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1.
[Purpose] To present the case of a dramatic improvement in the cervical lordosis and relief from chronic headaches and neck pain in a pediatric having a recent neck trauma. [Participant and Methods] A 10 year old male presented with recent neck trauma, neck pain and pre-existing chronic headaches. Cervical range of motion was limited with pain. X-ray analysis showed dramatic loss of cervical lordosis and an acute atlantoaxial rotatory fixation. Chiropractic Biophysics technique methods incorporating spinal manual adjustments, cervical extension traction and corrective exercises were used to restore normal cervical lordosis. Treatments were performed intensively over 6.5-weeks, with a 17-month long-term follow-up. [Results] The pediatric patient responded well to treatment with near complete resolution of cranio-cervical complaints. The cervical lordosis was corrected to age-appropriate magnitude, the coronal symmetry was restored, and both were maintained after nearly 1.5 years. [Conclusion] Chiropractic Biophysics technique which includes the cervical extension traction using the pediatric Denneroll orthotic was effective in restoring lordosis in a pediatric patient with cervical kyphosis and chronic headaches presenting with recent neck pains from a traumatic origin. Routine X-ray of the cervical spine is recommended for patients presenting with craniocervical symptoms as spine alignment is often overlooked as pathognomonic for these conditions. 相似文献
2.
[Purpose] To present the case of the relief of idiopathic dizziness and the reduction of neck pains and headache by the improvement in cervical alignment using Chiropractic BioPhysics® technique. [Participant and Methods] A 57 year old female presented with 30 years of chronic dizziness, neck pains and headache. Multiple testing ruled out known causes of vertigo. The patient was diagnosed with idiopathic dizziness. The patient scored 56 points on the dizziness handicap inventory. The patient showed a cervical hypolordosis of −13.7° and anterior head translation of 27 mm. The patient underwent a multimodal treatment of spinal manipulation, cervical extension traction, neck exercises as well as initial electrical stimulation. Traction procedures were slowly progressive due to the severity of the dizziness symptoms. [Results] Over a period of 12-months and 115 treatments there was a 20° increase in cervical lordosis. The patient reported significant reduction in neck pains, headache and dizziness frequency and severity. The patient had a 44-point drop on the dizziness handicap inventory; dizziness symptoms were reported to be very rare. A 1.5 year follow-up showed stability of the symptom relief and a negligible score on the dizziness handicap inventory. [Conclusion] Cervical hypolordosis may be an under-diagnosed cause of idiopathic dizziness in some patients.Key words: Dizziness, Cervical lordosis, Cervical spine 相似文献
3.
Miles O. Fortner Thomas J. Woodham Paul A. Oakley Deed E. Harrison 《Journal of Physical Therapy Science》2022,34(2):167
[Purpose] To present the successful structural improvement in cervical lordosis in a patient suffering from cervicogenic headache having cervical kyphosis. [Participant and Methods] A 26 year old female presented with the primary complaint of headache. Radiography demonstrated a cervical kyphosis. Chiropractic BioPhysics® methods were used to restore the cervical spine alignment. Twenty-five treatments were given over 8 weeks. A 2.5 year follow-up was also reported. [Results] Radiography showed a dramatic increase in cervical lordosis following initial treatment. The patient also reported substantial reductions in headache frequency and severity as well as other bodily improvements, reduced disability and improved quality of life. The long-term follow-up showed a maintenance of lordosis correction and patient wellness. [Conclusion] A cervical kyphosis was reversed back to a normal lordosis in 8 weeks and coincided with dramatic resolution of cervicogenic headache in a young female. The cervical lordosis may be a key biomechanical biomarker in cervicogenic headache. 相似文献
4.
