共查询到20条相似文献,搜索用时 31 毫秒
1.
Man-Sig Kim 《Journal of Physical Therapy Science》2015,27(1):15-17
[Purpose] Smartphone use reportedly changes posture. However, how neck posture is altered
in smartphone users with neck pain is unknown. This study examined changes in the posture
of young adults with and without mild neck pain (MNP) when using a smartphone. [Subjects]
Thirteen control subjects and 14 subjects with MNP who used smartphones were recruited.
[Methods] The upper cervical (UC) and lower cervical (LC) angles in the sagittal plane
were measured using an ultrasound-based motion analysis system while the seated subjects
used a smartphone for 5 min. [Results] During smartphone use, the MNP group exhibited
greater UC and LC flexion angles than the control group. [Conclusion] These findings
suggest that young adults with MNP are more careful and more frequently utilize a neutral
neck posture than young adults without MNP when using a smartphone while sitting.Key words: Smartphone, Cervical flexion, Young adult 相似文献
2.
Chih-Hsiu Cheng Hsin-Yi Kathy Cheng Carl Pai-Chu Chen Kwan-Hwa Lin Wen-Yu Liu Shwu-Fen Wang Wei-Li Hsu Yu-Fen Chuang 《Journal of Physical Therapy Science》2014,26(4):587-590
[Purpose] Muscle co-contraction is important in stabilizing the spine. The aim of this
study was to compare cervical muscle co-contraction in adults with and without chronic
neck pain during voluntary movements. [Subjects and Methods] Surface electromyography of
three paired cervical muscles was measured in fifteen young healthy subjects and fifteen
patients with chronic neck pain. The subjects performed voluntary neck movements in the
sagittal and coronal plane at slow speed. The co-contraction ratio was defined as the
normalized integration of the antagonistic electromyography activities divided by that of
the total muscle activities. [Results] The results showed that the co-contraction ratio of
patients was greater during flexion movement, lesser during extension movement, slightly
greater during right lateral bending, and slightly lesser during left lateral bending
compared with in the controls. [Conclusion] The results suggested that neck pain patients
exhibit greater antagonistic muscle activity during flexion and dominate-side bending
movements to augment spinal stability, while neuromuscular control provides relatively
less protection in the opposite movements. This study helps to specify the changes of the
stiffness of the cervical spine in neck pain patients and provides a useful tool and
references for clinical assessment of neck disorders.Key words: Co-contraction, Chronic neck pain, Electromyography 相似文献
3.
Min-Hyeok Kang Jae-Seop Oh Byung-Joo Park Tae-Hoon Kim 《Journal of Physical Therapy Science》2013,25(12):1537-1539
[Purpose] The purpose of this study was to compare the lumbar flexion angle and
electromyography (EMG) measurements of trunk muscle activity in individuals with and
without limited hip flexion range of motion (ROM) during visual display terminal (VDT)
work with cross-legged sitting. [Subjects] The 15 participants included a control group
with sufficient hip flexion ROM (n = 7) and an experimental group with limited hip flexion
ROM (n = 8). [Methods] All subjects performed VDT work with cross-legged sitting. The
lumbar flexion angle was measured using a three-dimensional motion capture system, and the
trunk muscle activity was recorded using a surface EMG system during VDT work with
cross-legged sitting. The differences in trunk flexion angle and trunk muscle activity
between the two groups were analyzed using independent t-tests. [Results] The lumbar
flexion angle was significantly greater in the experimental group than the control group,
although trunk muscle activity did not differ between the two groups. [Conclusion] These
findings suggest that limited hip flexion leads to greater lumbar flexion during
cross-legged sitting.Key words: Cross-legged sitting, Electromyography, Lumbar flexion 相似文献
4.
