한국운동역학회지 (Korean Journal of Applied Biomechanics)

  • 제33권2호
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  • Pages.73-83
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  • 2023
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  • 1226-2226(pISSN)
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  • 2093-9752(eISSN)
한국운동역학회 (Korean Society of Applied Biomechanics)
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12주간의 3D패브릭 보조기 착용에 따른 청소년 특발성 척추측만증 환자의 Cobb's Angle, Angle of Trunk Rotation (ATR), 신장 변화의 단일사례 연구

A Single Case Study of Cobb's Angle, Angle of Trunk Rotation (ATR), and Height Changes in Adolescent Idiopathic Scoliosis Patients following 12 Weeks of Wearing a 3D Fabric Brace

  • 투고 : 2023.05.29
  • 심사 : 2023.06.19
  • 발행 : 2023.06.30
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초록

Objective: Adolescent idiopathic scoliosis patients make up 40% of all scoliosis patients, and it is likely to increase even more because of the increase in sitting times due to the pandemic. Method: The subject of this study was a 16-year-old female student. The Cobb's Angle at initial value was 42° at the thoracic and 33° at the lumbar. The subject's height was 161.6 cm, and the type of scoliosis was 3CL. The brace was built with fabric materials with the size information from the X-ray information and actual measurements. The brace was made for the adolescents to wear for a longer time by making them put pressure on the same pressure points of the existing braces. The subjects were required to wear the device for 16 hours every day for three months. Additional features to check the pressure and time were synchronized through an app for easier communication and management with the responsible investigator. Results: After wearing the 3D Fabric brace, Cobb's angle changed from 42° to 33° at the thoracic and 33° to 23° at the lumbar. The ATR changed from 9° to 8° at the thoracic and 11° to 6° at the lumbar. As a result, the changes in the ATR angle do relate to the decrease of Cobb's angle, which made the angle of scoliosis that is bent in a three-dimensional way improve, making the height of the subject increase from 161.6 cm to 163.5 cm. Conclusion: Through this study, developing a brace that is made in the form of the 3CL to align the strap direction and putting pressure on the proper pressure points makes Cobb's angle and the ATR smaller. This means that there is a positive effect on the changes in height. A brace made of light fabric material is a good brace to help treat adolescent idiopathic scoliosis. There was an opinion that it is more comfortable to wear than existing braces, but it seems necessary to conduct a quantitative study about the before and after of wearing the brace and a survey for Korean specific cases.

