PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Effects of Breathing Methods on Neck Muscle Activation in Subjects with a Forward Head Posture

호흡방법에 따른 전방머리자세의 목근육 활성도 변화

  • Bae, Won-Sik (Department of Physical Therapy, Kyungnam College of Information & Technology) ;
  • Lee, Hyun-Ok (Department of Physical Therapy, Catholic University of Pusan) ;
  • Park, Du-Jin (Department of Physical Therapy, Kaya University)
  • 배원식 (경남정보대학교 물리치료학과) ;
  • 이현옥 (부산가톨릭대학교 물리치료학과) ;
  • 박두진 (가야대학교 물리치료과)
  • Received : 2017.03.02
  • Accepted : 2017.05.07
  • Published : 2017.08.31
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Abstract

Purpose: This study attempts to determine the effects of applying three kinds of breathing exercises for four weeks on the neck muscle activation of subjects with a forward head posture. Methods: A total of 30 adults aged in their twenties (15 men and 15 women) with a forward head posture who voluntarily agreed to participate after listening to the purpose and procedure of this research were chosen as the subjects of this study. The subjects were randomly divided into either the diaphragmatic breathing exercise (DBE) group, the abdominal drawing-in maneuver (ADIM) group, or the abdominal expansion method (AEM) group according to the breathing intervention scheme. Each group included ten subjects. The muscle activity of the sternocleidomastoid, scalenus anterior, and splenius capitis was measured in all the groups prior to the intervention, two weeks after the intervention, and four weeks after the intervention. All the interventions were implemented for 30 minutes a day, three times a week, for a total of four weeks. Results: No significant between-group difference was observed in terms of the change in neck muscle activity according to the four-week intervention scheme. Further, there was no interaction between the intervention period and the intervention scheme in relation to the change in neck muscle activity. Conclusion: The results of this study suggest that abdominal expansion exercise is as effective as other breathing exercise methods for subjects with a forward head posture. We therefore expect that abdominal expansion exercise can be used as a scheme for the prevention of symptoms as well as therapy for patients with a forward head posture.

