The Study of Effectiveness of Wooden Pillow and Comparison Evaluation of diagnosis method on Straightening of Cervical Curvature Patient

교통사고 후 한방병원에 입원한 일자목증후군 환자를 대상으로 한 진단방법의 비교 평가 및 경침사용의 유효성 연구

  • Lee, Chiho (Dept. of Korean Medicine, Daejeon University) ;
  • Jeon, Donghwi (Dept. of Korean Medicine, Daejeon University) ;
  • Lee, Eunjung (Dept. of Korean Medicine, Daejeon University) ;
  • Oh, Minseok (Dept. of Korean Rehabilitation Medicine, College of Korean Medicine, DaeJeon University)
  • Received : 2015.12.14
  • Accepted : 2016.01.05
  • Published : 2016.02.20

Abstract

Objectives : This study was designed to evaluate various tools including C-spine X-ray for estimating cervical curvature and identify the effect of wooden pillow on patients diagnosed with straightening of cervical curvature. Methods : This study was carried out on 51 subjects who were encountered traffic accident suffering cervical pain and diagnosed with straightening of cervical curvature by X-ray. 51 subjects were divided into wooden pillow(experimental) group and conservative therapy(control) group. Visual analogue scale, neck disability index and lateral pictures were used and compared after treatment. C-spine AP., Lat. X-ray were used on admission day to calculate cervical curvature and scoliosis by various ways. Results : 4 different measurements of cervical curvature didn't show common results. Both wooden pillow(experimental) group and conservative therapy(control) group showed significant improvement in the visual analogue scale(VAS) and neck disability index(NDI) after hospital treatment. Comparison between center line pictured by lateral view and C-spine Lat. pictured by X-ray showed significant difference in cervical curvature. Lateral deviation of cervical vertebra showed lengthened distance between mastoid process and spinous process of C7. Conclusion : As a result of this research, I found out that various tools for calculating cervical lordosis could derive different results and C-spine AP., Lat X-ray could cause artificial cervical lordosis. According to visual analogue scale(VAS) and neck disability index(NDI) wooden pillow was not effective to reduce pain & disability caused by straightening of cervical curvature. Futhermore, correction effect of straightening of cervical curvature and scoliosis by wooden pillow was weak.

