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경두개 직류자극을 결합한 목 안정화 운동이 경추성두통환자의 근육특성과 기능에 미치는 영향

Effects of Neck Stabilizing Exercise Combined with Transcranial Direct Current Stimulation on Muscle Characteristics and Function in Patients with Cervicogenic Headache

대한통합의학회지 2019년 7권 3호 p.159 ~ 169
박승규 ( Park Seung-Kyu ) - 세한대학교 물리치료학과

양대중 ( Yang Dae-Jung ) - 세한대학교 물리치료학과
김제호 ( Kim Je-Ho ) - 세한대학교 물리치료학과
박삼헌 ( Park Sam-Heon ) - 이성민신경과의원 물리치료실
윤종혁 ( Yoon Jong-Hyeouk ) - 탑정형외과의원 물리치료실

Abstract


Purpose: The purpose of this study was to provide an effective method of exercise therapy for patients with cervicogenic headache.

Methods: The subjects were divided into the following three groups according to the intervention received: cervix-stabilizing exercise (n=12, group 1), transcranial direct current stimulation (n=12, group 2), and cervix-stabilizing exercise combined with transcranial direct current stimulation (n=12, group 3). The intragroup and intergroup differences in muscle characteristics and neck disability index were compared and analyzed.

Results: The comparison and analysis of the changes in muscle tone and post hoc analysis revealed statistically significant intragroup decreases in the upper trapezius and suboccipitals in groups Ⅰ and Ⅲ, and statistically significant intergroup differences in the upper trapezius, with greater changes in group Ⅲ than in group Ⅱ, and in the suboccipitals, with greater changes in groupⅢ than in groups Ⅰand Ⅱ. The comparison and analysis of the change in muscle stiffness and post hoc analysis revealed a statistically significanti ntra group decrease in the upper trapezius in group Ⅰand suboccipitals in group Ⅲ, and a statistically significant intergroup difference in both muscles, with greater change in group Ⅲ than in group Ⅱ. The comparison and analysis of change in neck disability index and post hoc analysis revealed a statistically significant intragroup decrease in all the three groups and a statistically significant intergroup difference, with greater change in group Ⅲ than in groups Ⅰ and Ⅱ.

Conclusion: The neck-stabilizing exercise and transcranial direct current stimulation were shown to be effective in decreasing the tone of the cervical muscles by stabilizing the cervical bone and improving muscle durability, and in improving the movement and limitation of joint range of motion by decreasing muscle tone and stiffness.

키워드

cervicogenic headache; neck stabilization; transcranial direct current stimulation
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