Keywords

References

  1. Bae WS, Lee CK, Kim YH. Comparison between McKenzie stretch exercise and scapula stability exercise on neck muscle activation in the forward head posture. Journal of the Korean Society of Integrative Medicine. 2016;4(1):13-20. https://doi.org/10.15268/KSIM.2016.4.1.013
  2. Chae YW. The effect of forward head posture and cervical ROM on chronic and episodic tension-type headache in university students. Journal of the Korean Society of Physical Medicine. 2009;21(2):71-77.
  3. Cho WH, Lee WY, Choi HK. An investigation on the biomechanical effects of turtle neck syndrome through EMG analysis. Journal of the Korean Society for Precision Engineering. 2008;11(1):195-196.
  4. Cram JR, Kasman GS, Holtz J. Introduction to surface electromyography. Maryland. Aspen Pub. 1998.
  5. de Mayo T, Miralles R, Barrero D, et al. Breathing type and body position effects on sternocleidomastoid and suprahyoid EMG activity. Journal of Oral Rehabilitation. 2005;32(7):487-494. https://doi.org/10.1111/j.1365-2842.2005.01453.x
  6. Falla D, Farina D, Kanstrup Dahl M, et al. Pain-induced changes in cervical muscle activation do not affect muscle fatigability during sustained isometric contraction. Journal of electromyography and kinesiology. 2008;18(6):938-946. https://doi.org/10.1016/j.jelekin.2007.05.007
  7. Frank C, Kobesova A, Kolar P. Dynamic neuromuscular stabilization & sports rehabilitation. International journal of sports physical therapy. 2013;8(1):62-73.
  8. Hodges PW, Gandevia SC. Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm. Journal of Applied Physiology. 2000;89 (3):967-976. https://doi.org/10.1152/jappl.2000.89.3.967
  9. Hodges PW, Richardson CA. In efficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine. 1996;21(22):2640-2650. https://doi.org/10.1097/00007632-199611150-00014
  10. Hodges PW, Sapsford R, Pengel LH. Postural and respiratory functions of the pelvic floor muscles. Neurourology and Urodynamics. 2007;26(3):362-371. https://doi.org/10.1002/nau.20232
  11. HwangBo G. Analysis of the change of the neck pressure pain threshold in long term computer users. The Korea Entertainment Industry Association. 2008,8(6):151-158.
  12. Kapreli E, Vourazanis E, Strimpakos N. Neck pain causes respiratory dysfunction. Medical Hypotheses. 2008;70(5):1009-1013. https://doi.org/10.1016/j.mehy.2007.07.050
  13. Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and function with posture and pain. 5th ed. Baltimore. Lippincott Williams & Wilkins. 2005.
  14. Kim K, Park RJ, Bae SS. Effect of diaphragmatic breathing exercise on activation of trunk muscle of patients with low back pain. The Journal of Korean Society of Physical Therapy. 2005;17(3):311-327.
  15. Kim K. Effect of diaphragmatic breathing exercise on activation of lumbar paraspinal muscles of healthy people. The Journal of Korean Society of Physical Therapy. 2006;1(1):59-66.
  16. Koh EK, Jung DY. Effect of head posture and breathing pattern on muscle activities of sternocleidomastoid and scalene during inspiratory respiration. Korean Journal of Sport Biomechanics. 2013;23(3):279-284. https://doi.org/10.5103/KJSB.2013.23.3.279
  17. Kolar P, Bitna P, Horacek O, et al. Clinical rehabilitation. Prague. Czech Republic. Alena Kobesova. 2014.
  18. Kolar P, Sulc J, Kyncl M, et al. Stabilizing function of the diaphragm: dynamic MRI and synchronized spirometric assessment. Journal of Applied Physiology. 2010;109 (4):1064-1071. https://doi.org/10.1152/japplphysiol.01216.2009
  19. Lee BK. The effect of the forced pulmonary function of young female by changes in lung function related to postures and by transverse abdominis activation in standing position. Journal of the Korean Society of Physical Medicine. 2012;7(3):267-274. https://doi.org/10.13066/kspm.2012.7.3.267
  20. Lee HJ, Kim SY. Comparison of the effects of abdominal draw-in and expansion maneuvers on trunk stabilization in patients with low back pain and lumbar spine instability. Korean Research Society of Physical Therapy. 2015;22(1):37-48. https://doi.org/10.12674/ptk.2015.22.1.037
  21. Lee HY. Effects of breathing exercise on pulmonary function and respiratory muscle strength in children with spastic cerebral palsy. Daegu University. Dissertation of Doctorate Degree. 2013.
  22. Lee JC. The effects of abdominal respiratory exercise by forward head posture adult 's respiratory function and respiratory muscle strength. Daegu University. Dissertation of Master's Degree. 2015.
  23. Lee JM, Yi CH, Kwon OY, et al. The effect of lumbar stabilization exercise for caregivers with chronic low back pain. Korean Research Society of Physical Therapy. 2011;18(2):9-17.
  24. Nouwen A, Van Akkerveeken PF, Versloot JM. Patterns of muscular activity during movement in patients with chronic low-back pain. Spine. 1987;12(8):777-782. https://doi.org/10.1097/00007632-198710000-00012
  25. O’Leary S, Falla D, Jull G. The relationship between superficial muscle activity during the cranio-cervical flexion test and clinical feature in patients with chronic neck pain. Manual Therapy. 2011;16(5):452-455. https://doi.org/10.1016/j.math.2011.02.008
  26. Park JH, Moon OK, Wang JS, et al. The effects of continuous antagonist strengthening and Evjenth-Hamberg stretching on improvement of forward head posture. The Korea Entertainment Industry Association. 2013;7(2):109-115. https://doi.org/10.21184/jkeia.2013.06.7.2.109
  27. Park SD. Electromyographic activities of neck and shoulder muscle during the computer typing in forward head posture. Yonsei University. Dissertation of Doctorate Degree. 2005.
  28. Son HH. The effects of stabilization exercise with abdominal breath on balance and Oswestry disability index for low back pain patients. Journal of the Korean Society of Physical Medicine. 2015;10(1):107-113. https://doi.org/10.13066/kspm.2015.10.1.107
  29. Thigpen CA. Effects of forward head and rounded shoulder posture on scapular kinematics, muscle activity, and shoulder coordination. University of North Carolina. Dissertation of Doctorate Degree. 2006.
  30. Thuresson M, Ang B, Linder J, et al. Mechanical load and EMG activity in the neck induced by different head-worn equipment and neck postures. International Journal of Industrial Ergonomics. 2005;35(1):13-18. https://doi.org/10.1016/j.ergon.2004.06.008
  31. Yeo SH. Effects of various respiratory methods and respiratory intervals on a change of heart rate variability. Pochon CHA University. Dissertation of Master's Degree. 2007.
  32. Yoo CU. Eletromyographic activity of the neck and shoulder muscles while watching a DMB phone with the neck flexed. Yonsei University. Dissertation of Master's Degree. 2008.