed that there was a positive effect of the alternative medicine on posture and postural balance. In addition, functional orthodontic treatment is expected to contribute to improvement of physical therapy and quality of life of pathological disorder, and it will play a mediating role in preventing the secondary disease by achieving the physical balance of modern people, which will be a great help for daily life.