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The Effect of 16 Weeks of Modified Apparatus Pilates Exercise on Cobb's Angle, Trunk Rotation Angle, and Depression in Patients with Idiopathic Scoliosis

  • Ki Yeon Song (Department of Public Health Sciences, Graduate School, Dankook University) ;
  • Ki Hyun Baek (Department of Public Health Sciences, Graduate School, Dankook University) ;
  • Mi Soo Lim (Department of Public Health Sciences, Graduate School, Dankook University) ;
  • Hyoung-Won Lim (Department of Physical Therapy, Dankook University)
  • 투고 : 2023.07.13
  • 심사 : 2023.07.26
  • 발행 : 2023.08.31

초록

Purpose: This study was undertaken to identify the effects of apparatus Pilates exercise on Cobb's angle, angle of trunk rotation, and depression in female patients with idiopathic scoliosis. Methods: Participants included five patients with idiopathic scoliosis presenting with Cobb's angle of 10 degrees or more. Among the single-subject experimental research designs, the reversal (ABA) design was selected and performed. The apparatus Pilates exercise was performed for a total of 16 weeks, comprising 8 weeks between the baseline and intervention 1 period and 8 weeks between intervention 1 and intervention 2 periods. The patients were then followed up for 5 weeks. Results: In all subjects, compared to the baseline, Cobb's angle and the angle of trunk rotation decreased after application of the apparatus Pilates exercise. The follow-up period also showed a similar continuous decline. Following the apparatus Pilates exercise, the depression scale in subject 3 was increased during the intervention 1 period as compared to the baseline. However, the patient displayed a reduced depression scale in intervention 2 and follow-up periods. The depression scale in all other subjects was decreased for both intervention periods and the follow-up period. Conclusion: The application of apparatus Pilates exercise improves Cobb's angle and the angle of trunk rotation for female patients with idiopathic scoliosis in their 10s and 20s. Our results also indicate that this is potentially an effective intervention method to overcome depression.