Hironori Tanoue Toshitaka Mitsuhashi Shunji Sako Ryoichi Inaba 《Journal of Physical Therapy Science》2021,33(5):406
[Purpose] Limited studies exist on the impact of sustained work at a visual display terminal (VDT) on the position and motion of the pelvis and lumbar spine. We evaluated the changes in movement of the lumbar column and pelvis during VDT work. [Participants and Methods] We evaluated the sitting posture of 20 healthy adults while they performed VDT work. The effects of the sitting posture on lumbo-pelvic position and motion were captured using a three-dimensional accelerometer. Between-posture effects of VDT work were evaluated using an analysis of variance (ANOVA). A two-way ANOVA was used to assess the root mean square (RMS) values of the 80-min VDT work period for each posture. A one-way ANOVA was used to evaluate pre- and post-work changes in RMS values during the finger floor distance test (FFD). [Results] People in the dynamic sitting balance chair (DSBC)-based posture demonstrated significantly higher pelvic RMS values than those in reclining and upright sitting postures. The DSBC-based posture was also associated with significantly higher pre- and post-work lumbar and pelvic RMS values during the FFD than in the reclining and upright sitting postures. [Conclusion] The dynamic balance chair may be an effective method of establishing a pattern of spinal exercise during prolonged sitting.Key words: Dynamic sitting posture, Visual display terminal, Acceleration sensor 相似文献
5.
Man-Sig Kim 《Journal of Physical Therapy Science》2015,27(11):3425-3428
[Purpose] The present study investigated differences in the kinematics of the neck and
activation of the sternocleidomastoid (SCM) muscle during neck rotation between subjects
with and without forward head posture (FHP). [Subjects and Methods] Twenty-eight subjects
participated in the study (14 with FHP, 14 without FHP). Subjects performed neck rotation
in two directions, left and right. The kinematics of rotation-lateral flexion movement
patterns were recorded using motion analysis. Activity in the bilateral SCM muscles was
measured using surface electromyography. Differences in neck kinematics and activation of
SCM between the groups were analyzed by independent t-tests. [Results] Maintaining FHP
increased the rotation-lateral flexion ratio significantly in both directions. The FHP
group had significantly faster onset time for lateral flexion movement in both directions
during neck rotation. Regarding the electromyography of the SCM muscles during neck
rotation in both directions, the activity values of subjects with FHP were greater than
those of subjects without FHP for the contralateral SCM muscles. [Conclusion] FHP can
induce changes in movement in the frontal plane and SCM muscle activation during neck
rotation. Thus, clinicians should consider movement in the frontal plane as well as in the
sagittal plane when assessing and treating patients with forward head posture.Key words: Axial rotation, Cervical movement, Forward head posture 相似文献
6.
[Purpose] This study proposed a new neck support tying (NST) method using Thera-Band for
the prevention of neck and shoulder pain in workers doing overhead work. The purpose of
this study was to investigate the effect of the new NST method using Thera-Band on
cervical ROM and shoulder pain after overhead work. [Subjects] Fourteen male subjects were
recruited. [Methods] This study measured the cervical ROM and pressure pain threshold
(PPT) of the upper and middle trapezius (UT and MT) muscles after the control and NST
groups had performed overhead work. [Results] The cervical flexion, extension, and lateral
flexion angles of the NST group were significantly larger than those of the control group.
The PPTs of UT and MT of the NST group were significantly higher than those of the control
group [Conclusion] The NST prevented ROM reduction and pain in the cervical and shoulder
regions.Key words: Neck supporter, Overhead work, Thera-Band 相似文献
7.
Uraiwan Chatchawan Unthika Jupamatangb Sunisa Chanchitc Rungthip Puntumetakul Wanida Donpunha Junichiro Yamauchi 《Journal of Physical Therapy Science》2015,27(11):3359-3363
[Purpose] The aim of this study was to investigate the effects of dynamic sitting
exercises during prolonged sitting on the lower back mobility of sedentary young adults.
[Subjects and Methods] Seventy-one subjects aged between 18–25 years participated in this
study. Following a randomized crossover study design, subjects were randomly assigned to
two groups: sitting only and dynamic sitting exercise. The dynamic sitting exercise was a
combination of lower back hyperextension and abdominal drawing-in movements which were
repeated 6 times in a 1-minute period and performed every 20 minutes during a 2-hour
sitting session. Lumbar range of movement was measured with the modified-modified Schober
test, and the pain intensity was evaluated using the visual analog scale. [Results] After
the experiment, the lumbar range of movement was significantly impaired in the sitting
only group; however, it was significantly improved in the dynamic sitting exercise group.
There were significant differences in lumbar range of movement of both flexion and
extension between the groups. No significant difference in pain intensity between the
groups was found. [Conclusion] These results suggest that dynamic sitting exercises during
prolonged sitting can prevent decreases in lumbar range of movement in both back flexion
and extension following a 2-hour sitting period.Key words: Back exercise, Flexibility, Long sitting 相似文献
8.