Young-Ki Cho Dae-Young Kim Sun-Young Jung Jun-Hyuk Seong 《Journal of Physical Therapy Science》2015,27(4):1187-1190
[Purpose] The present study examined the influence of treadmill exercise added to a low
back pain rehabilitation program on low back extensor strength, pain, and dysfunction in
chronic low back pain patients. [Subjects and Methods] Twenty men aged 22–36 years with
chronic low back pain were randomly divided into experimental and control groups of 10
patients each. Both groups underwent a low back pain rehabilitation program lasting 30 min
each, thrice/week for 8 weeks. The experimental group was prescribed an additional 30 min
of treadmill exercise without a slope at a speed of 3.0–3.5 km/h, at which patients could
walk comfortably. Low back extensor strength was tested using the Medx lumbar extension
machine, pain level was tested, using the visual analog scale, and dysfunction was tested,
using the Oswestry Low Back Pain Disability Questionnaire. [Results] Changes in low back
extensor strength by angle showed significant interaction effects between measurement time
and group at 12°, 24°, and 36°. The results of the visual analog scale and Oswestry
Questionnaire showed a decreasing trend after the experiment in both groups. However,
there was no interaction effect of the additional treadmill exercise in the experimental
group. [Conclusion] The combination of a low back pain rehabilitation program and
treadmill exercise has a synergistic effect, to some extent, on the improvement of low
back extensor strength and should be considered for treatment and rehabilitation of low
back pain patients.Key words: Low back pain, Rehabilitation, Treadmill exercise 相似文献
5.
A. Jellad Z. Ben Salah S. Boudokhane H. Migaou I. Bahri N. Rejeb 《Annals of physical and rehabilitation medicine》2009,52(9):638-652
ObjectiveOur objective is to assess the effect of mechanical and manual intermittent cervical traction on pain, use of analgesics and disability during the recent cervical radiculopathy (CR).MethodsWe made a prospective randomized study including patients sent for rehabilitation between April 2005 and October 2006. Thirty-nine patients were divided into three groups of 13 patients each. A group (A) treated by conventional rehabilitation with manual traction, a group (B) treated with conventional rehabilitation with intermittent mechanical traction and a third group (C) treated with conventional rehabilitation alone. We evaluated cervical pain, radicular pain, disability and the use of analgesics at baseline, at the end and at 1, 3 and 6 months after treatment.ResultsAt the end of treatment improving of cervical pain, radicular pain and disability is significantly better in groups A and B compared to group C. The decrease in consumption of analgesics is comparable in the three groups. At 6 months improving of cervical and radicular pain and disability is still significant compared to baseline in both groups A and B. The gain in consumption of analgesics is significant in the three groups: A, B and C.ConclusionManual or mechanical cervical traction appears to be a major contribution in the rehabilitation of CR particularly if it is included in a multimodal approach of rehabilitation. 相似文献
6.
Katsushi Kuniyasu 《Journal of Physical Therapy Science》2014,26(5):785-787
[Purpose] Many patients receive intermittent cervical traction in a daily treatment
setting. However, unified settings for traction force, duration, and direction have yet to
be determined. Therefore, an objective index is required to determine changes in traction
conditions or to indicate its effectiveness. [Subjects] Fifteen healthy males volunteers
participated in this study. [Methods] The thickness of the trapezius and splenius capitis
muscles before and during traction were measured using ultrasonography at three traction
forces: 5, 8 and 11 kg. [Results] Significant differences in muscle thickness were
observed at 11 kg in the trapezius, and at 8 kg and 11 kg in the splenius capitis muscles.
The muscle thickness ratio of the trapezius muscle showed a significant difference between
11 kg and 5 and 8 kg, and between 5 kg and 8 and 11 kg, as well as between 8 kg and 11 kg
for the splenius capitis muscles. [Conclusion] Differences in muscle direction between the
trapezius and splenius capitis muscles may account for the contrasting results obtained at
the 8 kg traction force. This finding suggests that cervical traction must be performed
considering the effects on different neck regions.Key words: Intermittent cervical traction, Muscle thickness, Ultrasonography 相似文献
7.
