한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제9권12호
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  • Pages.123-128
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  • 2018
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  • 2233-4890(pISSN)
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  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
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동작관찰과 시각적 되먹임 융합 운동이 머리전방자세와 둥근어깨의 정렬, 통증과 기능에 미치는 영향

The Effects of the Action Observation and Visual Feedback Convergence Exercise on the Alignment, Pain and Function of Forward Head Posture and Round Shoulder Posture

  • 강효정 (청암대학교 물리치료과) ;
  • 양회송 (청암대학교 물리치료과)
  • 투고 : 2018.10.29
  • 심사 : 2018.12.20
  • 발행 : 2018.12.28
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초록

본 연구는 머리전방자세와 둥근어깨자세에 대한 일반 운동과 동작관찰, 시각적 되먹임의 효과를 알아보고자 한다. 머리전방자세와 둥근어깨자세를 가진 24명으로 하였으며, 일반 운동군(8명), 동작관찰군(8명), 시각적 되먹임군(8명)으로 무작위 배분하였다. 모든 운동군은 주 3회, 총 4주간 운동하였다. 운동 전 후 머리척추각(CVA), 둥근어깨자세(RSP), 시각적 상사척도(VAS), 경부장애지수(NDI)를 평가하였다. 연구결과 CVA는 일반 운동군과 동작관찰군에서 유의한 변화를 보였으며, RSP, VAS, NDI의 경우 모든 운동군에서 유의한 변화를 보였다. 운동군 간 변화량 비교에서는 VAS에서 동작관찰군이 일반 운동군과 시각적 되먹임군보다 큰 변화량을 보였다. 본 연구결과 동작관찰이 머리전방자세와 둥근어깨자세의 개선에 효과가 있을 것이라고 사료된다.

The aim of this study was to determine the effects of the action observation and visual feedback on the alignment, pain and function of forward head posture(FHP) and round shoulder(RS). A total of 24 participants with FHP and RSP were randomly assigned to general exercise(GE, n=8), action observation(AO, n=8), and visual feedback(VF, n=8). All subjects were exercised three times a week for four weeks. The groups were assessed for craniovertebral angle(CVA), round shoulder posture(RSP), visual analog scale(VAS), and neck disability index(NDI) before and after exercise, There was a significant difference in CVA in the GE, AO and RSP, VAS and NDI were significantly different in all groups. AO was more effective than GE, VF for VAS. The results of this study suggest that action observation may be effective to improve the FHP and RS.