키워드

참고문헌

  1. Asher, M. A. & Burton, D. C. (2006). Adolescent idiocratic scoliosis: natural history and long term treatment effects. Scoliosis, 1, 1-10. https://doi.org/10.1186/1748-7161-1-1
  2. Cheung, J., Veldhuizen, A. G., Halbertsma, J. P., Maurits, N. M., Sluiter, W. J., Cool, J. C. & Van Horn, J. R. (2004). The relation between electromyography and growth velocity of the spine in the evaluation of curve progression in idiopathic scoliosis. Spine, 29(9), 1011-1016. https://doi.org/10.1097/00007632-200405010-00012
  3. Chung, J. Y. (2022). Effects of Pilates mat Programs in Scoliosis: Based on Systematic Review. Journal of Sport and Leisure Studies, 87, 343-354.
  4. Green, B. N., Johnson, C. & Moreau, W. (2009). Is physical activity contraindicate for individuals with scoliosis? A systemic literature review. Journal of Chiropractic Medicine, 8, 25-37. https://doi.org/10.1016/j.jcm.2008.11.001
  5. Health Insurance Review & Assessment Service, HIRA, 2023.
  6. Hudson, A. L., Gandevia, S. C. & Butler, J. E. (2007). The effect of lung volume on the co-ordinated recruitment of scalene and sterno mastoid muscles in humans. The Journal of Physiology, 584(1), 261-270.
  7. Kim, D. S. & Chae W. S. (2012). Biomechanical Analysis of a Smartphone Task with Different Postures. Korean Journal of Sport Biomechanics, 22(2), 253-259. https://doi.org/10.5103/KJSB.2012.22.2.253
  8. Koh, E. K. & Jung, D. Y. (2013). Effect of Head Posture and Breathing Pattern on Muscle Activities of Sternocleidomastoid and Scalene during Inspiratory Respiration. Korean Journal of Sport Biomechanics, 23(3), 279-284. https://doi.org/10.5103/KJSB.2013.23.3.279
  9. Lee, J. H. & Kim, S. Y. (2014). Comparative Effectiveness of Schroth Therapeutic Exercise Versus Sling Therapeutic Exercise in Flexibility, Balance, Spine Angle and Chest Expansion in Patient with Scoliosis. Journal of Korean Society of Physical Medicine, 9(1), 11-23. https://doi.org/10.13066/kspm.2014.9.1.11
  10. Lee, S. E. & Kim, D. l. (2019). The effect of Cobb's Angle on Body Composition and Physical Fitness according to Scoliosis Levels in Middle School Girls. Korean Journal of Sports Science, 28(4), 1055-1062.
  11. Lee, S. G. & Lim, S. G. (2013). The Case Study of Exercise Therapy Using Schroth Method in a Patient with Adolescent Idiopathic Scoliosis. The Asian Journal of Kinesiology (A. J. Kinesiol.), 15(4), 155-167. https://doi.org/10.15758/jkak.2013.15.4.155
  12. Lonstein, J. E. & Carlson, J. M. (1984). The prediction of curve progression in untreated idiopathic scoliosis during growth. JBJS, 66(7), 1061-1071. https://doi.org/10.2106/00004623-198466070-00013
  13. Moramarco, K. & Borysov, M. (2017). Suppl-9, M2: A Modern Historical Perspective of Schroth Scoliosis Rehabilitation and Corrective Bracing Techniques for Idiopathic Scoliosis. The Open Orthopaedics Journal, 11, 1452.
  14. Nachemson, A. L. & Peterson, L. E. (1995). Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis. Journal of Bone and Joint Surgery. American Volume, 77, 815-822. https://doi.org/10.2106/00004623-199506000-00001
  15. Ng, S. Y. & Bettany-Saltikov, J. (2017). Suppl-9, M5: Imaging in the Diagnosis and Monitoring of Children with Idiopathic Scoliosis. The Open Orthopaedics Journal, 11, 1500.
  16. Ovadia, D., Eylon, S., Mashiah, A., Wientroub, S. & Lebel, E. D. (2012). Factors associated with the success of the Rigo System Cheneau brace in treating mild to moderate adolescent idiopathic scoliosis. Journal of Children's Orthopaedics, 6, 327-331. https://doi.org/10.1007/s11832-012-0429-8
  17. Perdriolle, R. & Vidal, J. (1985). Thoracic idiopathic scoliosis curve evolution and prognosis. Spine, 10(9), 785-791. https://doi.org/10.1097/00007632-198511000-00001
  18. Peters, L. E. & Nachemson, A. L. (1995). Prediction of progression of the curve in girls who have adolescent idiopathic scoliosis of moderate severity. The Journal of Bone & Joint Surgery, 77, 823-827.
  19. Rigo, M. (2003). Radiological and cosmetic improvement 2 years after brace weaning-a case report. Pediatric Rehabilitation, 6(3-4), 195-199. https://doi.org/10.1080/13638490310001636826
  20. Rigo, M., Reiter, C. H. & Weiss, H. R. (2003). Effect of conservative management on the prevalence of surgery in patients with adolescent idiopathic scoliosis. Pediatric Rehabilitation, 6(3-4), 209-214.
  21. Roaf, R. (1966). The basic anatomy of scoliosis. The Journal of Bone and Joint Surgery. British volume, 48(4), 786-792.  https://doi.org/10.1302/0301-620X.48B4.786
  22. Statistics Korea, 2023.
  23. Weinstein, S. L. (1988). Adolescent idiopathic scoliosis: Prevalence, natural history, treatment indications. University of Iowa.
  24. Weinstein, S. L., Dolan L. A., Cheng J. C., et al. (2008). Adolescent idiopathic scoliosis. Lancet, 371(9623), 1527-1537. https://doi.org/10.1016/S0140-6736(08)60658-3
  25. Weinstein, S. L., Dolan, L. A., Wright, J. G. & Dobbs, M. B. (2013). Effects of bracing in adolescents with idiopathic scoliosis. New England Journal of Medicine, 369(16), 1512-1521. https://doi.org/10.1056/NEJMoa1307337
  26. Weiss, H. R. & El Obeidi, N. (1994). Die Wiederholbarkeit der Bestimmung der Winkelgrade nach Cobb. Vortrag auf dem, 4.
  27. Weiss, H. R. & Goodall, D. (2008). Rate of complications in scoliosis surgery-a systematic rewiew of the Pub Med literature. Scolisis, 3, 9. doi: 10.1186/1748-7161-3-9.
  28. Weiss, H. R. & Goodall, D. (2009). Scoliosis in patients with Prader Willi Syndrome-comparisons of conservative and surgical treatment. Scoliosis, 4(1), 1-8. https://doi.org/10.1186/1748-7161-4-1
  29. Weiss, H. R. & Moramarco, M. (2013). Scoliosis-treatment indications according to current evidence. OA Musculoskeletal Medicine, 1(1), 1.
  30. Weiss, H. R. (1995). Standard der Orthesenversorgung in der Skoliosebehandlung. Medizinisch Orthopadische Technik, 5, 323-330.
  31. Weiss, H. R. (2007). Adolescent Idiopathic Scoliosis-case report of a patient with clinical deterioration after surgery. Patient Safety in Surgery, 1, 7. doi: 10.1186/1754-9493-1-7.
  32. Weiss, H. R. (2014). Standardising the treatment with Cheneau braces via CAD: Prospects and risks. OA Musculoskeletal Medicine, 2, 10.
  33. Weiss, H. R., Moramarco, M. M., Borysov, M., Ng, S. Y., Lee, S. G., Nan, X. & Moramarco, K. A. (2016). Postural rehabilitation for adolescent idiopathic scoliosis during growth. Asian Spine Journal, 10(3), 570-581. https://doi.org/10.4184/asj.2016.10.3.570
  34. Weiss, H. R., Rigo, M. & Rovenich, U. (2006). Be fundgerechte Physio the rapie bei Skoliose 2. Aufl. Munchen: Pflaum.
  35. Weiss, H. R., Tournavitis, N., Nan, X., Borysov, M. & Paul, L. (2017). Workflow of CAD/CAM scoliosis brace adjustment in preparation using 3D printing. The Open Medical Informatics Journal, 11(1).
  36. Winter, R. B. classification and terminology in: Moe, J. H., Bradford, D. S., Lonstein, J. E., Winter, R. B. & Ogilvie, J. W. (1995). Moe's textbook of scoliosis and other spinal deformities. Saunders. p39-44.
  37. Wong, H. K., Hui, J. H., Rajan, U. & Chia, H. P. (2005). Idiopathic scoliosis in Singapore schoolchildren: a prevalence study 15 years into the screening program. Spine, 30(10), 1188-1196. https://doi.org/10.1097/01.brs.0000162280.95076.bb