Harrison DE Harrison DD Betz JJ Janik TJ Holland B Colloca CJ Haas JW 《Journal of manipulative and physiological therapeutics》2003,26(3):139-151
BACKGROUND: Cervical lordosis has been shown to be an important outcome of care; however, few conservative methods of rehabilitating sagittal cervical alignment have been reported. OBJECTIVE: To study whether a seated, retracted, extended, and compressed position would cause tension in the anterior cervical ligament, anterior disk, and muscle structures, and thereby restore cervical lordosis or increase the curvature in patients with loss of the cervical lordosis. Study design: Nonrandomized, prospective, clinical control trial. METHODS: Thirty preselected patients, after diagnostic screening for tolerance to cervical extension with compression, were treated for the first 3 weeks of care using cervical manipulation and a new type of cervical extension-compression traction (vertical weight applied to the subject's forehead in the sitting position with a transverse load at the area of kyphosis). Pretreatment and posttreatment Visual Analogue Scale (VAS) pain ratings were compared along with pretreatment and posttreatment lateral cervical radiographs analyzed with the posterior tangent method for changes in alignment. Results are compared to a control group of 33 subjects receiving no treatment and matched for age, sex, weight, height, and pain. RESULTS: Control subjects reported no change in VAS pain ratings and had no statistical significant change in segmental or global cervical alignment on comparative lateral cervical radiographs (difference in all angle mean values < 1.3 degrees ) repeated an average of 8.5 months later. For the traction group, VAS ratings were 4.1 pretreatment and 1.1 posttreatment. On comparative lateral cervical radiographs repeated after an average of 38 visits over 14.6 weeks, 10 angles and 2 distances showed statistically significant improvements, including anterior head weight bearing (mean improvement of 11 mm), Cobb angle at C2-C7 (mean improvement of -13.6 degrees ), and the angle of intersection of the posterior tangents at C2-C7 (mean improvement of 17.9 degrees ). Twenty-one (70%) of the treatment group subjects were followed for an additional 14 months; improvements in cervical lordosis and anterior weight bearing were maintained. CONCLUSIONS: Chiropractic biophysics (CBP) technique's extension-compression 2-way cervical traction combined with spinal manipulation decreased chronic neck pain intensity and improved cervical lordosis in 38 visits over 14.6 weeks, as indicated by increases in segmental and global cervical alignment. Anterior head weight-bearing was reduced by 11 mm; Cobb angles averaged an increase of 13 degrees to 14 degrees; and the angle of intersection of posterior tangents on C2 and C7 averaged 17.9 degrees of improvement. 相似文献
8.
Kazuo Saito Yumiko Saito Kyoko Hirota Hirotaka Matui Kimitaka Hase 《Journal of Physical Therapy Science》2021,33(3):307
[Purpose] We report our experience with a patient with a central spinal cord injury who showed improved finger and upper limb functions after long-term treatment with a combination of rehabilitation and botulinum toxin type A. [Participants and Methods] The patient had spasms and pain that gradually became more profound and was given botulinum toxin type A at 1 year 3 months after sustaining a spinal cord injury. We administered 14 botulinum toxin type A injections periodically for 7 years 4 months after the injury. We administered the injections at an average interval of 5.6 months. Splints that allowed extension and improved finger muscle tone and contracture were made for the patient. [Results] The patient experienced gradual alleviation of the spasms in the proximal upper limb muscles and improved range of motion after receiving five doses of botulinum toxin type A. The spasms and range of motion in the fingers gradually improved around 4 years after the injury through splint therapy and a combination of botulinum toxin type A administration and rehabilitation. [Conclusion] The combination of botulinum toxin type A, splint, and rehabilitation therapies can lead to positive improvements in finger spasticity and range of motion and is recommended for hypertonia cases with severe contractures.Key words: Carry-over effect, Concomitant use of splint, Restoration of hand function 相似文献
9.
