Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
권호 표지

The Clinical Study of Muscle Energy Technique (MET) Performed on Sternocleidomastoid Muscle of Acute Nuchal Pain Patients on Meridian Electromyography

급성 경항통 환자의 흉쇄유돌근에 대한 근 에너지 기법(MET) 시술 후의 경근전도 변화 연구

  • Ahn, Jae-Min (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Cho, Dong-In (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Park, Dong-Su (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Jeong, Su-Hyeon (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Se-Myung University) ;
  • Kim, Soon-Joong (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Se-Myung University)
  • 안재민 (세명대학교 한의과대학 한방재활의학교실) ;
  • 조동인 (세명대학교 한의과대학 한방재활의학교실) ;
  • 박동수 (세명대학교 한의과대학 한방재활의학교실) ;
  • 정수현 (세명대학교 한의과대학 한방재활의학교실) ;
  • 김순중 (세명대학교 한의과대학 한방재활의학교실)
  • Received : 2013.12.04
  • Accepted : 2013.12.14
  • Published : 2014.01.31
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Abstract

Objectives To evaluate the clinical utility of MET performed on sternocleidomastoid muscle of acute nuchal pain patients, we measured a change of meridian electromyography. Methods We compared electrical activity before and after MET performed on sternocleidomastoid muscle of acute nuchal pain patients in same group (n=20) in isometric exercise state during five seconds. We analyzed amplitudes and areas of electrical activity and asymmetry index (AI). Results 1. After MET performed on sternocleidomastoid muscle of acute nuchal pain patients, maximum voluntary isomeric contraction (MVIC) was significantly increased more than before MET performed (p<0.005). 2. Comparing with before MET performed on sternocleidomastoid muscle of acute nuchal pain patients, muscle fatigue after MET performed on sternocleidomastoid muscle of acute nuchal pain patients decreased but there was no significant difference. 3. Comparing with before MET performed on sternocleidomastoid muscle of acute nuchal pain patients, asymmetry index (AI) after MET performed on sternocleidomastoid muscle of acute nuchal pain patients decreased but there was no significant difference. Conclusions According to above results, after performing MET on sternocleidomastoid muscle of acute nuchal pain patients, maximum voluntary isomeric contraction (MVIC) increased significantly, so it is certain that performing MET on sternocleidomastoid muscle has a clinical effect.

