급성 경부통환자의 재활프로그램 적용이 경추부 ROM과 주관적 통증정도에 미치는 영향 = The Effects of Rehabilitation Program on Cervical of ROM, Subjective Pain Degree in Patients of Acute Neck Pain

다국어 초록 (Multilingual Abstract)

The purpose of this study is to evaluate the effects of rehabilitation program on cervical of ROM, subjective pain degree in patients of acute neck pain. Subjects was divided in to 3 group(MTT, Chiropractic, PT) from 22 patients of acute neck pain. The patients were treated with MTT, Chiropractic and PT program for 4 weeks and the effects on cervical of ROM, subjective pain degree have been evaluated. For the patients, improvement effect of Lateral Flexion showed in the change of left side to applied three kinds of remedies. especially, Chiropractic group took higher improvement effect than MTT and PT group. In addition, there are improvement effect from all of remedies in the change of Lateral Flexion(right side), but PT group was taken improvement effect 2 weeks late compare with other group. For the patients, there is not improvement effect in the change of Rotation(left side), but there is improvement effect from all of remedies in the change of Rotation(right side). Moreover, Chiropractic group showed more effective result than MTT group and PT group. In the subjective pain degree of patients, all of three groups were taken the reductive effect with times; 1 week, 2 weeks, 3 weeks, and 4 weeks. Chiropractic group took more reductive effect than MTT and PT during 1 week and 2 weeks, and MTT group showed outstanding effect compare with PT group in 4 weeks. According all of study result, there are reductive effect of subjective pain and increase of ROM with MTT, Chiropractic, and PT (Physical Therapy). In addition, it became clear that appling the Chiropractic for the patients of acute neck pain showed excellent effect.

참고문헌 (Reference)

1 배성수, "정형물리치료학" 서울: 대학서림 1999

2 배성수, "정형물리치료의 변화와 발전" 14 (14): 307-316, 2002

3 민경옥, "정형물리치료"

4 문상은, "전신조정술" 서울: 정담미디어 2004

5 성동진, "운동처방론" 서울: 홍경출판사 1997

6 오승길, "요통환자의 천장관절 기능부전에 대한 도수교정 후에 하지의 생체역학적인 변화" 8 (8): 167-180, 2001

7 이판재, "요추 추간판 탈출증의 수안재활치료결과에 대한 연구" 한서대학교 건강증진대학원 석사학위 논문 2001

8 Byfield D, "쉽게 배우는 척추도수치료" 서울: 푸른솔 2-4, 1993

9 박형종, "보건교육" 서울: 신광 출판사 1997

10 박현주, "목 뒤로 젖히기운동이 자세와 경부통에 미치는 영향" 105-115, 2001

11 윤정규, "동결견 환자의 관절범위 회복과 통증감소에 있어서 Mulligan 치료와 전기치료의 효과 비교" 7 (7): 66-75, 2000

12 김현정, "관절가동운동이 경부통환자에게 미치는 영향" 대구대학교대학원 석사학위논문 2003

13 나준택, "경추추간판 탈출증 환자에 있어서 물리치료와 Adjustment manipulation 병행치료" 한서대학교 석사학위논문 2002

14 배성수, "경추의 전신조정술 관절치료가 관절가동범위에 미치는 영향" 15 (15): 735-744, 2003

15 김한수, "경추견인: 문헌고찰과 치료지침" 14 (14): 251-263, 2002

16 최명호, "경추 신전근 손상환자들의 근력강화운동이 통증, 가동범위(ROM), 근력에 미치는 영향" 고려대학교 석사학위논문 2002

17 곽현, "경부통 및 요통환자에서의 아쿠아메도의 동통감소효과" 동아대학교 대학원 석사학위논문 1998

18 Fishman B, "he memorial pain assessment card: a valid instrument for the development of lumbar extension strength" 75 (75): 210-215, 1987

19 왕진만, "Visual Analogue Scale(VAS)을 이용한 동통평가의 유용성" 2 (2): 177-184, 1995

20 Patrick D.W, "Textbook of Pain Ⅱ"

21 Colloca C.J, "Stiffness and neuromuscular reflex response of the human spine to posteroanterior manipulative thrusts in patients with low back pain" 24 (24): 489-500, 2001

22 Craig L, "Rehabilitation of the spine. Williams & Wilkins Co. 고도일, 장훈재, 이종하 등(역): Rehabilitation of the spine" 서울: 푸른솔 2000

23 Behrens B.J, "Physical Agent: theory and practice for the physical therapist assistant"

24 Cailliet R, "Neck and arm Pain (3th, ed.)" Philadelphia : F. A Davis Company 1991

25 김명준, "Medx 운동치료 프로그램이 경추근력과 통증에 미치는 효과" 용인대학교 석사학위논문 2000

26 Faugli H.P, "Medical Exercise therapy"

27 구희서, "Medical Exercise Therapy의 이론과 적용에 관한 연구" 12 (12): 361-368, 2000

28 윤정호, "Mckenzie 운동요법이 만성 경부통환자의 머리․어깨 자세에 미치는 영향" 한국체육대학교 석사학위논문 1998

29 Kaltenborn F.M, "Manual mobilization of the extremity joints: Basic examination and treatment techniques"

30 Hurwitz, "Manipulation and mobilization cervical spine: A systemic review of literature" 21 (21): 1746-1759, 1996

31 박기덕, "MTT프로그램이 경부통 환자의 경추 신전근력과 통증에 미치는 효과" 44 (44): 861-869, 2005

32 Cox J.M, "Low back pain-mechanism, diagonosis and treatment" 183-189, 1997

33 배성수, "Kaltenborn의 관절가동기법" 4 (4): 35-43, 1998

34 Paris S.V, "Foundation of Clinical Orthopaedics" 19 : 153-266, 1998

35 Anderson G, "Epidemiologic aspects on low back pain in industury" 6 : 53-60, 1981

36 Randall T, "Effects of joint mobilization on joint stiffness and acute motion of the metacarpophalangeal joint" 16 (16): 30-, 1992

37 Bergermann T.F, "Chiropractic technique" 246-258, 1993

38 McMorland G, "Chiropractic management of mechanical neck and low back pain: a retrospective, outcome-based analysis" 23 (23): 307-311, 2000

39 John E.Murtagh, "Back pain & Spinal Manipulation. 2ed. Butterworth- Heinemann Co., 척추정형내과연구회(역) : 요통과 척추도수치료" 서울: 푸른솔 1997

40 Mongini F, "A modified extreoral technique of mandibular manipulation in disk displesment without reduction" 13 (13): 22-25, 1995