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경추 X-ray 시상면 지표와 추나체형분석 결과와의 상관성 연구

Correlation Study between Cervical X-ray Sagittal Parameters and Chuna Posture Analysis Results

  • 박주성 (가천대학교 한의과대학 한방재활의학과교실) ;
  • 임형호 (가천대학교 한의과대학 진단학교실) ;
  • 송윤경 (가천대학교 한의과대학 한방재활의학과교실)
  • Park, Joo-Sung (Department of Korean Rehabilitation Medicine, College of Korean Medicine, Gachon University) ;
  • Lim, Hyung-Ho (Department of Diagnosis, College of Korean Medicine, Gachon University) ;
  • Song, Yun-Kyung (Department of Korean Rehabilitation Medicine, College of Korean Medicine, Gachon University)
  • 투고 : 2020.03.16
  • 심사 : 2020.04.09
  • 발행 : 2020.04.30

초록

Objectives The purpose of this study was to examine how changes in the cervical spine correlate with body posture changes in the whole body, and to find out the significance of complementary clinical application X-ray and Chuna posture analysis. Methods From January 1, 2019 to October 31, 2019, the results of 27 patients with pain in the vertebral region were analysed in accordance with the results of cervical X-ray and Chuna posture analysis. In order to confirm the significance of Chuna posture analysis results, the survey of 187 Chuna standard curriculum instruction qualification certifiers was conducted and the responses of 47 of them were analyzed. Results The occiput-atlas cline angle increases in both hypolordosis/hyperlordosis groups based on cervical lordosis angle, and increases further than in the hyperlordosis group. There were significant correlations between the changes in the cervical spine and the body posture changes in the whole body. There were no significant differences between cervical X-ray sagittal parameters and the body posture analysis parameters based on the patient's major disease codes. Conclusions As a result of conducting a survey on the clinical importance of the body posture analysis parameters, the importance of cervical parameters was verified. Changes in the cervical spine may not only cause other changes in the cervical region, but also affect the body posture changes in the whole body. The complementary application of X-ray and Chuna posture analysis results is helpful in clinical diagnosis and treatment of musculoskeletal disorders.

키워드

참고문헌

  1. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. Chuna manual medicine. Seoul:The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2011:4-71.
  2. Lee JH, Kim CG, Jo DC, Moon SJ, Park TY, Ko YS, Nam HW, Lee JH. Diagnostic X-ray from the perspective of Chuna manual medicine, based on the listing system of spinal and pelvic subluxation. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2014;9(1):1-14.
  3. 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.
  4. Jung HW, Shin WS, Kim DH, Park WH, Cha YY, Ko YS, Lee JH, Chung WS, Shin BC, Song YK, Go HY, Sun SH, Jeon CY, Jang BH, Ko SG. The study on correlation between the forward head posture and spinal alignment. J Korean Med Rehabil. 2013;23(4):195-202.
  5. Kim GS, Kim HS, Yang IS, Lee YS, Lee CH, Jung JH, Kim WS. Analysis of related factors on cervical angle with kyphosis observed by X-ray. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2017;12(1):57-70.
  6. Herbst RW. Gonstead chiropractic science & art. USA: Sci-Chi Publications. 1980:191.
  7. Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Manual Therapy. 2008;13(2):148-54. https://doi.org/10.1016/j.math.2006.11.002
  8. Barge FH. Torticollis, the cervical slipped disc syndrome. 2nd ed. Davenport:Bawden Bros. 1979:40-5.
  9. Israel JC. Cervical X-ray line analysis. Davenport: Palmer College of Chiropractic. 1992:22-3.
  10. Johnson MR. Palmer upper cervical specific X-ray Analysis. 4th ed. Davenport:Palmer College of Chiropractic. 1992:15, 17-8.
  11. Moon GS. The study for the potential injury of spinal column on using the smart phone with the postures. The Korea Journal of Sports Science. 2016;25(4):1529-40.
  12. Park JS, Park CH, Song YK. Research of body parameters characteristics from posture analysis of musculoskeletal problem patient. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2015;10(1):47-61.
  13. Han KW, Kim ES, Woo JH, Kim HJ, Lee MJ. Correlation analysis between radiological result and radiating pain in neck pain. J Korean Med Rehabil. 2010;20(4):139-46.
  14. Kim HK, Kim S, Bahn HJ, Yoon HS, Yeom SK, Hong SS. Correlation analysis between radiological result and radiating pain in lumbosacral pain. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2009;4(1):95-102.
  15. Dillingham T. Evaluation and management of low back pain: and overview. State of the Art Reviews. 1995;9(3):559-74.
  16. Seo EM. The analysis of sagittal balance between cranium, cervical spine, and thoracic inlet in asymptomatic adult. Kangwon:Kangwon Graduate School. 2012:1-23.
  17. Kang KB, Kim YB, Ahn YJ, KIM YJ, Park SC. Changes in sagittal spinopelvic parameters according to pelvic incidence in asymptomatic old Korean men. Journal of Korean Society of Spine Surgery. 2011;18(4):223-9. https://doi.org/10.4184/jkss.2011.18.4.223
  18. Sac A, Tasmektepligil MY. Correlation between the Q angle and the isokinetic knee strength and muscle activity. Turk J Phys Med Rehabil. 2018;64(4):308-13. https://doi.org/10.5606/tftrd.2018.2366
  19. Zamani Moghadam H, Hoseini ST, Hashemian AM, Sharifi MD. The relation of Q angle and anthropometric measures with ankle sprain; a case-control study. Emerg (Tehran). 2017;5(1):e9.

피인용 문헌

  1. 근골격계의 방사선학적 지표를 사용한 한의 임상 연구 동향 분석 vol.15, pp.2, 2020, https://doi.org/10.30581/jcmm.2020.15.2.19