Department of Physical Therapy, Gachon University, Incheon 21936, Korea.
Int J Environ Res Public Health. 2021 Mar 25;18(7):3410. doi: 10.3390/ijerph18073410.
The purpose of this study was to investigate the effect of flexion exercise of the deep cervical muscles on headache and sleep disorders in patients with tension headaches and forward head posture. A total of 32 patients with tension headaches and forward head posture were randomly assigned to two groups: an experimental group ( = 16) and a control group ( = 16). The experimental group performed cervical deep muscle flexion exercises for 4 weeks, whereas the control group performed stretching exercises for the same period. The Henry Ford Hospital Headache Disability Inventory (HDI) was used for headache assessment, and the Korean version of the Pittsburgh Sleep Quality Index (PSQI-K) was used for sleep disorder assessment. The experimental group showed a significant reduction in both HDI and PSQI-K score after 4 weeks of intervention ( < 0.001), while no significant difference was found in the control group ( > 0.05). On comparing the experimental and control groups, we found a significant difference in changes in the HDI and PSQI-K between the groups ( < 0.05). The results indicate that flexion exercise of the deep cervical muscles in patients with tension headache and forward head posture will improve the quality of life and activities of daily life by mitigating headaches and sleep disorders.
本研究旨在探讨颈椎深层肌肉屈伸运动对紧张性头痛和前伸头姿势患者头痛和睡眠障碍的影响。共纳入 32 例紧张性头痛和前伸头姿势患者，随机分为实验组（n=16）和对照组（n=16）。实验组进行颈椎深层肌肉屈伸运动 4 周，对照组同期进行伸展运动。采用亨利福特头痛残疾量表（HDI）评估头痛，采用匹兹堡睡眠质量指数（PSQI-K）评估睡眠障碍。干预 4 周后，实验组的 HDI 和 PSQI-K 评分均显著降低（<0.001），而对照组无显著差异（>0.05）。实验组和对照组比较，两组的 HDI 和 PSQI-K 变化差异有统计学意义（<0.05）。结果表明，对于紧张性头痛和前伸头姿势患者，颈椎深层肌肉屈伸运动可改善头痛和睡眠障碍，从而提高生活质量和日常生活活动能力。
