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)

서지정보

· 발행기관 : 대한통합의학회
· 수록지 정보 : 대한통합의학회지 / 7권 / 3호 / 159 ~ 169페이지
· 저자명 : 박승규, 박삼헌, 양대중, 윤 종 혁, 김제호

초록

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.

영어초록

Purpose: The purpose of this study was to provide the effective method for exercise therapy in patients with cervicogenic headache.
Methods: For the purpose, the subjects were divided into three groups receiving cervical stabilizing exercise intervention (n=12, group I), transcranial direct current stimulation (n=12, group II), and cervical stabilizing exercise intervention combined with transcranial direct current stimulation (n=12, group III), respectively, and their intra- and inter-group differences in characteristics of muscle and in neck disability index were compared and analyzed.
Results: The comparison and analysis of change in muscle tone and post-hoc analysis showed statistically significant intra-group decrease in upper trapezius and suboccipitals in groups Ⅰ and Ⅲ and statistically significant inter-group difference in upper trapezius with being higher in group Ⅲ compared to group Ⅱ and in suboccipitals with being higher in group Ⅲ compared to groups Ⅰ and Ⅱ. The comparison and analysis of change in muscle stiffness and post-hoc analysis showed statistically significant intra-group decrease in upper trapezius in group Ⅰ and suboccipitals in group Ⅲ and statistically significant inter-group difference in both muscles with being higher in group Ⅲ compared to group Ⅱ. The comparison and analysis of change in neck disability index and post-hoc analysis showed statistically significant intra-group decrease in all the three groups and statistically significant inter-group difference with being higher in group Ⅲ compared to group Ⅰ and Ⅱ.
Conclusion: The neck stabilizing exercise and the transcranial direct current stimulation were shown to be effective in decreasing the tone of cervical muscles by stabilizing cervical bone and improving muscle durability and in improving movement and limitation of joint range of motion by decreasing muscle tone and stiffness.

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