[Purpose] The purpose of the present study was to examine the amount of change in the
thicknesses of the deep cervical flexor (DCF) and sternocleidomastoid (SCM) muscles in
subjects with neck pain and subjects without neck pain during craniocervical flexion
exercise (CCFE). [Subjects] The total number of subjects was 40, comprising 20 in the
no-pain group (males 11, females 9) and 20 in the pain group (males 8, females 12).
[Methods] Muscle images were obtained using ultrasound, and the thicknesses of the
individual muscles were measured using the NIH ImageJ software. [Results] During CCFE, as
pressure increased, the no-pain group recruited the DCF more than the pain group, while
the pain group recruited the SCM more. [Conclusion] Selective DCF contraction exercises
are considered very useful in the treatment of patients with neck pain.Key words: Craniocervical flexion exercise, Deep cervical flexor, Sternocleidomastoid 相似文献
9.
[Purpose] To compare the influences of the active release technique (ART) and joint
mobilization (JM) on the visual analog scale (VAS) pain score, pressure pain threshold
(PPT), and neck range of motion (ROM) of patients with chronic neck pain. [Subjects]
Twenty-four individuals with chronic neck pain were randomly and equally assigned to 3
groups: an ART group, a joint mobilization (JM) group, and a control group. Before and
after the intervention, the degree of pain, PPT, and ROM of the neck were measured using a
VAS, algometer, and goniometer, respectively. [Results] The ART group and JM group
demonstrated significant changes in VAS and ROM between pre and post-intervention, while
no significant change was observed in the control group. Significant differences in the
PPT of all muscles were found in the ART group, while significant differences in all
muscles other than the trapezius were found in the JM group. No significant difference in
PPT was observed in any muscle of the control group. The posthoc test indicated no
statistically significant difference between the ART and JM group, but the differences of
variation in VAS, PPT, and ROM were greater in the ART group than in the JM and control
groups. [Conclusion] ART for the treatment of chronic neck pain may be beneficial for neck
pain and movement.Key words: Active release technique, Soft tissue, Chronic neck pain 相似文献
10.
[Purpose] The purpose of this study was to evaluate the correlation between intrinsic
patellofemoral pain syndrome (PFPS) in young adults and lower extremity biomechanics.
[Subjects] This experiment was carried out with sixty (24 men and 32 women), who are
normal university students as subjects. [Methods] All subjects underwent 3 clinical
evaluations. For distinguishing the intrinsic PFPS from controls, we used the Modified
Functional Index Questionnaire (MFIQ), Clarke’s test and the Eccentric step test. Based on
the results of the tests, subjects who were classified as positive for 2 more tests were
allocated to the bilateral or unilateral intrinsic PFPS group (n=14), and the others were
allocated to the control group (n=42). These two groups were tested for hamstring
tightness, foot overpronation, and static Q-angle and dynamic Q-angle. These are the four
lower extremity biomechanic, cited as risk factors of patellofemoral pain syndrome.
[Results] The over pronation, static Q-angle and the dynamic Q-angle were not
significantly different between the two groups. However, the hamstring tightness of the
PFPS group was significantly greater than that of the controls. [Conclusion] We examined
individuals for intrinsic patellofemoral pain syndrome in young adults and lower extremity
biomechanics. We found a strong correlation between intrinsic PFPS and hamstring
tightness.Key words: Hamstring, Patellofemoral, Pain 相似文献
11.
[Purpose] The purpose of this study was to measure the cervical flexion-relaxation ratio
(FRR) and intensity of neck pain and identify the differences according to postures
adopted while using smartphones. [Subjects] Fifteen healthy adults with no neck pain,
spinal trauma, or history cervical surgery participated in this study. [Methods] The
activity of the cervical erector spinae muscle was recorded while performing a
standardized cervical flexion-extension movement in three phases (flexion, sustained full
flexion, extension). And neck pain intensity was recorded using a visual analog scale
(VAS) with values between 0 and 10. Postures held while using a smartphone are
distinguished between desk postures and lap postures. The FRR was calculated by dividing
the maximal muscle activation during the extension phase by average activation during the
complete flexion phase. [Results] No significant differences were found in the FRR between
desk posture, lap posture, and baseline, though the intensity of the neck pain increased
in the lap posture. [Conclusion] The FRR could be a significant criterion of neuromuscular
impairment in chronic neck pain or lumbar pain patients, but it is impossible to
distinguish neck pain that is caused by performing task for a short time. Prolonged lap
posture might cause neck pain, so the use of smartphones for a long time in this posture
should be avoided.Key words: Smartphone, Cervical flexion-relaxation ratio, Electromyography 相似文献
12.