키워드

Table 1. Demographic characteristics of the subjects

OHHGBW_2018_v9n12_123_t0001.png 이미지

Table 2. Comparison of the CVA, RSP, VAS, NDI between pre- and post-intervention

OHHGBW_2018_v9n12_123_t0002.png 이미지

Table 3. Comparison of the changes in CVA, RSP, VAS, NDI after interventions

OHHGBW_2018_v9n12_123_t0003.png 이미지

참고문헌

  1. S. Y. Kim & S. J. Koo. (2016). Effect of duration of smartphone use on muscle fatigue and pain caused by forward head posture in adults. Journal of Physical Therapy Science. 28(6), 1669-72 https://doi.org/10.1589/jpts.28.1669
  2. M. J. Shon, J. S. Roh, H. S. Choi, D. S. Oh. (2012). The effect of postural training through action observation on craniovertebral angle and cranial rotation angle of forward head posture. The journal of Korean academy of physical therapy science. 19(2), 17-24.
  3. S. K. Park, J. M. Park, J. H. Lee. (2010). Effects of a push-up plus exercise program on scapular position and muscle activity in individuals with rounded shoulder posture. The Journal Korean Society of Physical Therapy, 22(5), 1-8.
  4. A. C. Lukasiewicz, P. McClure, L. Michener, N. Pratt, B. Sennett. (1999). Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement. The Journal of orthopaedic and sports physical therapy. 29(10), 574-86. https://doi.org/10.2519/jospt.1999.29.10.574
  5. D. Ashford, S. J. Bennett, K. Davids. (2006). Observational modeling effects for movement dynamics and movement outcome measures across differing task constraints: a meta-analysis. Journal of Motor Behavior. 38(3), 185-205. https://doi.org/10.3200/JMBR.38.3.185-205
  6. R. Gatti, M. A. Rocca, S. Fumagalli, E. Cattrysse, E. Kerckhofs, A. Falini, M. Filippi. (2017). The effect of action observation/ execution on mirror neuron system recruitment: an fMRI study in healthy individuals. Brain Imaging and Behavior. 11(2), 565-576. https://doi.org/10.1007/s11682-016-9536-3
  7. H. R. Pyun. (2010). The effects of observing and analysing learning by the video on the middle school diving player's athletic performance. Master's thesis. Cheonnam National University, Gwangju.
  8. P. M. Galley & A. L. Forster. (1985). Human movement, 2nd ed. New York, Churchill Livingstone.
  9. S. W. Lee, K. J. Lee, C. H. Song. (2011). Effects of visual feedback-based balance training on balance in elderly fallers. Journal of Muscle Joint Health. 18(1), 16-27. https://doi.org/10.5953/JMJH.2011.18.1.016
  10. P. T. Cheng, S. H. Wu, M. Y. Liaw, A. M. Wong, F. T. Tang. (2001). Symmetrical body- weight distribution training in stroke patients and its effect on fall prevention. Archives of Physical Medicine and Rehabilitation. 82(12), 1650-4. https://doi.org/10.1053/apmr.2001.26256
  11. E. R. Walker, A. S. Hyngstrom, B. D. Schmit. (2016). Influence of visual feedback on dynamic balance control in chronic stroke survivors. Journal of Biomechanics. 49(5), 698-703. https://doi.org/10.1016/j.jbiomech.2016.01.028
  12. M. de Haart, A. C. Geurts, S. C. Huidekoper, L. Fasotti, J. van Limbeek. (2004). Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study. Archives of Physical Medicine and Rehabilitation. 85(6), 886-95. https://doi.org/10.1016/j.apmr.2003.05.012
  13. M. C. Dault, M. de Haart, A. C. Geurts, I. M. Arts, B. Nienhuis. (2003). Effects of visual center of pressure feedback on postural control in young and elderly healthy adults and in stroke patients. Human Movement Science. 22(3), 221-36. https://doi.org/10.1016/S0167-9457(03)00034-4
  14. C. Walker, B. J. Brouwer, E. G. Culham. (2000). Use of visual feedback in retraining balance following acute stroke. Physical Therapy. 80(9), 886-95.
  15. J. Y. Kim. (2015). Effects of deep cervical flexors strengthening exercise on cervical- shoulder angle, disability index and pain and in patients with chronic neck pain. Journal of Korean Academy of Orthopaedic Manual Physical Therapy. 21(2), 33-7.
  16. H, S. Hwang, J. H. Kim, B. R. Choi. (2017). Comparison of the effects of visual feedback training and unstable surface training on static and dynamic balance in patients with stroke. Journal of Physical Therapy Science. 29(10), 1720-1722. https://doi.org/10.1589/jpts.29.1720
  17. D. Y. Lee. (2015). The effects of improvement forward head posture exercises on rounded shoulder and respiratory function. Master's thesis. Daegu University, Gyeongsan.
  18. J. H. Park. (2013). The effects of postural correction of athletic participation on Turtle Neck syndrome. Master's thesis. Kookmin University, Seoul.
  19. I. H. Lee. (2016). Effect of the deep neck flexor muscular strength exercise on cervical spine alignment, muscular fitness and pain. Master's thesis. Woosuk University, Wanju.
  20. G. C. Kim. (2013). The Effect of visual feedback squat on Q-angle with patellofemoral pain syndrome. Journal of Korean Academy of Orthopaedic Manual Physical Therapy. 19(1), 41-7.
  21. S. W. Park. (2016). The effects of postural correction exercise on muscle activity and onset time during arm elevation in forward head and rounded shoulder posture. Doctoral dissertation. Eulji University, Seongnam.
  22. J. Y. Choi. (2016). The effect of lower trapezius strengthening exercises on pain, disability in shoulder pain patient with rounded shoulder posture. Master's thesis. Halllym University, Chuncheon.
  23. G. C. Lee & W. S. Bae. (2015). The effect of shoulder exercise program for improving forward head posture. Journal of The Korean Society of Integrative Medicine. 3(3), 1-8. https://doi.org/10.15268/ksim.2015.3.3.001
  24. S. Y. Shim. (2016). The effects of visual feedback step exercise on anticipatory postural adjustment, balance and cognition of chronic stroke patient. Master's thesis. Sahmyook University, Seoul.
  25. C. K. Kim & E. S. Lee. (2016). The changes of in headache due to postural improvement in patients with tension headache with forward head posture. The Journal of Korean Society for Neurotherapy, 20(3), 27-32.
  26. Y. A. Park. (2015). Effects of action observation training for upper extremity function and activity of daily living on chronic stroke patients. Master's thesis. Hallym University. Chuncheon.
  27. J. Y. Kim, K. J. Han, T. W. Seo. (2012). The effects of action observational training and visualization training on balance and gait in stroke patients. Journal of the Korea Entertainment Industry Association. 6(4), 305-12. https://doi.org/10.21184/jkeia.2012.12.6.4.305