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J Korean Med Rehabi 2019 Jan; 29(1): 7-20  
Effects of Muscle Relaxation Approach and Joint Movement Approach on Neck Movement and Comfort of Daily Living in Patients with Tension-type Headache of Forward Head Posture
Published online January 31, 2019
Copyright © 2019 The Society of Korean Medicine Rehabilitation.

In-Gyun Kim, P.T., M.S.*,†, Sang-Yeol Lee, P.T., Ph.D.*,†

Changwon Jaseng Hospital of Korean Medicine*, Department of Physical Therapy, Kyungsung University
Correspondence to: Sang-Yeol Lee, Department of Physical Therapy, Kyungsung University, 309 Suyeong-ro, Nam-gu, Busan 48434, Korea TEL (051) 663-4870 FAX (051) 623-4873 E-mail
Received: November 15, 2018; Accepted: December 29, 2018
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objectives The purpose of this study was to improve the comfort of daily life such as reduction of headache and increase of movement of neck by using muscle relaxation approach and joint movement approach for office worker with tension type headache of foward head posture sitting over 5 hours.
Methods For this, 9 male and 15 female participated in the foward head posture with tension type headache. Each group consisted of 3 male and 5 female. Groups are divided into groups, such as muscle relaxation therapy, joint movement therapy, muscle relaxation and joint movement therapy. After intervention for each group for a month, we measured neck movement and head disability index and neck disability index 2 week. SPSS 23.0 (IBM Corp., Armonk, NY, USA) was used for data analysis. The one-way repeated analysis of variance (ANOVA), one-way ANOVA, compared t-test was used for statistical analysis.
Results Three intervention groups have brought improvements in neck movement and daily life comfort. There is significant difference in the improvement of neck extension and change in neck disability index between 2 and 4 weeks in the joint movement approach compared to muscle relaxation approach, muscle relaxation and joint movement approach.
Conclusions Office workers are exposed to tension type headache. However, muscle relaxation approach and joint movement approach can improve neck movement and daily life comfort.
Keywords : Tension-type headache, Foward head posture, Myofascial release, Joint movement

January 2019, 29 (1)

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