Effects of extracorporeal shock wave therapy based on stretching exercises on neck disability index, neck range of motion and muscle tone of upper trapezius and sternocleidomastoid in people with forward head posture = 체외 충격파와 신장 운동이 전방머리자세의 경부장애지수, 목 관절가동범위와 위 등세모근, 목빗근의 근긴장도에 미치는 영향

다국어 초록 (Multilingual Abstract)

This study examined how change the range of motion(ROM) of the neck and muscle tone of upper trapezius(UT) and Sternocleidomastoid(SCM) through the extracorporeal shock wave therapy(ESWT) and stretching exerciseapplied to subjects
Total 30 subjects who had forward head posture(FHP) in twenties healthy male and female each fifteen were applied with active stretching exercises (SE group) and additionally the extracorporeal shock wave therapy to 15 subjects for 7 weeks, total 14 times, twice a week(ESWT group). Before and after applying these experiments, in order to confirm the muscle tone of upper trapezius, sternocleidomastoid, and the neck ROM of the subjects with FHP were measured by a goniometer.
It was noticeable that in the tone of upper trapezius, the angle of neck extension and left bending, there were significant differences statistically in both groups. In addition, in the measurements of right bending of the SE group, there was a significant difference compared to between pre-intervention and post-intervention. nevertheless, there was no significant difference from sternocleidomastoid and neck flexion compared to between pre and post intervention in those two groups. Even though there were no significant figures from the muscle tone of SCM and the angle of neck flexion, there were the other significant differences values. Moreover, it was ascertainable that without the extracorporeal shock wave therapy, the only conducting the stretching exercise to the subjects would work on the tone of upper trapezius, left and right neck bending and extension.
Applying the stretching exercise could work on upper trapezius and the angle of neck extension and side bendings in the people who have forward head posture.

국문 초록 (Abstract)

이 연구는 체외충격파와 신장운동이 전방머리자세를 가진 사람들의 경부장애지수(NDI), 목 관절 가동범위(ROM)와 위 등세모근, 목빗근의 근긴장도에 미치는 영향을 알아보기 위한 목적으로 실시되었다. 연구 대상자로는 전방머리자세를 가진 충청남도 소재 N대학의 학생 30명을 대상으로 신장운동, 체외충격파와 신장운동을 같이 병행한 효과를 확인하기 위하여 각각 15명씩 두 그룹으로 나누어 실험을 실행하였다. 실험 사전과 사후에 경부장애지수, 목 관절 가동범위와 근 긴장도를 측정하였고, 실험 기간은 일주일에 두 번씩 신장운동과 체외 충격파를 실시, 총 6주 동안 실행하였다.
통계 결과 두 그룹 모두 경부장애지수가 유의함을 보였고 목관절 가동범위와 근 긴장도에서 모두 유의함이 나타났다. 본 연구에서는 전방머리자세를 가진 성인에게 신장운동 및 체외 충격파가 경부통증의 감소, 관절가동범위의 증가, 근 긴장도를 감소시키는 것 대해 통계적으로 유의하다는 것을 알 수 있었다.

목차 (Table of Contents)

• Ⅰ. Introduction 1
• 1. Necessity 1
• 2. Purpose 4
• 3. Hypothesis 5
• Ⅱ. Methods 6
• 1. Subjects 6
• 2. Frame 8
• 3. Experiment 9
• 4. Data analysis 15
• Ⅲ. Results 16
• 1. Differences of between the groups 16
• 2. Differences of within the groups 18
• Ⅳ. Discussion 20
• Ⅴ. Conclusion 23
• Reference 24
• Appendix 30
• ABSTRACT IN KOREAN 35
• ABSTRACT 36