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Effects of the Functional Garment Wear on Cobb's Angle and COM of Trunk and Pelvic during Gait for Adolescent Idiopathic Scoliosis Patients

청소년 특발성 척추 측만증 환자를 위한 보정웨어가 측만각도와 보행 시 몸통과 골반의 중심이동에 미치는 영향

  • Park, Yang-Sun (Department of Physical Education, College of Performing Arts & Sport, Hanyang University) ;
  • Lim, Young-Tae (Division of Sports Science, College of Natural Science, Konkuk University)
  • 박양선 (한양대학교 체육대학 체육학과) ;
  • 임영태 (건국대학교 자연과학대학 스포츠과학부)
  • Received : 2014.09.01
  • Accepted : 2014.09.29
  • Published : 2014.09.30

Abstract

The purpose of this study is to develop functional garment wear for patients with adolescent idiopathic scoliosis (AIS) and to analyze changes in Cobb's angle and the COM of the body and the pelvis during gaits in order to identify the effects of the functional garment wear. The subjects of the study were 9 patients with adolescent idiopathic scoliosis, who wore the functional garment wear for 12 weeks 12 hours a day. As for the research methods, the scoliotic angle was measured using Cobb's angle, and the shoulder angle and the COM of the body and the pelvis during gaits for the AIS patients were calculated using five high speed infrared cameras. As a result of the study, it was found that the scoliotic angle (Cobb's angle) was reduced significantly and that the smaller the original scoliotic angle, the greater the effects. As for the shoulder motion angle, a significantly larger angle was found 12 weeks after wearing the functional garment wear, and particularly, larger shoulder motion (activity) was observed at the phase of right heel contact. As for the motion of the body and the pelvis, the moving ranges were significantly reduced after wearing the functional garment wear for 12 weeks, which stabilized gait in the patients with adolescent idiopathic scoliosis.

