목·어깨 안정화 운동프로그램과 자가 등허리근막이완술이 전방머리자세를 동반한 성인의 머리척추각과 근긴장도에 미치는 영향
The Immediate Effects of Cervical and Scapular Stabilization Exercise and Self Myofascial Release for the Thoracolumbar Fascia on Craniovertebral Angle and Muscle Tone in Subjects with Forward Head Posture
The purpose of this study was to investigate the effects of self-myofascial release of the thoracolumbar fascia (SMR-TLF) using a foam roller, combined with cervical and scapular stabilization exercises, on craniovertebral angle (CVA) and muscle tone (suboccipital muscles, upper trapezius, and erector spinae). Forty participants, with an average age of 22.3 years (SD = 1.59), were enrolled. Forward head posture was defined as a CVA of less than 51 degrees. CVA was measured using Image J, while muscle tone and stiffness on the dominant side were assessed with a Myoton PRO. Participants were randomly assigned to either a stabilization exercise group (control) or a combined stabilization exercise and SMR-TLF group (experimental). Post-intervention measurements followed the same sequence as pre-intervention measurements. A significant decrease in CVA was observed in both groups (p<.05). The Experimental group demonstrated a significant reduction in muscle tone and stiffness of the suboccipital muscles and erector spinae (p<.05). Comparisons between groups revealed a significant difference in erector spinae stiffness only (p<.05). In conclusion, cervical and scapular stabilization exercises effectively improve CVA, and the incorporation of SMR-TLF further reduces muscle tone in the suboccipital muscles and erector spinae.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 대상자 2. 연구절차 3. 측정방법 4. 중재 방법 5. 자료 처리 Ⅲ. 결과 1. 자가 근막이완술 유무에 따른 변수들의중재 전후 비교 2. 실험군과 대조군 간의 변화량 차이 비교 Ⅳ. 고찰 Ⅴ. 결론 인용문헌
키워드
Forward head postureStabilization exerciseSelf-myofacsial release