Won-gyu Yoo 《Journal of Physical Therapy Science》2013,25(10):1289-1290
[Purpose] The purpose of this study was to compare the cervical extension angle and the
upper trapezius muscle activity between overhead work and below-knee work. [Subjects]
Twelve males aged 20–30 years, were recruited. [Methods] We measured the cervical
extension angle and upper trapezius muscle activity during overhead work and below-knee
work. [Results] The results show that the cervical extension angle and upper trapezius
muscle activity were significantly increased during below-knee work compared to overhead
work. [Conclusion] Below-knee work is more likely to cause neck and shoulder pain than
overhead work. Therefore, future studies should investigate below-knee work in detail.Key words: Below-knee work, Cervical extension, Shoulder pain 相似文献
10.
[Purpose] This study was performed to determine the difference in thoracic repositioning
sense in young people with and without thoracic flexion syndrome (TFS) in target positions
of half extension. [Subjects] People with TFS (n = 15; 7 men and 8 women)
and people without TFS (n = 15; 7 men and 8 women) were recruited from
three universities. Subjects were guided into a sitting extension target posture and were
asked to move from a neutral position (2 s) to an extension target position (2 s); 10
trials were performed. [Results] People with TFS showed a significantly higher thoracic
repositioning error in the extension target position than people without TFS. [Conclusion]
People with TFS show a higher thoracic spine repositioning error in extension than people
without TFS. A rehabilitation program to treat TFS should be implemented for individuals
with decreased position sense of the thoracic spine.Key words: Proprioception, Repositioning error, Thoracic flexion syndrome 相似文献
11.
A new 3-point bending traction method for restoring cervical lordosis and cervical manipulation: a nonrandomized clinical controlled trial 总被引:4,自引:0,他引:4
Harrison DE Cailliet R Harrison DD Janik TJ Holland B 《Archives of physical medicine and rehabilitation》2002,83(4):447-453
OBJECTIVE: To evaluate a new 3-point bending type of cervical traction. DESIGN: Nonrandomized controlled trial of prospective, consecutive patients compared with control subjects. Follow-up patient data were obtained at 3 and 15(1/2) months, and 8 1/10 months for controls. SETTING: Data were collected at a spine clinic in Nevada. PATIENTS: Volunteer subjects consisted of 30 patients and 24 controls. Subjects had cervicogenic pain (neck pain, headaches, arm pain, and/or numbness). Subjects were included if their Ruth Jackson radiographic stress lines measured less than 25 degrees but were excluded if they had suspected disk herniation or canal stenosis. All subjects completed the first follow-up examinations, and 25 of 30 patients completed the long-term follow-up examination. INTERVENTIONS: Spinal manipulation for pain and a new form of 3-point bending cervical traction to improve lordosis. Cervical manipulation was provided for the first 3 to 4 weeks of treatment. Traction treatment consisted of 3 to 5 sessions per week for 9 +/- 1 weeks. MAIN OUTCOMES MEASURES: Besides pain visual analog scale (VAS) ratings, pre- and posttreatment lateral cervical radiographs were analyzed. RESULTS: Control subjects reported no change in the pain VAS ratings and had no statistically significant change in segmental or global radiographic alignment. For the traction group, VAS ratings were 4.3 pretreatment and 1.6 posttreatment. Traction group radiographic measurements showed statistically significant improvements (P <.008 in all instances of statistical significance), including anterior head weight bearing (improved 6.2mm), Cobb angle at C2-7 (improved 12.1 degrees ), and angle between posterior tangents at C2-7 (improved 14.2 degrees ). For the treatment group, at 15(1/2)-month follow-up, only minimal loss of C2-7 lordosis (3.5 degrees ) was observed. CONCLUSIONS: Sagittal cervical traction with transverse load at midneck (2-way cervical traction) combined with cervical manipulation can improve cervical lordosis in 8 to 10 weeks as indicated by increases in segmental and global cervical alignment. Magnitude of lordosis at C2-7 remained stable at long-term follow-up. 相似文献
12.
