Effects of Specific Exercise on Chronic Neck Pain in Elderly Women

다국어 초록 (Multilingual Abstract)

Purpose: The main causes of chronic neck pain (CNP) are wrong postures and degenerative changes. This study investigated the effects of specific exercise on elderly women with CNP.
Methods: 29 elderly women who complain of CNP were classified into experimental group (14) and control group (15). The experimental group was treated with specific exercise and minimal conventional therapy, whereas the control group was treated only with conventional therapy. Then the effects on the visual analogue scale (VAS), neck disability index (NDI), self-rating anxiety scale (SAS), Korean form of geriatric depression scale (KGDS), and range of motion (ROM) were compared between the two groups.
Results: The experimental group showed significantly improved results in VAS, NDI, SAS, KGDS, and ROM after intervention (p<0.05), as did the control group (p<0.05). The comparison of changes in the experimental group before and after intervention showed superior results in the SAS, NDI, and ROM (flexion, rotation, lat. flexion) results when compared with the control group (p<0.05).
Conclusion: Specific exercise is effective in the improvement of SAS, NDI, and ROM for elderly women with CNP.

다국어 초록 (Multilingual Abstract)

Purpose: The main causes of chronic neck pain (CNP) are wrong postures and degenerative changes. This study investigated the effects of specific exercise on elderly women with CNP.
Methods: 29 elderly women who complain of CNP were classified into experimental group (14) and control group (15). The experimental group was treated with specific exercise and minimal conventional therapy, whereas the control group was treated only with conventional therapy. Then the effects on the visual analogue scale (VAS), neck disability index (NDI), self-rating anxiety scale (SAS), Korean form of geriatric depression scale (KGDS), and range of motion (ROM) were compared between the two groups.
Results: The experimental group showed significantly improved results in VAS, NDI, SAS, KGDS, and ROM after intervention (p<0.05), as did the control group (p<0.05). The comparison of changes in the experimental group before and after intervention showed superior results in the SAS, NDI, and ROM (flexion, rotation, lat. flexion) results when compared with the control group (p<0.05).
Conclusion: Specific exercise is effective in the improvement of SAS, NDI, and ROM for elderly women with CNP.

참고문헌 (Reference)

1 주무열, "정형물리치료의 변화와 발전" 대한물리치료학회 14 (14): 475-486, 2002

2 채윤원, "대학생에서의 만성 및 특발성 긴장성 두통이 두부전방자세와 경추가동범위에 미치는 영향" 대한물리치료학회 21 (21): 71-77, 2009

3 권원안, "노인의 우울증과 여가활동의 상관성에 관한 연구 - 대구시 북구를 중심으로-" 대한물리치료학회 20 (20): 51-59, 2008

4 채윤원, "긴장성 두통에 대한 두개경부 운동의 효과" 대한물리치료학회 21 (21): 9-16, 2009

5 형인혁, "경추통 환자에 대한 신장운동과 도수치료가 즉각적인 통증과 ROM에 미치는 효과" 대한물리치료학회 21 (21): 1-7, 2009

6 김태호, "경부통증대상자에 대한 경부장애지수의 Rasch분석" 대한물리치료학회 21 (21): 1-8, 2009

7 Kuo YL, "Video analysis of sagittal spinal posture in healthy young and older adults" 32 (32): 210-215, 2009

8 Wright EF, "Usefulness of posture training for patients with temporomandibular disorders" 131 (131): 202-210, 2000

9 Côté P, "The saskatchewan health and back pain survey. The prevalence of neck pain and related disability in saskatchewan adults" 23 (23): 1689-1698, 1998

10 Loncar Z, "The relationships between burn pain, anxiety and depression" 30 (30): 319-325, 2006

11 Vernon H, "The neck disability index: a study of reliability and validity" 14 (14): 409-415, 1991

12 Bogduk N, "The neck" 13 (13): 261-285, 1999

13 Jeong UC, "The effects of additional thoracic mobilization on neck pain patients’ visual analog scale, neck disability index,and muscular endurance" Ulsan University 2009

14 Zung WW, "The depression status inventory: an adjunct to the self-rating depression scale" 28 (28): 539-543, 1972

15 Keller F, "Suicidal behaviour and electrodermal activity in depressive inpatients" 83 (83): 324-318, 1991

16 O’Leary S, "Specific therapeutic exercise of the neck induces immediate local hypoalgesia" 8 (8): 832-839, 2007

17 FerrariR, "Regional musculoskeletal conditions:neck pain" 17 (17): 57-70, 2003

18 Mäkelä M, "Prevalence, determinants,and consequences of chronic neck pain in finland" 134 (134): 1356-1367, 1991

19 Leclerc A, "One-year predictive factors for various aspects of neck disorders" 24 (24): 1455-1462, 1999

20 Bogduk N, "On the nature of neck pain, discography and cervical zygapophysial joint blocks" 54 (54): 213-217, 1993

21 Bovim G, "Neck pain in the general population" 19 (19): 1307-1309, 1994

22 Fernández-de-Las-Peñas C, "Myofascial trigger points, neck mobility, and forward head posture in episodic tension-type headache" 47 (47): 662-672, 2007

23 Rajala U, "Musculoskeletal pains and depression in a middle-aged Finnish population" 61 (61): 451-457, 1995

24 Dvorak J, "Injuries of the cervical spine in switzerland" 16 (16): 2-12, 1987

25 Palmer ML, "Fundamentals of musculoskeletal assessment techniques" Lippincott Williams & Wilkins 40-42, 1998

26 Fernández-de-las-Peñas C, "Forward head posture and neck mobility in chronic tension-type headache" 26 (26): 314-319, 2006

27 Sarig-Bahat H, "Evidence for exercise therapy in mechanical neck disorders" 8 (8): 10-20, 2003

28 Maede Y, "Erythroleukemia in a cat with special reference to the fine structure of primitive cells in its peripheral blood" 42 (42): 531-541, 1980

29 Viljanen M, "Effectiveness of dynamic muscle training, relaxation training, or ordinary activity for chronic neck pain: randomised controlled trial" 327 (327): 475-, 2003

30 Oh DW, "Effect of stomatognathic exercise on temporomandibular joint dysfunction associated with ankylosing spondylitis" Yonsei University 2007

31 Koltyn KF, "Effect of isometric exercise on pain perception and blood pressure in men and women" 33 (33): 282-290, 2001

32 Lee JH, "Development of the korean form of zung’s selfrating anxiety scale" 13 (13): 279-294, 1996

33 Yesavage JA, "Development and validation of a geriatric depression screening scale: a preliminary report" 17 (17): 37-49, 1983

34 Lee H, "Development and psychometric testing of korean language versions of 4 neck pain and disability questionnaires" 31 (31): 1841-1845, 2006

35 Ylinen J, "Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements" 85 (85): 1303-1308, 2004

36 Taimela S, "Active treatment of chronic neck pain: a prospective randomized intervention" 25 (25): 1021-1027, 2000

37 Kim KB, "A study on the relation among the perceived family support, depression and physical health status in Korean elderly" 9 (9): 66-73, 2004