Keywords

References

  1. 대한침구학회 교재편찬위원회. 침구학(하). 서울:집문당. 2008:59.
  2. 대한정형도수치료학회(역). Principles of manual medicine. 3rd ed. 영문출판사. 2007:105-10.
  3. 배준호, 한진태, 배성수. 골반견인과 근 에너지 기법이 편마비 환자의 정적선자세에 미치는 영향. 대한물리치료학회지. 2005;17(4):537-57.
  4. 전태동, 이한길, 홍서영, 허동석, 윤일지. 교통사고로 유발된 경항통 환자의 근에너지기법(MET)의 효과에 대한 임상적 연구. 한방재활의학과학회지. 2009;19(1):125-34.
  5. 권정주, 임형호, 송윤경. 정골의학적(Osteopathic) 수기요법 분석 및 경근추나와의 관련성 연구. 한방재활의학과학회지. 2011;21(2):171-88.
  6. 김기역, 김우영, 한상엽, 이현종, 김기주, 정다운, 문태웅, 김창연. 한의학적 치료법으로 호전된 경추 추간판 탈출증 환자에서의 영상의학적 변화. 대한침구학회지. 2009;26(4):71-7.
  7. 문자영, 송주현, 임명장, 강인, 이효은, 조재희, 김학재, 장형석. 한의학적 치료로 호전된 경추추간판탈출증 환자의 영상의학적 변화 5례. 대한침구학회지. 2007;24(5):229-40.
  8. Vernon H, Mior S. The Neck Disability Index; a study of reliability and validity. Journal of Manipulative and Ohysiological Therapeutic. 1991;14:409-15.
  9. Harrison DE, Harrison DD, Troyanovich SJ, Hrmon S. Anormal spinal position: it's time to accept the evidence. J Manipulative Physiol Ther. 2000;23(9):623-44. https://doi.org/10.1067/mmt.2000.110941
  10. Katsuura A, Kukuda S, Imanaka T, Miyamoto K, Kanemoto M. Amterior cervical plate used in degenerative disease can maintain cervical lordosis. J Spinal Disord. 1996;9:470-6.
  11. Kawakami M, Tamaki T, Yoshida M, Hayashi N, Ando M, Yamada H. Axial symptoms and cervical alignments after cervical anterior spinal fusion for patients with cervical myelopathy. J Spinal Diord. 1999;12:50-6.
  12. Matsunaga S, Sakou T, Sunahara N, Oonishi T, Maeda S, Nakanisi K. Biomechanical analysis of buckling alignment of the cervical spine. Spine. 1997;22:765-71. https://doi.org/10.1097/00007632-199704010-00011
  13. Harrison DD, Troyanovich SJ, Harrison DE, Janik TJ, Murphy DJ. Anormal sagittal spinal configuration: a desirable clinical outcome. J Manipulative Physiol Ther. 1996;19:398-405.
  14. Cote P, Cassidy JD, Yong-Hing K, Sibley J, Loewy J. Apophysial joint degeneration, disc degeneration, and sagittal curve of the cervical spine. Spine. 1997;22:859-64. https://doi.org/10.1097/00007632-199704150-00007
  15. 조재흥, 이종수, 김성수. 경근전도 검사의 임상 활용에 관한 연구. 한방재활의학과학회지. 2005;15(4):89-104.
  16. Malanga G, Peter J. Whiplash injuries. Curr Pain Headache Rep. 2005;9:322-5. https://doi.org/10.1007/s11916-005-0007-6
  17. Co.teP, van der Velde G, Cassidy JD, Carroll LJ, Hogg-Johnson S, Holm LW, Carragee EJ, Haldeman S, Nordin M, Hurwitz EL, Guzman J, Peloso PM. The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine. 2008;33: 60-74. https://doi.org/10.1097/BRS.0b013e3181643ee4
  18. Vernon HT, Humphreys BK, Hagino CA. A systematic review of conservative treatments for acute neck pain not due to whiplash. J Manipulative Physiol Ther. 2005; 28:443-8. https://doi.org/10.1016/j.jmpt.2005.06.011
  19. Haneline M. Acute mechanical neck pain and the continuum of healing. J Am Chiropr Assoc. 2004;41:40-2.
  20. Versteegen GJ, Kingma J, Meijler WJ, ten Duis HJ. Neck sprain in patients injured in car accidents: a retrospective study covering the period 1970-1994. Eur Spine J. 1998;7: 195-200. https://doi.org/10.1007/s005860050055
  21. Cassidy JD, Carroll LJ, Cote P, Lemstra M, Berglund A, Nygren A. Effect of eliminating compensation for pain and suffering on the outcome of insurance claims for whiplash injury. N Engl J Med. 2000;342:1179-86. https://doi.org/10.1056/NEJM200004203421606
  22. Bovim G, Schrader H, Sand T. Neck pain in thegeneral population. Spine. 1994;19:1307-9. https://doi.org/10.1097/00007632-199406000-00001
  23. Dreyer S, Boden S. Nonoperative treatment of neck and arm pain. Spine. 1998;23:2746-54. https://doi.org/10.1097/00007632-199812150-00016
  24. Walker-Bone K, Reading I, Coggon D, Cooper C, Palmer KT. The anatomical pattern and determinants of pain in the neck and upper limbs: an epidemiologic study. Pain. 2004;109:45-51. https://doi.org/10.1016/j.pain.2004.01.008
  25. Guez M, Hildingsson C, Nilson M, Toolanen G. The prevalence of neck pain: a population-based study from northen Sweden. Acta Orthop Scand. 2002;73:455-9. https://doi.org/10.1080/00016470216329
  26. 홍서영, 임형호. Osteopathy의 한의학적 임상활용방안에 관한 소고. 대한추나의학회지. 2002;3(1):85-96.
  27. 박현호, 정지은, 정원희, 김민철, 박희진. 근에너지 기법과 침치료를 병행한 경련성 사경 치험 2례. 한방재활의학과학회지. 2008;18(4):231-42.
  28. 정재영, 이준환, 남기봉, 김성수. 만성요통환자의 복부근육의 일상 동작에 대한 경근전도 분석. 한방재활의학과학회지. 2008;18(4):203-15.
  29. 윤신중, 백승현, 정하련. 요가 수행이 CLBP(Chronoc Low Back Pain) 중년여성의 복직근과 척추기립근 체열 및 요통 자각도에 미치는 영향. 한국무용과학회지. 2011;25:82-97.
  30. Stevens VK, Bouche KG, Mahieu NN, Coorevits PL, Vanderstraeten GG, Danneels LA. Trunk muscle activity in healthy subjects during bridging stabilization exercises. BMC Musculoskelet Disord. 2006;7:75. https://doi.org/10.1186/1471-2474-7-75
  31. Visser A, McCarroll RS, Oosting J, Naeije M. Masticatory electromyographic activity in healthy young adults and myogenous craniomandibular disorder patients. J Oral Rehab. 1994;21:67-76. https://doi.org/10.1111/j.1365-2842.1994.tb01125.x
  32. 최호영. 그림으로 풀어 쓴 임상근육학. 서울:대성의학사. 1999:357-9.
  33. Robert JC, Peter BP, Torn GM. The dominant role of psychosocial risk factors in the developent of chronic low back pain disability. Spine. 1995;20(24):2702-9. https://doi.org/10.1097/00007632-199512150-00011
  34. Visser A, McCarroll RS, Oosting J, Naeije M. Masticatory electromyographic activity in healthy young adults and myogenous craniomandibular disorder patients. J Oral Rehab. 1994;21:67-76. https://doi.org/10.1111/j.1365-2842.1994.tb01125.x
  35. 김현진, 김수현, 박영현, 오석, 최지호, 김태열. 근근막 발통점의 활성도에 따른 초음파 영상구조 및 전기생리학적 특성. 대한임상전기생리학회지. 2010;8(1):23-9.
  36. 김제호, 박승규, 강정일, 양대중. 요부 안정화 운동 프로그램이 축구선수의 체간 및 하지 근활성도와 균형에 미치는 영향. 대한물리치료학회지. 2010;22(5):25-31.