DOI QR코드

DOI QR Code

Comparison of the Effectiveness of Sling Exercise and McKenzie Exercise in Patients with Acute Cervical Whiplash Associated Disorder Following Rear-end Collision

  • Jeong, Mo-Beom (Chung Yeon Oriental Medicine Clinic) ;
  • Kim, Jae-Yun (Department of Occupational and Environmental Medicine, School of Medicine, Chosun University) ;
  • Lee, Dong-Woo (Department of Physical Therapy, Honam University)
  • Received : 2016.09.20
  • Accepted : 2016.11.02
  • Published : 2016.10.30

Abstract

Purpose: This study compared the effectiveness of sling exercise and McKenzie exercise in patients with acute cervical whiplash associated disorder (WAD) caused by rear-end collision. Methods: Thirty WAD patients were randomly assigned to one of three groups; a sling exercise (SE) group, a McKenzie exercise (McE) group, and a control group. Members of the SE and McE exercised three times a week for four weeks under the researcher's guidance. Three groups performed TENS treatment three times a week for four weeks. Diagnostic radiological equipment was used to measure whiplash injury. Visual analog scale (VAS), neck disability index (NDI), and range of motion (ROM) were used in this study. Results: The three groups showed a significant pre-post treatment difference in measures of VAS and NDI (p<0.05). The SE group showed a significant pre-post treatment difference in measures of flexion and extension changes compared to the McE and control group (p<0.05). The SE group also showed significantly greater improvement in the VAS, NDI, and ROM changes than the control group (p<0.05). Conclusion: These findings indicate that sling exercise is a stronger and more aggressive intervention for treatment of acute WAD patients.