Keywords

References

  1. Park, Y. S., Woo, B. H., Lim, Y. T., & Kim, J. M. (2012). Development of wearing of musculo-skeletal functional garment for adolescents' idiopathic scoliosis -with the principle of sports taping applied-. Korean Journal of Sport Biomechanics, 22(3), 365-371. https://doi.org/10.5103/KJSB.2012.22.3.365
  2. Allenbach, E., & Wiest, E. (1953). Condition of the paravertebral musculature in idiopathic scolioses before and after grafting. Revue de Chirurgie Orthopedique et Reparatrice de Lappareil Moteur, 39, 588-590.
  3. Danielsson, A. J., Romberg, K., & Nachemson, A. L. (2006) Spinal range of motion, muscle endurance, and back pain and function at least 20 years after fusion or brace treatment for adolescent idiopathic scoliosis: a case-control study. Spine (PhilaPa 1976) 31, 275-283. https://doi.org/10.1097/01.brs.0000197652.52890.71
  4. Elftman, H. (1951). The basic pattern of human locomotion. Annals of the New York Academy of Sciences, 51, 1207-1212. https://doi.org/10.1111/j.1749-6632.1951.tb27347.x
  5. Guth, V., Abbink, F., Gotze, H. G., & Heinrichs, W. (1978). Investigation of gait of patients with idiopathic scoliosis and the influence of the Milwaukee brace on gait (author's transl). Zeitschrift fur Orthopadie und ihre Grenzgebiete, 116, 631-640.
  6. James J. (1976). Scoliosis. London: Churchill Livingstone.
  7. Kim, D., Betz, R., Huhn, S. L., & Newton, P. O. (2008). Surgery of Pediatric Spine. Germany: Thieme Medical Publishers.
  8. Kim, E. J., & Kim, J. H. (2003). Scoliosis progression according to the growth of middle school students. The Journal of Korean Community Nursing, 14(3), 479-487.
  9. King, H. A., Moe, J. H., Bradford, D. S., & Winter, R. B. (1983). The selection of fusion levels in thoracic idiopathic scoliosis. Journal of Bone and Joint Surgery, 65(A), 1302-1313. https://doi.org/10.2106/00004623-198365090-00012
  10. Landauer, F., Wimmer, C., & Behensky, H. (2003). Estimating the final outcome of brace treatment for idiopathic thoracic scoliosis at 6-month follow-up. Pediatric Rehabilitation, 6(3-4), 201-207. https://doi.org/10.1080/13638490310001636817
  11. Lee, C. K., Koo, K. H., & An, J. H. (2007). The classification of idiopathic scoliosis. Journal of Korean Spine Surgery, 14(1), 57-66. https://doi.org/10.4184/jkss.2007.14.1.57
  12. Lee, S. H. (1998). A study on the causes and the actual conditions of scoliosis in adolescent. Journal of Korean Society of School Health, 11(1), 1-5.
  13. Lenke, L. G., Betz, R. R., Clement, D., Merola, A., Haher, T. R., Lowe T., Newton, P., Bridwell, K. H., Blanke. K. R., (2002). Curve prevalence of a new classification of operative adolescent idiopathic scoliosis. Spine, 27, 604-611. https://doi.org/10.1097/00007632-200203150-00008
  14. Lenke, L. G., Engsberg, J. R., Ross, S. A., Reitenbach, A., Blanke, K., & Bridwell, K. H. (2001). Prospective dynamic functional evaluation of gait and spinal balance following spinal fusion in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 26, 330-337. https://doi.org/10.1097/00007632-200107150-00020
  15. Moon, J. H., Kang, M. J., Kang, J. K., Kang, S. W., & Kim, K. H. (1995). Evaluation of spinal deformity in korean female high school student. Journal of Korean Academy of Rehabilitation Medicine. 19(4), 846-852.
  16. Park, Y. S., Woo, B. H., Lim, Y. T., & Kim, J. M. (2013). Effect analysis of functional garment for adolescents with scoliosis -3 case study. Korean Journal of Physical Education, 52, 6, 573-581.
  17. Rivett, L., Rothberg, A., Stewart, A., & Berkowitz, R. (2009). The relationship between quality of life and compliance to a brace protocol in adolescents with idiopathic scoliosis: a comparative study. BMC Musculoskelet Disord, 10, 5. https://doi.org/10.1186/1471-2474-10-5
  18. Roubal, P. J., Freeman, D. C., & Placzek, J. D. (1999). Cost effectiveness of scoliotic screening. Physiotherapy, 85, 259-268. https://doi.org/10.1016/S0031-9406(05)61440-X
  19. Schwender, J. D., & Denis, F. (2000). Coronal plane imbalance in adolescent idiopathic scoliosis with left lumbar curves exceeding 40 degrees: the role of the lumbosacral hemicurve. Spine (PhilaPa 1976), 25, 2358-2363. https://doi.org/10.1097/00007632-200009150-00015
  20. Thorstensson, A., Nilsson, J., Carlson, H., & Zomlefer, M. R. (1984). Trunk movements in human locomotion. Acta Physiologica Scandinavica, 121, 9-22. https://doi.org/10.1111/j.1748-1716.1984.tb10452.x
  21. Thorstensson, A., Nilsson, J., Carlson, H., & Zomlefer, M. R. (1984). Trunk movements in human locomotion. Acta Physiologica Scandinavica, 121, 9-22. https://doi.org/10.1111/j.1748-1716.1984.tb10452.x
  22. Weinstein, S. L., Dolan, L. A., Cheng, J. C., Danielsson, A., & Morcuende, J. A. (2008). Adolescent idiopathic scoliosis. Lancet, 371, 1527-1537. https://doi.org/10.1016/S0140-6736(08)60658-3
  23. Weinstein, S. L., Dolan, L. A., Wright, J. G., & Dobbs, M. B. (2013). Effects of bracing in adolescents with idiopathic scoliosis. The New England Journal of Medicine, 369, 1512-1521. https://doi.org/10.1056/NEJMoa1307337
  24. Weiss, H. R. (2003). Rehabilitation of adolescent patients with scoliosis - what do we know? A review of the literature. Pediatric Rehabilitation, 6(3-4), 183-194. https://doi.org/10.1080/13638490310001636790

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