Yasser Ibrahim Seada Reda Nofel Hayam Mahmoud Sayed 《Journal of Physical Therapy Science》2013,25(8):911-914
[Purpose] To determine which of the transcranial electromagnetic stimulation or low
level laser therapy is more effective in the treatment of trigeminal neuralgia of multiple
sclerosis patients. [Methods] Thirty multiple sclerosis patients of both sexes
participated in this study. The age of the subjects ranged from 40 to 60 years and their
mean age was (56.4–6.6). Participants were randomly selected from Dental and Neurology
Outpatient Clinics at King Khalid Hospital, Najran University, Saudi Arabia. Patients were
randomly divided into two equal groups of 15. The Laser group received a low level laser
therapy, 830 nm wavelength, 10 Hz and 15 min duration, while the Electromagnetic group
received repetitive transcranial electromagnetic stimulation at a frequency of 10 Hz,
intensity of 50 mA and duration of 20 minutes. Patients were assessed pre and post
treatment for degree of pain using a numerical rating scale, maximal oral mouth opening
using a digital calibrated caliper, masseter muscle tension using a tensiometer and a
compound action potentials of masseter and temporalis muscles. [Results] There were
significant improvements after treatment in both groups, with a significant difference
between the Electromagnetic and Laser groups, in favor of the Electromagnetic group.
[Conclusion] Repetitive transcranial electromagnetic stimulation at 10 Hz, 50 mA, and 20
minutes duration is more effective than low level laser therapy at reducing trigeminal
pain, increasing maximum oral mouth opening, masseter and temporalis muscle tension in
multiple sclerosis patients.Key words: Trigeminal neuralgia, Low level laser, Trans-cranial electromagnetic stimulation 相似文献
13.
Chih-Hsiu Cheng Hao-Tsung Su Ling-Wei Yen Wen-Yu Liu Hsin-Yi Kathy Cheng 《Journal of Physical Therapy Science》2015,27(4):1271-1276
[Purpose] Nonspecific neck pain is a common musculoskeletal disease. Therapeutic exercise
has been shown to improve pain and disability in short-term and midterm follow-ups. This
study performed a literature review of the long-term effects of therapeutic exercise on
subjects with nonspecific chronic neck pain. [Subjects and Methods] The databases of the
CINAHL, MEDLINE, PEDro and PubMed were used. Randomized controlled trials (RCT) published
from January 2000 to January 2014 and explicitly including a one-year follow-up were
identified. [Results] Only six articles were included in this review. They had scores of 5
to 8 points on the PEDro scale, and the level of evidence was grade I. The study results
show that the main exercises used were cervical strengthening and endurance training
exercise. Short-term exercises (10 to 12 weeks) helped to improve the body function,
structure, activity and participation immediately after the intervention, but not at the
long-term follow-up. On the other hand, long-term interventions (1 year) resulted in
improvements in body function and structure at the 3 year follow-up. [Conclusion] The
results of the six high-quality studies suggest that long-term exercise have long-term
benefits for patients with nonspecific neck pain in terms of body function and
structure.Key words: Nonspecific neck pain, Therapeutic exercise, Long-term effect 相似文献
14.
Julio Guilherme Silva Camila Gon?alves Santana Kelly Rosane Inocêncio Marco Orsini Sergio Machado Anke Bergmann 《Journal of Physical Therapy Science》2014,26(3):349-353
[Purpose] Among the physical therapeutic procedures to decrease pain, there is
transcutaneous electrical neural stimulation (TENS). There is no consensus about its
efficacy for oncological patients, especially for post-mastectomy pain and eletrocortical
changes in somatosensory areas. The aim of this study was to analyze acute electrocortical
changes after TENS treatment of patients with intercostobrachial post mastectomy pain.
[Subjects] Eighteen patients were divided into acupuncture (A) and burst (B) group.