Keywords

References

  1. Pal GP, Sherk H.H. The vertical stability of the cervical spine. Spine. 1988 May13(5);47,447-9.
  2. Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine. 1994;19:1307-9. https://doi.org/10.1097/00007632-199406000-00001
  3. Lagattuta F, Falco F. Assessment and treatment of cervical spine disorders. In: Braddom R ed. Physical Medicine and Rehabilitation. Philadelphia, Saunders: 2000;762-91.
  4. Calliet R. Neck and Arm Pain, FA Davis. 1991;75-77.
  5. Porterfield JA, DeRosa C. Mechanical Neck Pain: Perspectives in Functional Anatomy. W.B. Saunders Company. 1994:1-2, 16-18.
  6. Calliet R. Soft tissue pain and disability. Seoul:Daehakseolim. 1994;133-50.
  7. Jeoung CH. Occupation and health. Seoul:Shinkwang Pub. 2008:175.
  8. Harrison DE, Harrison DD, Betz JJ, Janik TJ, Holland B, Colloca CJ, Haas JW. Increasing the cervical lordosis with chiropractic biophysics seated combined extension-compression and transverse load cervical traction with cervical manipulation: nonrandomized clinical control trial. J Manipulative Physiol Ther. 2003 Mar-Apr;26(3):139-51. https://doi.org/10.1016/S0161-4754(02)54106-3
  9. Lee SM, Choi YS, Park YH, Keum DH. Chuna treatment cases report on neck pain patients with abnormal cervical curvature. J Oriental Rehab Med. 2002;12(4):1-10.
  10. Visscher CM, de Boer W, Naeije M. The relationship between posture and curvature of the cervical spine. Manipulative Physiol Ther. 1998;21(6) :388-91.
  11. Kim JY. Research of wellbeing wooden pillow design(Based on traditional wooden pillow). The Graduate School of Culture & Industries Jeon-ju University. 2006;5-8.
  12. Nagasawa A, Sakakibara T, Takahashi A. Roentgenographic findings of the cervical spine in tension-type headache. Headache. 1993;33:90-5. https://doi.org/10.1111/j.1526-4610.1993.hed3302090.x
  13. Jocumsen OH. The curve of the cerviacl spine. ACA J Chiro. 1970:49.
  14. Ishihara A. Roentgenographic studies on the normal pattern of the cervical curvature. Nippon Seikeigeka Gakkai Zasshi(J Jpn Orthop Assoc). 1968;42 :1033-44.
  15. Gore DR, Sepic SB, Gardner GM. Roentgenographic findings of the cervicla spine in asymptomatic people. Spine. 1986;11:521-4. https://doi.org/10.1097/00007632-198607000-00003
  16. Thoma F. Bergmann, David H. Peterson, Dana J. Lawrence, Chiropratic Technique; Principles and Procedures, 1st edition. Churchill Livingstone Inc, 1993.
  17. Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles testing and function with posture and pain fifth edition. Seoul:Hanmi medical Pub. 2006:60-5,152-3.
  18. Jone HJ, Sydney MM, Gomer WR. Roentgenographic variations in normal cervical spine. Radiology. 1962;78:591-7. https://doi.org/10.1148/78.4.591
  19. Jung DY.. The relationship of cervical spine curvature and neck pain., J Oriental Rehab Med. 2011;21(2):239-52.
  20. Jochumsen OH. The curve of the cervical spine. ACA J Chiro. 1970:49.
  21. Jackson R. The cervical Syndrome. Springfield, IL; Charles C. Thomas. 1957.
  22. Yamazaki A, Homma T, Uchiyama S, Katsumi Y, Okumra H. Morphologic limitations of posterior decompression by midsagittal splitting method for myelopathy caused by ossification of the posterior longitudinal ligament in the cervical spine. Spine, 1999;24(1):32-4. https://doi.org/10.1097/00007632-199901010-00008
  23. Uematsu Y, Tokuhashi Y, Matsuzaki H. Radiculopathy after laminoplasty of the cervical spine. Spine, 1998;23(19) :2057-62. https://doi.org/10.1097/00007632-199810010-00004
  24. Baba H, Maezawa Y, Furusawa N, et al. Flexibility and alignment of the cervical spine after laminoplasty for spondylotic myelopathy. Int Orthop. 1995;19:116-21.
  25. Hardacker JW, Shuford RF, Capicotto PN, et al. Radiographic standing cervical segmental alignment in adult volunteers without neck symptoms. Spine. 1997; 22:1472-80. https://doi.org/10.1097/00007632-199707010-00009
  26. Harrison DD, Janik TJ, Troyanovich SJ, et al. Comparisons of lordotic cervical spine curvatures to a theoretical ideal model of the static sagittal cervical spine. Spine. 1996;21:667-75. https://doi.org/10.1097/00007632-199603150-00002
  27. Saruhashi Y, Hukuda S, Katsuura A, et al. A long-term follow-up study of cervical spondylotic myelopathy treated by French Window laminoplasty. J Spine Disord. 1999;12:99-101.
  28. Mayoux-Benhamou MA, Revel M, Vallee C. Longus colli has a postural function on cervical curvature. Surg Radiol Anat. 1994;16:367-71. https://doi.org/10.1007/BF01627655
  29. Park SW, Jang YW, Kim SS, Jang KU. The Change of Cervical Spine Curvature by Three Measurement Methodsin Cervical Pain Patients. Journal of Korean Academy of Rehabilitation Medicine. 2000;24(4):756-64.
  30. Juhl JH, Miller SM, Roberts GW. Roentgenographic variations in the normal cervical spine. Radiology. 1962;78:591-7. https://doi.org/10.1148/78.4.591
  31. Borden AGB, Rechtman AM, Gershon-Cohen J. The normal cervical lordosis. Radiology. 1960;74:806-9. https://doi.org/10.1148/74.5.806
  32. Mamairas C, Barnes MR, Allen MJ. "Whiplash injuries" of the neck: a retrospective study. Injury. 1988:19: 393-6. https://doi.org/10.1016/0020-1383(88)90131-3
  33. Harrison DD, Harrison DLJ. Pathological stress formations on the anterior vertebral body in the cervicals. In: Suh CH(ed) The proceedings of the 14th Annual Biomechanics Conference on the Spine. Mechanical Engineering Department, University of Colorado. 1983: 31-50.
  34. Harrison DE, Harrison DD, Troyanovich SJ, Harmon S. A normal 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
  35. Weir DC. Roentgenographic signs of cervical injury. Clin Ortho Relat Res. 1975;109:9-17. https://doi.org/10.1097/00003086-197506000-00003
  36. 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