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발표연제 검색

연제번호 : 70 북마크
제목 Spinal mobility and respiratory function between chronic neck pain patients and asymptomaic people
소속 Kwangju Christian Hospital, Deparment of Rehabilitation Medicine1
저자 Jihong Cheon1*, Na Na Lim1, Geun Su Lee1, Won Ki Hong1, Youn Kyung Cho1†, Sung Hoon Lee1, Eun Young Kang1, Hyun Kyung Lee1
Objective
Neck pain is the fourth leading cause of disability with an annual prevalence rate exceeding 30%. In addition to musculoskeletal pain, neck pain is associated with dizziness, anxiety, and depression and is known to cause disability in daily life. This study measured the functional thoracic ROM at the moment of maximal inspiration and expiration rather than the static maximum ROM, and attempts to find out the correlation between pulmonary function and functional spinal mobility in chronic neck pain patients.

Methods
Chronic neck pain was assessed by the Korean Version of the Neck Disability Index. Maximal inspiratory pressure and maximal expiratory pressure were assessed by respiratory pressure meter. Thoracic ROM was measured by flexicurve as following ways: 1)Thoracic curvature; Sitting comfortably and breathe as usual, 2)Thoracic curvature while maximal expiration; sitting comfortably and bend the trunk while taking maximal exhalation. 3)Thoracic curvature while maximal inspiration; sitting comfortably and extend back while taking maximal inspiration. The thoracic ROM is the value of 2)-3).

Results
Thoracic curvature, thoracic ROM, MIP and MIP were significantly different between the two groups. Table-1. NDI has a significant linear relationship with thoracic ROM. Table-2.

Conclusion
These results suggest that mobility of the thoracic spine in patients with chronic neck pain is correlated with respiratory muscle ability.
Table 1. Thoracic ROM and respiratory parameters in asymptomatic group and neck disability group. Data are presented as mean(±SD).
Table-2. Correlation between Neck diability and thoracic ROM. r : Pearson’s correlation coefficient