[Methods] In this pre and post-intervention study each group was measured for EEG analysis
in absulte power in alpha band (8–14 Hz). Outcomes variables were the alpha waveband in
the sensorymotor cortex and pain pre-and-post TENS intervention. Data were analyzed using
ANOVA to compare times (rest, 10 and 15 min), group and electrodes. Pain was analyzed
using percentual pain evaluation (PPE) in both groups. [Results] Outcomes indicate main
effects of time and electrodes because of slow (8–10 Hz) and fast alpha (10–12 Hz)
wavebands decreased. PPE reduced 88.4% in A and 66.3% in G. [Conclusion] TENS promoted
electrical modification in the parietal region and a decrease in pain. Future studies
should investigate other wave must be proposed for other bands and use different methods
of EEG analysis to elucidate the actual mechanisms behind the efficacy of TENS
treatment.Key words: Transcutaneous electric nerve stimulation, Mastectomy, Electroencephalography 相似文献
15.
Wen-Dien Chang Chia-Lun Lee Hung-Yu Lin Yung-Chun Hsu Chung-Jieh Wang Ping-Tung Lai 《Journal of Physical Therapy Science》2014,26(8):1297-1300
[Purpose] Temporomandibular joint (TMJ) pain is a symptom of TMJ disease. Low-level
laser therapy (LLLT) is often used in the clinical treatment of TMJ pain. The aim of this
study was to review the effective parameters of LLLT for TMJ pain. [Methods] This study
was a systematic review in which electronic databases were searched for the period of
January 2005 to January 2010. We selected reports of randomized controlled trials and
calculated the effect size (ES) of the pain relief to evaluate the effect of LLLT.
[Results] Seven reports are found to meet the inclusion criteria and discussed. Based on
the calculation results, the pooled ES was –0.6, indicating a moderate effect of pain
relief. In addition, the dosages and treatments with wavelengths of 780 and 830 nm can
cause moderate and large pain relief effects. [Conclusion] Use of LLLT on the masticatory
muscle or joint capsule for TMJ pain had a moderate analgesic effect. The optimal
parameters for LLLT to treat TMJ pain have not been confirmed. However, our results can be
a vital clinical reference for clinical physicians in treatment of patients with TMJ
pain.Key words: Temporomandibular joint pain, Low-level laser therapy, Analgesic effect 相似文献
16.
Dongwook Han 《Journal of Physical Therapy Science》2015,27(1):67-69
[Purpose] This study researched the effects of different types of high heels on the
muscles surrounding the cervical spine, the thoracic spine, and the lumbar spine by
analyzing muscle activation of the paraspinal muscles during standing while wearing high
heels. The high heels were all of the same height: 8 cm. [Subjects and Methods] The 28
subjects in this experiment were females in their 20s with a foot size of 225–230 mm and a
normal gait pattern. To measure the muscle activation of the paraspinal muscles, EMG
electrodes were attached on the paraspinal muscles around C6, T7, and L5. The muscle
activation during standing while wearing 8-cm-high wedge heels, setback heels, and French
heels was then measured. The measurements were performed 3 times each, and the mean value
was used for analysis. [Results] The levels of muscle activation of the paraspinal muscles
induced by standing on wedge heels, setback heels, and French heels in the cervical and
lumbar areas were significantly higher than those induced by standing on bare feet. But
there was no significant difference according to the heel types. [Conclusion] The height
of the heels presented a greater variable than the width of the heels on the muscle
activation of paraspinal muscles. Therefore, wearing high heels is not recommended for
those who have pain or functional problems in the cervical and/or lumbar spine.Key words: Heel type, Paraspinal muscle, Muscle activation 相似文献
17.
