Oh Hyung-Taek, Hwangbo Gak
Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University: Jillyang, Gyeongsan, Gyeongbuk 712-714, Republic of Korea.
J Phys Ther Sci. 2018 Apr;30(4):486-489. doi: 10.1589/jpts.30.486. Epub 2018 Apr 13.
[Purpose] The aim of this study was to determine the effect of short-term self-joint mobilization of the upper spine using a Kaltenborn wedge on the pain and cervical dysfunction of patients with neck pain. [Subjects and Methods] Twenty-seven patients with neck pain were divided into two groups; the self-mobilization group (SMG, n=13) and the self-stretching group (SSG, n=14). The SMG performed upper thoracic self-mobilization and the SSG performed self-stretching exercises as a short-term intervention for a week. To assess the degree of neck pain, the visual analog scale (VAS) was utilized, and to measure the joint range of motion at the flexion-extension, it was compared and analyzed by using the goniometer. [Results] Both SMG and SSG show a significant decrease in the visual analog scale and a significant increase in joint range of motion within the group. In the comparison of groups, there was no significant difference, but it indicated effects on improving the range of motion of extension in SMG. [Conclusion] Self-mobilization of the upper spine, using a Kaltenborn wedge, was useful in alleviating pain in and dysfunction of the cervical spine, and in particular, in improving cervical spine extension in this study.
[目的]本研究旨在确定使用卡尔滕伯恩楔形物对上段脊柱进行短期自我关节松动术对颈部疼痛患者的疼痛及颈椎功能障碍的影响。[对象与方法]27例颈部疼痛患者被分为两组;自我松动术组(SMG,n = 13)和自我伸展组(SSG,n = 14)。SMG进行上胸椎自我松动术,SSG进行自我伸展练习,作为为期一周的短期干预。为评估颈部疼痛程度,采用视觉模拟评分法(VAS),为测量屈伸时的关节活动范围,使用角度计进行比较分析。[结果]SMG和SSG两组的视觉模拟评分均显著降低,组内关节活动范围均显著增加。在组间比较中,虽无显著差异,但表明SMG对改善伸展活动范围有效果。[结论]在本研究中,使用卡尔滕伯恩楔形物对上段脊柱进行自我松动术有助于缓解颈椎疼痛及功能障碍,尤其是改善颈椎伸展。