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참고문헌

  1. Ryu SI, Cho IS. Factors affecting smartphone addiction among elementary school students. JKAIS. 2015,16(9):6180-9.  https://doi.org/10.5762/KAIS.2015.16.9.6180
  2. Kong BJ. A comparison on the influences of schroth-based static scoliosis exercise and asymmetric scoliosis exercise on the patients with scoliosis. Daegu University. Dissertation of Doctorate Degree. 2014. 
  3. Lee JW. Effects of dynamic neuromuscular stabilization exercise and schroth exercise on Cobb's angle, respiratory function and balance in scoliosis patients. Hanseo University. Dissertation of Doctorate Degree. 2018. 
  4. Anderson SM. Spinal curves and scoliosis. Radiol Technol. 2017;79(1):44-65. 
  5. James JI. Idiopathic scoliosis: the prognosis, diagnosis, and operative indications related to curve patterns and the age at onset. J Bone Joint Surg Br. 1954;36:36-49.  https://doi.org/10.1302/0301-620X.36B1.36
  6. Dimeglio A. Growth of the spine be fore age 5 years. J Pediatr Orthop B 1993;1:102-7.  https://doi.org/10.1097/01202412-199201020-00003
  7. Robinson CM, Mcmaster MJ. Juvenile idiopathic scoliosis. Curve patterns and prognosis in one hundred and nine patients. J Bone joint Surg, 1996;78(8):1140-8.  https://doi.org/10.2106/00004623-199608000-00003
  8. Mooney V, Brigham A. The role of measured resistance exercises in adolescent scoliosis. Orthopedics. 2003;26(2):167-71.  https://doi.org/10.3928/0147-7447-20030201-19
  9. Kwon JE, Cho YC, Han JK et al. The effects of pilates reformer exercise on women's foot pressure, sagittal alignment and forward head posture. Korean J Sports Sci. 2019;28(6):1395-403.  https://doi.org/10.35159/kjss.2019.12.28.6.1395
  10. Korovessis P, Zacharatos S, Koureas G et al. Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace. Eur Spine J. 2007;16(4):537-46.  https://doi.org/10.1007/s00586-006-0214-9
  11. Rosenberg M. Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy. Measures package. 1965;61(52):18. 
  12. Donnellan MB, Trzesniewski KH, Robins RW et al. Low self-esteem is related to aggression, antisocial behavior, and delinquency. Psychol Sci. 2005;16(4):328-35.  https://doi.org/10.1111/j.0956-7976.2005.01535.x
  13. Reichel D, Schanz J. Developmental psychological aspects of scoliosis treatment. Pediatr Rehabil. 2003;6(3-4):221-5.  https://doi.org/10.1080/13638490310001644593
  14. LIN T, Meng Y, Jiang H et al. Extent of depression in juvenile and adolescent patients with idiopathic scoliosis during treatment with braces. World Neurosurg. 2019;126:e27-e32.  https://doi.org/10.1016/j.wneu.2019.01.095
  15. Hee HH. The effect of pilates exercise program on health related physical fitness in salaried women. Korean National Sport University. Dissertation of Master's Degree. 2007. 
  16. Latey P. The Pilates method: history and philosophy. J bodyw mov ther. 2001;5(4):275-82.  https://doi.org/10.1054/jbmt.2001.0237
  17. Jeong CW, Ann GY, Lee JW. Effects of pilates with foam roller on body composition, senior fitness, and hip joint rom in rural elderly women. J Phys Growth Moto Develop. 2011;19(2):160-70. 
  18. Park KH. The effect of dynamic stability exercise with pilates on balance, gait and trunk muscle activity of patients with chronic stroke. Daegu University. Dissertation of Doctorate Degree. 2016. 
  19. Park SJ, Kim HN, Jo JH. The effects of the core strenghtening-pilates exercise on the performer's physical self-perception and performance confidence of college students majoring in dance. J Kor Soc Dance Sci. 2013;30(1):107-21.  https://doi.org/10.21539/ksds.2013.30.1.107
  20. Yu BK, Jung SY, Kim MN et al. The effects of pilates mat exercise in 8 weeks on twenty-aged women's body composition, lumbar muscle strength and flexibility. AOSPT. 2008;4(1):61-6. 
  21. Im KC, Lee CJ, Roh DJ. Effect of pilates exercise on the cobb's angle, physical fitness and lumbar muscle in scoliosis middle school girls. Korean J Sport Sci. 2015;24(1):1161-71. 
  22. Kwon HH. Effects of pilates exercise in correcting body alignment and postural patterns among elementaly school girls. Ewha Womans University. Dissertation of Master's Degree. 2014. 
  23. Lee J, Seo SJ. A study of middle aged women, on their muscle activity and subjective analysis of the body according to pilates positions. KSDS. 2016; 33(4):109-23.  https://doi.org/10.21539/ksds.2016.33.4.109
  24. Mokhtari M, Nezakatalhossaini M, Esfarjani F. The effect of 12-week pilates exercises on depression and balance associated with falling in the elderly. Procedia Soc Behav Sci. 2013;70:1714-23.  https://doi.org/10.1016/j.sbspro.2013.01.246
  25. Hassan EAH, Amin MA. Pilates exercises inuence on the serotonin hormone, some physical variables and the depression degree in battered women. WJSS. 2011;5:89-100. 
