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Radiologic Analysis of Cervical Lordosis for University Students

대학생들의 경추의 전만 각도에 대한 고찰

  • Received : 2015.09.18
  • Accepted : 2015.10.02
  • Published : 2015.10.31

Abstract

Objectives To measure and analyze the curvature of the cervical spine for university students. Methods This study carried out on 132 students. The cervical spine curvature was measured by six measuring methods. The type and numeric value of cervical spine curvature was analyzed by Angle of cervical curve (C1~C7), Angle of cervical curve (C2~C7), Jackson's angle, Ishihara Index, Depth of cervical curve and Method of Jochumsen. Cervical spine curvatures between male and female are compared by Mann-Whitney test. Rate of type of cervical curvature between male and female are compared by linear by linear association. Results 1. The average of angle of cervical curve (C1~C7) is $33.78{\pm}9.85^{\circ}$, angle of cervical curve (C2~C7) is $10.28{\pm}8.12^{\circ}$. The average of Jackson's angle is $14.02{\pm}10.01^{\circ}$, average of Ishihara Index is $8.46{\pm}10.58%$. The average of Depth of cervical curve is $5.15{\pm}4.72mm$ and average of Method of Jochumsen is $0.94{\pm}3.83mm$. 2. More than half of student's cervical curvature showed hypolordosis except Ishihara index. 3. There was significant difference in numeric value of cervical curvature between male and female both groups in terms of Ishihara index. 4. There were insignificant differences between male and female in terms of type of cervical curvature. Conclusions According to above results, we found out average of student's cervical curve. And the results suggest that most of the student's cervical curvature decrease.

Keywords

Cervical curvature;Angle of cervical curve;Jackson's angle;Ishihara Index;Depth of cervical curve;Method of Jochumsen

