ความสัมพันธ์ของท่าทางกระดูกสันหลังคอ-อก พิสัยการเคลื่อนไหวและ ความยาวกล้ามเนื้อในผู้ป่วยปวดคอ
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ที่มาและความสำคัญ: ความสัมพันธ์ระหว่างท่าทางกระดูกสันหลังคอ-อก พิสัยการเคลื่อนไหว และความยาวกล้ามเนื้อคอ-ไหล่ในผู้ป่วยปวดคอยังไม่สรุปชัดเจน
วัตถุประสงค์: ศึกษาความสัมพันธ์ระหว่างท่าทางกระดูกสันหลังคอ-อก พิสัยการเคลื่อนไหวคอ และความยาวกล้ามเนื้อคอ-ไหล่ในผู้ป่วยปวดคอ
วิธีการวิจัย: นำข้อมูลท่าที่ศีรษะยื่น กระดูกสันหลังอกค่อม ไหล่ห่อ พิสัยการเคลื่อนไหว และความยาวกล้ามเนื้อคอ-ไหล่จากแบบบันทึกตรวจร่างกายผู้ป่วยปวดคอ 863 คน
ผลการวิจัย: ท่าที่ศีรษะยื่นสัมพันธ์กับกระดูกสันหลังอกค่อม (c2=85.22, p<0.001), ไหล่ห่อ (c2=87.38, p<0.001), พิสัยการเคลื่อนไหวคอทุกทิศ (c2=5.64-9.07, p=0.003-0.0018), ความยาว suboccipital, upper trapezius, scalene, pectoralis major, minor (c2=4.64-75.28, p<0.001-0.031) กระดูกสันหลังอกค่อมสัมพันธ์กับไหล่ห่อ (c2=17.03, p<0.001), ความยาว suboccipital, anterior scalene, pectoralis major, minor (c2=12.80-23.83, p<0.001) ไหล่ห่อสัมพันธ์กับพิสัยการเคลื่อนไหวทิศเอียง (c2=11.11, p=0.001), หมุนคอ (c2=7.03, p=0.008), ความยาว suboccipital, levator scapulae, scalene, subscapularis, pectoralis major, minor (c2=4.70-63.51, p<0.001-0.014)
สรุปผล: ท่าที่ศีรษะยื่นสัมพันธ์กับพิสัยการเคลื่อนไหวคอทุกทิศทาง ไหล่ห่อสัมพันธ์กับพิสัยการเคลื่อนไหวทิศเอียงและหมุนคอ ผู้มีศีรษะยื่นหรือกระดูกสันหลังอกค่อมหรือไหล่ห่อมี suboccipital, anterior scalene, pectoralis major, minor หดสั้น upper trapezius หดสั้นพบในผู้มีศีรษะยื่น levator scapulae และ subscapularis หดสั้นพบในผู้มีไหล่ห่อ
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