  26. Choi J. A causal relation between pilates participation of adult and physical and psychological factors change, and psychological well-being. Wonkwang University. Dissertation of Doctorate Degree. 2009. 
  27. Mikkelsen K, Stojanovska L, Polenakovic M, Bosevski M, Apostopoulos V. Exercise and mental health. Maturitas. 2017;106:48-56.  https://doi.org/10.1016/j.maturitas.2017.09.003
  28. Herring MP, Puetz TW, O'Connor PJ et al. Effect of exercise training on depressive symptoms among patients with a chronic illness: a systematic review and meta-analysis of randomized controlled trials. Arch Intern Med. 2012;172:101-11.  https://doi.org/10.1001/archinternmed.2011.696
  29. Chen J, Wang S, Yang G et al. A review of the methods on cobb angle measurements for spinal curvature. Sensors. 2022;22(9):3258. 
  30. Coelho DM, Bonagamba GH, Oliveira AS . Scoliometer measurements of patients with idiopathic scoliosis. Braz J Phys Ther. 2013;17:179-84.  https://doi.org/10.1590/S1413-35552012005000081
  31. Lee S, Oh ST, Ryu SY et al. Validation of the Korean version of center for epidemiologic studies depression scale-revised (K-CESD-R). Korean J Psychosom Med. 2016;24(1):83-93. 
  32. Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377-81.  https://doi.org/10.1249/00005768-198205000-00012
  33. Endleman I, Duncan DJ. Transversus abdominis and obliquus internus activity during pilates exercises: measurement with ultrasound scanning. Arch Phys Med Rehabil. 2008;89(11):2205-12.  https://doi.org/10.1016/j.apmr.2008.04.025
  34. Menezes A. The complete guide to Joseph H. Pilates' techniques of physical conditioning: with special help for back pain and sports training. Alameda, Hunter House, 2004. 
  35. Weiss HR, Klein R, Hollaender M. ADL based scoliosis rehabilitation--the key to an improvement of time-efficiency? Stud Health Technol Inform. 2006;123:594-8. 
  36. Blount T, Mckenzie E. Pilates system marmaxx. New york, Hamlyn, 2001. 
  37. Song KY, Baek KH, Lim MS et al. Effects of the instrument pilates exercise based on the schroth exercise on the Cobb's angle, angle of trunk rotation and low back pain in patients with idiopathic scoliosis: a single subject study. J Kor Phys Soc. 2021;33(2):97-105.  https://doi.org/10.18857/jkpt.2021.33.2.97
  38. HwangBo PN. Comparisions of effects of schroth exercise and pilates exercise to female students with growing idiopathic scoliosis. Daegu University. Dissertation of Doctorate Degree. 2015. 
  39. Sung EH. The effect of 12 week's pilates and postural patterns training program on thoracic cobb's angle, static balance, thoracic mobility and postural patterns correction in adolescents with scoliosis. Korea National Sport University. Dissertation of Master's Degree. 2013. 
  40. Emery K, De Serres SJ, Mcmillan A et al. The effects of a pilates training program on arm trunk posture and movement. Clin Biomech. 2010;25(2):124-30.  https://doi.org/10.1016/j.clinbiomech.2009.10.003
  41. Khaledi A, Minoonejad H, Daneshmandi H et al. Is core stability exercise effective in correcting idiopathic scoliosis in adolescents? a systematic review. J Maz Uni Med Sci. 2023;32(216):179-91. 
  42. Gou Y, Lei H, Zeng Y et al. The effect of Pilates exercise training for scoliosis on improving spinal deformity and quality of life: meta-analysis of randomized controlled trials. Medicine. 2021; 100(39):e27254. 
  43. Muscolino JE, Cipriani S. Pilates and the "powerhouse". J Bodyw Mov Ther. 2004;8(1):15-24.  https://doi.org/10.1016/S1360-8592(03)00057-3
  44. Kaya MH, Erbahceci F, Alkan H et al. Factors influencing of quality of life in adolescent idiopathic scoliosis. Musculoskelet Sci Pract. 2022;62:102628. 
  45. Rrecaj-Malaj S, Beqaj S, Krasniqi V et al. Outcome of 24 weeks of combined schroth and pilates exercises on Cobb angle, angle of trunk rotation, chest expansion, flexibility and quality of life in adolescents with idiopathic scoliosis. Med Sci Monit Basic Res. 2020;26:e920449-1. 
  46. Park JH, Jeon HS, Park HW et al. Effects of the Schroth exercise on idiopathic scoliosis: a meta-analysis. Eur J Phys Rehabil Med. 2017;54(3):440-9.  https://doi.org/10.23736/S1973-9087.17.04461-6
  47. Fleming KM, Herring MP. The effects of pilates on mental health outcomes: a meta-analysis of controlled trials. Complement Ther Med. 2018;37:80-95.  https://doi.org/10.1016/j.ctim.2018.02.003
  48. Kim HS. Verification of the relationship between adolescents stress, self efficacy, depression and suicidal ideation. Korean J Youth Studies. 2009;20(1):203-25. 
  49. Bae JS, Choi JH. Relationship between academic stress and depression symptoms among female high school students. JKAIS. 2020;21(12):547-57.