References

  1. Robert M. Diagnosis and Treatment of Pain of Vertebral Origin. Seoul:Koonja.2008:3-6.
  2. Hardacker JW, Robert F, Peter N, Philip W. Radiographic standing cervical segmental alignment in adult volunteers without neck symptoms. Spine. 1997;22(13):1472-9. https://doi.org/10.1097/00007632-199707010-00009
  3. Christie HJ, Kumar S, Warren SA. Postural aberrations in low back pain. Arch Phys Med Rehabil. 1995;76(3):218-24. https://doi.org/10.1016/S0003-9993(95)80604-0
  4. Gelb DE, Lenke LG, Bridwell KH, Blanke K, McEnergy KW. Analysis of sagital spinal alignment in 100 asymtomatic middle and older aged volunteers. Spine. 1995;20(12):1351-8. https://doi.org/10.1097/00007632-199520120-00005
  5. Hardacker JW, Shuford RF, Capicotto PN, Pryor PW. Radiographic standing cervical segmental alignment in adult volunteer without neck symptoms. Spine. 1997;22(13):1472-80. https://doi.org/10.1097/00007632-199707010-00009
  6. Oktenoglu T, Ozer AF, Ferrara LA, Andalkar N, Sarioglu AC, Benzel EC. Effects of cervical spine posture on axial load bearing ability : a biomechanical study. J Neurosurg. 2001;94(1):108-14.
  7. Lee BR, Lee H, Park TG. Clinical studies on 50cases of patient with cervical pain. The journal of Korean Acupuncture & Moxibustion Society. 1999;16(2):69-82.
  8. Kim DM, Ha SY, Cho SY, Kim YS, Nam SS. The study about the correlation between cervical hypolordosis and neck pain. The journal of Korean Acupuncture & Moxibustion Society. 2008;25(5):69-76.
  9. Lee JS, Lee SJ, Kim ES, Han KW, Woo JH, Kim SJ Lee H, Kim CY. Correlation analysis between cervical hypolordosis and radiological result in neck pain. The Journal of Korea CHUNA Manual Medicine for Spine&Nerves. 2010;5(2):1-8.
  10. Terry RY, Lindsay JR. Essentuals of skeletal radiology. Baltimore: Williams & Wilkens 1. 1987:152-3.
  11. Netter FH. Atlas of human anatomy. Neu Jersey:Ciba-Geigy Corporation. 1987:22-30.
  12. Rene C. Neck and arm pain. Philadelphia : Davis ,1991;348-67.
  13. Foreman SM, Croft AC. Whiplash injuries. Seoul:Chuna. 2000;325-9, 448.
  14. Modic MT. Masaryk TJ. Imaging of degenerative disk disease. Radiology. 1988;168(1):177-86. https://doi.org/10.1148/radiology.168.1.3289089
  15. Gore DR, Sepic SB, Gardener GM. Roentgenographic findings of the cervical spine in asymptomatic people. Spine. 1986;11(6):521-4. https://doi.org/10.1097/00007632-198607000-00003
  16. Friedenberg ZB, Miller WT. Degenerative disc disease of the cervical spine: A comparative study of asymptomatic and symptomatic patients. J Bone Joint Surg. 1963;45:1171-8. https://doi.org/10.2106/00004623-196345060-00004
  17. Lawrence JS. Disc degeneration:Its frequency and relationship to symptoms. Ann Rheum Dis. 1969;28(2):121-38. https://doi.org/10.1136/ard.28.2.121
  18. Bergmann TF, Peterson DH, Lawrence DJ. Chiropratic technique. Seoul:Chuna. 2000:226-9.
  19. Borden AG, Rechtman AM, Gershon-Cohen J. The normal cervical lordosis. Radiology. 1960;74:806-10. https://doi.org/10.1148/74.5.806
  20. Kristjansson E. Reliability of ultrasonography for the cervical multifidus muscle in asymptomatic and symptomatic subjects. Manual Theraphy. 2004;9(2):83-8. https://doi.org/10.1016/S1356-689X(03)00059-6
  21. Cailliet R. Mechanism of pain in the neck and from the neck. Philadelphia:Neck and arm pain. 3rd ed. 1991:348-67.
  22. Robin M. Treat your own neck. Lower Hutt;Spinal publications. 1983:7-63.
  23. Robert M. Diagnosis and Treatment of Pain of Vertebral Origin. Seoul:Koonja.2008:3-6.
  24. Robin M.A practical guide to the prescription of exercise.Can Fam Physician. 1988;34:2712-5.
  25. Alison B, Dave N. Chiropractic for neck pain: A pilot study examining whether the duration of the pain affects the clinical outcome. Clinical Chiropractic. 2005;8(4):179-88. https://doi.org/10.1016/j.clch.2005.06.006
  26. Song EM, Kim EJ, Cho YJ, Cho JH, Chung SH, Song MY. The correlation among cervical curvature, neck pain and headache in patients with chronic neck pain. J Oriental Rehab Med. 2011;21(4):97-109.
  27. Jung DY, Chung SH, Lee JS. An analysis of relationship among cervical spine curvature measurement methods. J Oriental Rehab Med. 2005;15(4):65-76.
  28. Chernukha KV, Daffner RH, Reigel DH. Lumbar lordosis measurement: a new method versus Cobb technique. Spine. 1998;23(1):74-80. https://doi.org/10.1097/00007632-199801010-00016
  29. Jung DY, Kim SS, Chung SH, Lee JS. The relationship of cervical spine curvature and neck pain. J Oriental Rehab Med. 2011;21(2):239-52.
  30. Cobb JR. Outline for the Study of Scoliosis.Instructional Course Lectures. 1948;5:261-275.
  31. Harrison DE, Harrison DD, Cailliet R, Troyanovich SJ, Janik TJ, Holland B. Cobb method or Harrison posterior tangent method: whick to choose for lateral cervical radiographic analysis. Spine. 2000;25(16):2072-8. https://doi.org/10.1097/00007632-200008150-00011
  32. Jackson R. The classic : The cervical syndrome. Clin Orthop Relat Res. 2010;468(7): 1739-45. https://doi.org/10.1007/s11999-010-1278-8
  33. Gore DR, Sepic SB, Gardner GM, Murray MP. Neck pain: a long term follow-up of 205 patients. Spine. 1987;12(1):1-5. https://doi.org/10.1097/00007632-198701000-00001
  34. Ishihara A. Roentgenographic studies on the normal pattern of the cervical curvature. J Jpn Orthop Assoc. 1968;42(11):1033-44.
  35. Borden AGB, Rechtman AM, Gershon-Cohen J. The normal cervical lordosis. Radiology. 1960;74(5):806-10. https://doi.org/10.1148/74.5.806
  36. Jochumsen OH. The curve of cervical spine. ACA J Chiro. 1970;4:49-55.
  37. Weir DC. Roentgenographic signs of cervical injury. Clin Orthop Relat Res. 1975;109:9-17. https://doi.org/10.1097/00003086-197506000-00003
  38. William MC, John AG, Richard L. Twelve significant signs of cervical spine trauma. Skeletal Radiology. 1979;3(4):201-5. https://doi.org/10.1007/BF00360936
  39. Gore DR, Sepic SB, Gardner GM. Roentgenographic findings of the cervical spine in asymptomatic people. Spine. 1986;11(6):521-4. https://doi.org/10.1097/00007632-198607000-00003
  40. Mayoux-Benhamou MA, Revel M, Vallee C. Longus colli has a postural function on cervical curvature. Surg Radiol Anat. 1994;16(4): 367-71. https://doi.org/10.1007/BF01627655

Acknowledgement

Supported by : 세명대학교