[Purpose] To investigate the effect of cervical exercise on neck pain, disability, and
psychosocial factors in patients with post-traumatic stress disorder. [Subjects] Thirty
patients with post-traumatic stress disorder, who also complained of neck pain. [Methods]
The cervical exercise group (n = 15) participated in cervical exercises for 30 min, 3
times/week for 6 weeks, and the control group (n = 16) underwent conventional physical
therapy alone, without exercise. The exercises were performed in the following order:
cervical relaxation, local muscle stabilization, and global muscle stabilization using a
sling system. [Results] Compared to the control group, the cervical exercise group
demonstrated significant decreases as follows: Visual analogue scale score, 4.2 vs. 1.0;
Neck disability index, 3.9 vs. 1.9; and depression on the Symptom checklist-90-revised,
9.4 vs. 4.3 and on the Hopkins symptom checklist-25, 6.3 vs. 2.8. However, anxiety on the
Symptom checklist-90-revised (3.1 vs. 1.3) was not significantly different. Effect sizes
were as follows: Visual analogue scale score, 1.8; Neck disability index, 0.9; depression,
1.0; and anxiety on Symptom checklist-90-revised and Hopkins symptom checklist-25, 0.6 and
0.8, respectively. [Conclusion] Cervical exercise is effective in improving neck pain,
disability, and efficacy of psychological treatment for depression in patients with
post-traumatic stress disorder.Key words: Post-traumatic stress disorder, Neck pain, Psychosocial factors 相似文献
18.
[Purpose] This study examined the impact of low-intensity laser therapy on wound healing
and pain control using a rat cutaneous wound model. [Subjects and Methods] Twenty-four
adult male Sprague-Dawley rats (between 220−240 g, 7 weeks) were used in this study. The
rats were anesthetized and a circular fragment of skin was removed from the dorsal region
of the back by a punch with an 8-mm diameter. The animals were randomly divided into 6
groups, Groups C 1, C 3, and C 5, control groups, received no laser treatment. Groups T 1,
T 3, and T 5 received laser treatment for 20 min per day for 1, 3 and 5 days,
respectively. Lumbar spine and dorsal skin were extracted and processed using western blot
analysis. [Results] Periodical observation showed increases in NGF expression on the skin,
and decreases in c-fos expression by the spinal cord in the treatment
groups compared to the control group. [Conclusion] The present findings suggest that
low-intensity laser therapy could be used as an effective therapy for wound healing and
pain relief, and could be further used as a clinical approach for treating cutaneous
wounds.Key words: Low-intensity laser therapy, Wound healing, Pain relief 相似文献
19.
Youngsook Bae 《Journal of Physical Therapy Science》2014,26(12):1999-2001
[Purpose] This study aimed to identify the effects of cervical deep muscle strengthening
(CDS) on neck pain in a patient with Klippel-Feil syndrome (KFS). [Subjects and Methods]
The subjects was a 39 year-old woman with neck pain and KFS that included incomplete block
vertebrae in the C2–3 segments and block vertebrae in the C6–7 segments. The subject
performed an exercise program including cervical strengthening exercise (level 1) and CDS
exercise (level 2) for 6 weeks. Neck pain intensity was measured using the visual analogue
scale (VAS) and the pressure pain threshold (PPT). All measurements were obtained before
and after the CDS exercise program. [Results] The VAS and PPT measurements decreased;
range of motion in the cervical joint increased. [Conclusion] CDS exercises were effective
interventions for reducing neck pain in a patient with Klippel-Feil syndrome.Key words: Cervical deep muscle strengthening, Neck pain, Klippel-Feil syndrome 相似文献
20.
Won-gyu Yoo 《Journal of Physical Therapy Science》2013,25(8):1021-1022
[Purpose] This study investigated the changes in pressure pain threshold of the upper
trapezius, levator scapular, and rhomboid muscles during continuous computer work.
[Subjects] Fourteen males and females aged 26–32 years, were recruited. [Methods] A
dolorimeter pressure algometer was used to measure the pressure pain threshold of the
upper trapezius, levator scapular, and rhomboid muscles, respectively, before computer
work and after 15 min, 30 min, and 60 min of computer work. [Results] The pressure pain
threshold of the upper trapezius was significantly decreased after 15 min or more of
computer work. The pressure pain threshold of the levator scapular was significantly
decreased after computer work for 30 min and 60 min. The pressure pain threshold of the
rhomboid muscle was significantly decreased after 60 min of computer work. [Conclusion]
Continuous computer work could produce much more pain in the levator scapular and rhomboid
muscle than the upper trapezius.Key words: Computer worker, Pressure pain threshold, Rhomboid muscle 相似文献