The Effect of Thoracic Joint Mobilization and Self-stretching Exercise on Pulmonary Functions of Patients with Chronic Neck Pain
Pil-Neo Hwangbo, Gak Hwangbo, Jungseo Park, Sangyong Lee, Pil-Neo Hwangbo, Gak Hwangbo, Jungseo Park, Sangyong Lee
Abstract
[Purpose] The objective of this study was to determine the effect of thoracic joint mobilization and self-stretching exercise on the pulmonary functions of patients with chronic neck pain. [Subjects] The present study was performed with 34 patients with chronic neck pain featuring thoracic kyphosis; we divided them into a thoracic joint mobilization group (TJMG, n = 11), self-stretching exercise group (SSEG, n = 11), and thoracic joint mobilization and self-stretching exercise group (TJMSSEG, n = 12). [Methods] Treatments and exercise were conducted three times a week for six weeks in TJMG, SSEG, and TJMSSEG; the subjects' pulmonary functions in terms of forced vital capacity (FVC), forced expiratory volume at one second (FEV1), and peak expiratory flow (PEF) were measured using CardioTouch equipment. [Results] Comparisons of the individuals within each of the TJMG, SSEG, and TJMSSEG showed that all of FVC, FEV1, and PEF increased significantly; Comparisons within each of the showed that FVC, FEV1, and PEF increased significantly. Among the study groups, FVC was significantly higher in TJMSSEG than in TJMG after six weeks; FEV1 was significantly higher in TJMSSEG than in TJMG and SSEG after four and six weeks; and PEF was significantly higher in TJMSSEG than in TJMG and SSEG after six weeks. [Conclusion] The study results indicate that thoracic joint mobilization and self-stretching exercise are effective interventions for increasing FVC, FEV1, and PEF among pulmonary functions.
Keywords: Pulmonary function; Self-stretching exercise; Thoracic joint mobilization.
References
- Neumann DA: Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation. Mosby, 2010.
- Ko TS, Jung HB, KIm JA: The effects of thoracic mobilization on pain, disability index and spinal mobility in chronic low back pain patients. J Special Edu Rehabil Sci, 2009, 48, 2: 115–137.
- Black KM, McClure P, Polansky M: The influence of different sitting positions on cervical and lumbar posture. Spine, 1996, 21: 65–70.
- Gooch JL, Randle J: Force perception before and after maximal voluntary contraction. Percept Mot Skills, 1993, 76: 399–402.
- Grace EG, Sarlani E, Reid B: The use of an oral exercise device in the treatment of muscular TMD. Cranio, 2002, 20: 204–208.
- Hudson JS, Ryan CG: Multimodal group rehabilitation compared to usual care for patients with chronic neck pain: a pilot study. Man Ther, 2010, 15: 552–556.
- Vicenzino B, Collins D, Wright A: The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia. Pain, 1996, 68: 69–74.
- Krauss J, Creighton D, Ely JD, et al. : The immediate effects of upper thoracic translatoric spinal manipulation on cervical pain and range of motion: a randomized clinical trial. J Manual Manip Ther, 2008, 16: 93–99.
- Kaltenborn FM: The Spinal Basic: Evaluation and Mobilization Techniques, 3rd ed. Minnesota: OPTP, 1993.
- Park HS, Park TS: The comparison of stretching for prevention of shoulder disease in elders. Korean J Phys Edu, 2005, 44: 675–681.
- Jeong UC: The effects of additional thoracic mobilization on neck pain patients; visual analog scale, neck disability index, and muscular endurance. Ulsan Unversity, Dissertation of master’s degree, 2009.
- Cleland JA, Flynn TW, Childs JD, et al. : The audible pop from thoracic spine thrust manipulation and its relation to short-term outcomes in patients with neck pain. J Manual Manip Ther, 2007, 15: 143–154.
- Sterling M, Jull G, Wright A: Cervical mobilisation: concurrent effects on pain, sympathetic nervous system activity and motor activity. Man Ther, 2001, 6: 72–81.
- Hurwitz EL, Aker PD, Adams AH, et al. : Manipulation and mobilization of the cervical spine. A systematic review of the literature. Spine, 1996, 21: 1746–1759, discussion 1759–1760.
- Kim G, Lee S, Jeong H: Effects of upper thoracic joint mobilization on dynamic stability of patients with chronic neck pain. J Phys Ther Sci, 2011, 23: 753–756.
- Kisner C, Collby LA: Therapeutic Exercise: Foundations and Techniques, 4th ed. Philadelphia: F.A. Davis, 2002.
- Jung JY: The effects of home-exercise program on the pain, cervical range of motion, neck disability index and cervical spine curvature for patients with chronic neck pain. Ewha Wonams University. Dissertation of master’s degree, 2005.
- Omer SR, Ozcan E, Karan A, et al. : Musculoskeletal system disorders in computer users: effectiveness of training and exercise programs. J Back Musculoskeletal Rehabil, 2004, 17: 9–13.
- Yang YA: A study on effects of thoracic spinal exercise program in VDT workers. Hanyang University. Dissertation of doctor’s degree. 2003.
- Seo MH: A Study on the effects of automobilization on the decrease of chronic neck pain. Kyungpook National University, Dissertation of master’s degree, 2012.
Source: PubMed