Keywords

References

  1. Brison, RJ, Hartling L, Pickett W. A prospective study of acceleration-extension injuries following rear-end motor vehicle collisions. J. Musculoskelat. Pain. 2000;8(1-2):97-113. https://doi.org/10.1300/J094v08n01_08
  2. Lee KY, Park MJ, Cho WY et al. Analysis about deviation of upper cervical of patients with whiplash injuries. The Acupuncture. 2003;20(6):27-35.
  3. Lee MH, Park RJ. The effect of MFR and taping on the pain level in whiplash injury. J Kor Phys Ther. 2004;16(3):125-41.
  4. Carroll, LJ, Cassidy JD, Cote P. The role of pain coping strategies in prognosis after whiplash injury: passive coping predicts slowed recovery. Pain. 2006;124(1):18-26. https://doi.org/10.1016/j.pain.2006.03.012
  5. Chang JS, Lee JH. Comparison of cervical flexor muscles thickness during cranial-cervical flexor exercise according to pressure levels and eye directions in healthy subjects. J Kor Phys Ther. 2015;27(1):50-4. https://doi.org/10.18857/jkpt.2015.27.1.50
  6. Seo HJ, Kim JW, Son KK. The effect of different head positions with whole body vibration on muscle activation related to postural stability in standing. J Kor Phys Ther. 2014;26(3):156-62.
  7. Park YN, Bae YS. Change of pain and breathing function following kinesio taping of myofascial pain in sternocleidomastoid muscle. J Kor Phys Ther. 2014;26(5):302-7.
  8. Kim SY, Kim TY. Theoretical basis and application of the neurac technique which uses the sling exercise therapy. Korean J Orthop Manu Ther. 2006;12(2):52-65.
  9. Yeom JN, Lim CG. Change of static and dynamic foot pressure after trunk stabilization exercises in children with spastic diplegic cerebral palsy. J Kor Phys Ther. 2014;26(4):274-9.
  10. Lee WJ, Park S, Park JW. Influence of trunk stabilization exercise upon the lumbar stabilization and foot pressure in patients with back pain. J Kor Phys Ther. 2014;26(1):21-6. https://doi.org/10.1589/jpts.26.21
  11. Jung YW. Effects of McKenzie exercise on the functional recovery and forward head posture of chronic neck pain patients. J Korean Soc Phys Med. 2006;1(1);93-108.
  12. McKenzie R. Treat your own neck. Waikanae New Zealand. Spinal Publications. 1983.
  13. Spearing N, March L, Bellamy N et al. Management of acute musculoskeletal pain. APLAR J Rheum. 2005;8(1):5-15. https://doi.org/10.1111/j.1479-8077.2005.00114.x
  14. Choi HW, Kim SY. Research article: the effect of functional postural trunk exercise on pain, activities of daily living, range of motion, deep cranio-cervical flexor muscle endurance in neck pain patient by acute whiplash-associated disorders. J Korean Soc Phys Med. 2013;8(4):655-66. https://doi.org/10.13066/kspm.2013.8.4.655
  15. Yoo SH, Ha HK, Lee HJ. Korean cultural adaptation of working alliance inventory and its reliability. J Kor Phys Ther. 2014;26(2):90-6.
  16. Spitzer WO. Scientific monograph of the Quebec task force on whiplash-associated disorders: redefining 'whiplash' and its management. Spine. 1995;20(8):1S-73S. https://doi.org/10.1097/00007632-199504151-00001
  17. Jull G, Sterling M, Kenardy J et al. Does the presence of sensory hypersensitivity influence outcomes of physical rehabilitation for chronic whiplash?-a preliminary RCT. Pain. 2007;129(1):28-34. https://doi.org/10.1016/j.pain.2006.09.030
  18. Dall'Alba PT, Sterling MM, Treleaven JM et al. Cervical range of motion discriminates between asymptomatic persons and those with whiplash. Spine. 2001;26(19):2090-4. https://doi.org/10.1097/00007632-200110010-00009
  19. Lim HJ. The effects of joint mobilization on neck pain. Daegu University. Dissertation of Master's Degree. 2003.
  20. Choi MH. The effects of cervical extension exercise for pain, range of motion and muscle strength on cervical extensor muscle injured patients. Korea University. Dissertation of Master's Degree. 2002.
  21. Park HJ, Lee SN. The effect on the posture and neck pain in head backward. Journal of Sport and Leisure Studies. 2002;17:223-31.
  22. Kjellman G, Oberg B. A randomized clinical trial comparing general exercise, McKenzie treatment and a control group in patients with neck pain. J Rehabil Med. 2002;34(4):183-90. https://doi.org/10.1080/16501970213233
  23. Park JM, Yang SH, Lee JY et al. The effect of TENS by physiotherapist versus home based TENS intervention to reduce pain and improve disability in patients with mechanical neck disorder. Korean J Orthop Manu Ther. 2010;16(2):61-6.
  24. Kim SH, Kwon BA, Lee WH. Effects of cervical spinal stabilization training in private security on chronic neck pain and cervical function, neck pain, ROM. Korean Security Science Review. 2010;25(25):89-108.
  25. Bump RC, Hurt WG, Fantl JA et al. Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction. Am J Obstet Gynecol. 1991;165(2):322-9. https://doi.org/10.1016/0002-9378(91)90085-6
  26. Schega L, Bertram D, Folsch C et al. The influence of visual feedback on the mental representation of gait in patients with THR: A new approach for an experimental rehabilitation strategy. Appl Psychophysiol Biofeedback. 2014;39(1):37-43. https://doi.org/10.1007/s10484-014-9239-8
  27. Mclearn SM, Moffett JK, Sharp DM. An investigation to determine the association between neck pain and upper disability for paitents with non-specific neck: a secondary analysis. Man Ther. 2011;16(5):434-9. https://doi.org/10.1016/j.math.2011.01.003

Cited by

  1. The Effect of Whole Body Vibration Exercise on Ankle Joint Spasticity Patients with Chronic Stroke vol.30, pp.4, 2018, https://doi.org/10.18857/jkpt.2018.30.4.135