Thavatchai Suvarnnato Rungthip Puntumetakul David Kaber Rose Boucaut Yodchai Boonphakob Preeda Arayawichanon Uraiwan Chatchawan 《Journal of Physical Therapy Science》2013,25(7):865-871
[Purpose] To investigate effects of thoracic manipulation versus mobilization on chronic
neck pain. [Methods] Thirty-nine chronic neck pain subjects were randomly assigned to
single level thoracic manipulation, single level thoracic mobilization, or a control
group. The cervical range of motion (CROM) and pain ratings (using a visual analog scale:
VAS) were measured before, immediately after and at a 24-hour follow-up. [Results]
Thoracic manipulation significantly decreased VAS pain ratings and increased CROM in all
directions in immediate and 24-hour follow-ups. The thoracic mobilization group
significantly increased in CROM in most directions at immediate follow-up and right and
left rotational directions at the 24-hour follow-up. Comparisons between groups revealed
the CROM for the manipulation group to increase significantly more than for control
subjects in most directions at immediate follow-up and flexion, left lateral flexion and
left rotation at the 24-hour follow-up. The CROM for the thoracic mobilization group
significantly increased in comparison to the control group in flexion at immediate
follow-up and in flexion and left rotation at the 24-hour follow-up. [Conclusion] The
study demonstrated reductions in VAS pain ratings and increases in CROM at immediate and
24-hour follow-ups from both single level thoracic spine manipulation and thoracic
mobilization in chronic neck pain.Key words: Single level thoracic manipulation, Single level thoracic mobilization, Chronic neck pain 相似文献
13.
[Purpose] To identify the effects of a neck intervention on neck pain and depression in
patients with post-traumatic stress disorder (PTSD). [Subjects] Thirty-one patients with
neck pain and a diagnosis of PTSD were enrolled. [Methods] Neck exercise training was
performed with the experimental group and neck self-exercise (using a modification of the
McKenzie exercise) was used with the control group. Both groups performed their exercises
for 30 minutes at a time, three times per week. To compare the effects of the
interventions, the threshold of neck tenderness and depression levels were measured at
each period. [Results] The pain threshold of both sides of the trapezius showed a
significant difference between the two groups at the three measurement periods. In the
experimental group, the threshold increased by 19.7% on the left and 18.3% on the right
after the intervention compared to before. Depression levels significantly differed in the
experimental group between the three measurements. [Conclusion] This study has important
implications for therapeutic strategies, as it provides strong evidence for a method of
improving symptoms of neck pain; furthermore, it is effective for subjects with
psychological problems such as PTSD.Key words: Post-traumatic stress disorder, Neck pain, Depression 相似文献
14.
Marcelo P. Pereira Paulo H. S. Pelicioni Juliana Lahr Lilian T. B. Gobbi 《Journal of Physical Therapy Science》2015,27(4):1113-1116
[Purpose] Sit-to-walk performance is linked to proper proprioceptive information
processing. Therefore, it is believed that an increase of proprioceptive inflow (using
muscle vibration) might improve sit-to-walk performance. However, before testing muscle
vibration effects on a frail population, assessment of its effects on healthy young people
is necessary. Thus, the aim of this study was to investigate the effects of muscle
vibration on sit-to-walk performance in healthy young adults. [Subjects and Methods]
Fifteen young adults performed the sit-to-walk task under three conditions: without
vibration, with vibration applied before movement onset, and with vibration applied during
the movement. Vibration was applied bilaterally for 30 s to the tibialis anterior, rectus
femoris, and upper trapezius muscles bellies. The vibration parameters were as follows:
120 Hz and 1.2 mm. Kinematics and kinetic data were assessed using a 3D motion capture
system and two force plates. The coordinates of reflective markers were used to define the
center-of-mass velocities and displacements. In addition, the first step spatiotemporal
variables were assessed. [Results] No vibration effect was observed on any dependent
variables. [Conclusion] The results show that stimulation of the proprioceptive system
with local muscle vibration does not improve sit-to-walk performance in healthy young
adults. 相似文献
15.
[Purpose] This study aimed to investigate the effects of neurac training on pain,
function, balance, fatigability, and quality of life. [Subjects and Methods] Subjects with
chronic neck pain who were treated in S hospital were included in this study; they were
randomly allocated into two groups, i.e., the experimental group (n = 10) and the control
group (n = 10). Both groups received traditional physical therapy for 3 sessions for
30 min per week for 4 weeks. The experimental group practiced additional neurac training
for 30 min/day, for 3 days per week for 4 weeks. All subjects were evaluated using the
visual analogue scale (VAS), the neck disability index (NDI), the biorescue (balance), the
questionnaire for fatigue symptoms (fatigue), and the medical outcome 36-item short form
health survey (SF-36) pre- and post-intervention. [Results] The experimental group
effectively improved their pain, function, balance, fatigability, and quality of life.
[Conclusion] Neurac training is thus considered an effective training program that
enhances body functionality by improving pain, function, balance ability, fatigability,
and quality of life in patients with chronic neck pain.Key words: Chronic neck pain, Sling-neurac training, Function 相似文献
16.
Lutz Vogt Christoper Segieth Winfried Banzer Heiko Himmelreich 《Physiotherapy research international》2007,12(4):206-212
Background and Purpose. The present study evaluated whether patients with chronic neck pain demonstrate characteristic angular movement deviations during repeated cervical spine movements. Method. Sixteen patients with chronic neck pain and a group of 18 aged‐matched healthy control subjects performed 10 repetitive maximal cervical movement cycles (flexion/extension, rotation, lateral flexion) at a self‐determined velocity. To collect the kinematic data of the cervical spine, a three‐dimensional ultrasonic movement analysis system (Zebris CMS70©, Germany) was used. To describe the movement variability in the maximum oscillation amplitudies the intra‐subject coefficients of variation (CV %) was calculated. The maximum difference was characterized by the absolute differences between the minimum and maximum oscillation amplitudes of iterated movement cycles. Pain intensity was obtained by visual analogue scales (VAS). Results. The average pain rating of the patients with chronic neck pain indicated moderate neck pain intensity (3.7 (±0.8)). Independent Student's t‐tests revealed a significantly decreased range of movement (ROM) in the chronic neck pain group for all anatomic values (p < 0.05), except for the lateral flexion to the right. The maximum differences and variability parameters showed significantly increased values in the chronic neck pain group in all directions (p < 0.001). Conclusion. Maximal cervical ROM was significantly lower, and movement variability was significantly higher, in patients compared with healthy control subjects. The differences of cervical motion variability point towards increased movement irregularities in patients with chronic neck pain. The present study shows evidence to support the hypothesis that additional information may be gained from the analysis of movement variability. Copyright © 2007 John Wiley & Sons, Ltd. 相似文献
17.
Seol Park Jun-Sub Chung Yong-Soo Kong Yu-Min Ko Ji-Won Park 《Journal of Physical Therapy Science》2015,27(9):2727-2730
[Purpose] We investigated the difference in onset time between the vastus medialis and
lateralis according to knee alignment during stair ascent and descent to examine the
effects of knee alignment on the quadriceps during stair stepping. [Subjects] Fifty-two
adults (20 with genu varum, 12 with genu valgum, and 20 controls) were enrolled. Subjects
with > 4 cm between the medial epicondyles of the knees were placed in the genu varum
group, whereas subjects with > 4 cm between the medial malleolus of the ankle were
placed in the genu valgum group. [Methods] Surface electromyography was used to measure
the onset times of the vastus medialis and vastus lateralis during stair ascent and
descent. [Results] The vastus lateralis showed more delayed firing than the vastus
medialis in the genu varum group, whereas vastus medialis firing was more delayed than
vastus lateralis firing in the genu valgum group. Significant differences in onset time
were detected between stair ascent and descent in the genu varum and valgum groups.
[Conclusion] Genu varum and valgum affect quadriceps firing during stair stepping.
Therefore, selective rehabilitation training of the quadriceps femoris should be
considered to prevent pain or knee malalignment deformities.Key words: Quadriceps muscle, Genu varum, Genu valgum 相似文献
18.
[Purpose] The aim of this study was to determine whether neck muscle fatigue affects
dynamic visual acuity in healthy young participants. [Subjects and Methods] This study was
a double-blinded, prospective, randomized, controlled trial. Thirty healthy young subjects
(ages 21 to 30 years) participated in the study. Participants were randomly divided into
an experimental group (n=15) and a control group (n=15). The experimental group performed
an exercise designed to induce neck muscle fatigue and the control group preformed
non-fatiguing sham exercises. [Results] There were significant differences in mean dynamic
visual acuity between the two groups (0.26±0.11 LogMar versus 0.003±0.02 LogMar). Subjects
in the experimental group showed a significant decline in their dynamic visual acuity
compared with the control group. Dynamic visual acuity strongly correlated with neck
muscle fatigue (r = 0.79). No significant differences in joint position error were
observed between the two groups and no significant correlations between joint position
error and neck muscle fatigue were observed (r = 0.23). [Conclusion] The results of this
study suggest that neck muscle fatigue negatively impacts dynamic visual acuity. Although
not statistically significant, cervical spine proprioception as measured by the joint
position error in the experimental group was diminished after fatigue.Key words: Dizziness, Cervical vertigo 相似文献
19.
Previous research has shown that there is no significant relationship between the degree of structural degeneration of the cervical spine and neck pain. We therefore sought to investigate the potential role of sensory dysfunction in chronic neck pain. Cervicocephalic kinesthetic sensibility, expressed by how accurately an individual can reposition the head, was studied in three groups of individuals, a control group of 20 asymptomatic young adults and two groups of middle-aged adults (20 subjects in each group) with or without a history of mild neck pain. An ultrasound-based three-dimensional coordinate measuring system was used to measure the position of the head and to test the accuracy of repositioning. Constant error (indicating that the subject overshot or undershot the intended position) and root mean square errors (representing total errors of accuracy and variability) were measured during repositioning of the head to the neutral head position (Head-to-NHP) and repositioning of the head to the target (Head-to-Target) in three cardinal planes (sagittal, transverse, and frontal). Analysis of covariance (ANCOVA) was used to test the group effect, with age used as a covariate. The constant errors during repositioning from a flexed position and from an extended position to the NHP were significantly greater in the middle-aged subjects than in the control group (beta=0.30 and beta=0.60, respectively; P<0.05 for both). In addition, the root mean square errors during repositioning from a flexed or extended position to the NHP were greater in the middle-aged subjects than in the control group (beta=0.27 and beta=0.49, respectively; P<0.05 for both). The root mean square errors also increased during Head-to-Target in left rotation (beta=0.24;P<0.05), but there was no difference in the constant errors or root mean square errors during Head-to-NHP repositioning from other target positions (P>0.05). The results indicate that, after controlling for age as a covariate, there was no group effect. Thus, age appears to have a profound effect on an individual's ability to accurately reposition the head toward the neutral position in the sagittal plane and repositioning the head toward left rotation. A history of mild chronic neck pain alone had no significant effect on cervicocephalic kinesthetic sensibility. 相似文献
20.
[Purpose] This study aimed to identify the effects of the CORE exercise program on pain
and active range of motion (AROM) in patients with chronic low back pain. [Subjects and
Methods] Thirty subjects with chronic low back pain were randomly allocated to two groups:
the CORE group (n = 15) and the control group (n = 15). The CORE group performed the CORE
exercise program for 30 minutes a day, 3 times a week, for 4 weeks, while the control
group did not perform any exercise. The visual analog scale (VAS) and an algometer were
used to measure pain, and pain-free AROM in the trunk was measured before and after the
intervention. [Results] The CORE group showed significantly decreased VAS scores at rest
and during movement and had a significantly increased pressure pain threshold in the
quadratus lumborum and AROM in the trunk compared with those in the control group.
[Conclusion] This study demonstrated that the CORE exercise program is effective in
decreasing pain and increasing AROM in patients with chronic low back pain. Thus, the CORE
exercise program can be used to manage pain and AROM in patients with chronic low back
pain.Key words: CORE exercise program, Chronic low back pain (CLBP), Active range of motion (AROM) 相似文献