• Title/Summary/Keyword: 특발성 척추 측만증

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The Measurement of Size of the Pedicle Using 3 Dimensional Reconstruction Image in Idiopathic Scoliosis (특발성 척추측만증 환자에서의 3차원적 재구성을 이용한 척추경의 크기 측정)

  • Heo, Jae-Hee;Ahn, Myun-Hwan
    • Journal of Yeungnam Medical Science
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    • v.21 no.1
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    • pp.40-50
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    • 2004
  • Background: This study was conducted to analyze the height and width of the pedicle of the upper and lower levels on the concave and the convex sides. In addition, we checked for the appropriate pedicle screw size which could be screwed in without complications. Materials and Methods: Taking a simple AP radiography in a standing position, 99 vertebrae on the major curve with the possibility of 3-D reconstruction were analyzed after checking the CT in a supine position of 22 idiopathic scoliosis. We measured Cobb's angle from a simple radiograph, and measured the size of the isthmus by the Inner Space 3-D Editor after 3-D reconstruction with the Inner Space 3-D program in the DICOM file transformed from CT image. We then analyzed the size of pedicles of the upper and lower levels on the concave and the convex sides by measuring the height and width of the pedicle. Results: All pedicles on the concave side were smaller than those on the convex side. Their size increased as the measurement moved from the upper to lower vertebra, except for the upper thoracic vertebra. When the width of the pedicle through 3-D reconstruction was compared with the narrowest width of the pedicle measured by using CT, the width of the pedicles through 3-D reconstruction was statistically smaller (P<0.01). Most of the pedicles were tear-drop or kidney shaped rather than cylindrical. Conclusion: These results suggest that the use of the coronal plane through 3-D reconstruction would be necessary for an accurate measurement of the size of the pedicle. It is important to pay careful attention to the screw size and the screwing method considering the pedicle shape through 3-D reconstruction.

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The effects of Lumbar Stabilization Exercise on Balance Ability and Lumbar Trunk Muscle Endurance in Patients with Adolescent Idiopathic Scoliosis(Pilot study) (요부안정화운동이 청소년기 특발성 척추 측만증 환자의 균형능력과 요부근지구력에 미치는 효과(Pilot study))

  • Shin, Seung-Sub;Lee, Sun-Woo;Song, Chang-Ho
    • Journal of muscle and joint health
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    • v.19 no.1
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    • pp.16-26
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    • 2012
  • Purpose: The purpose of this study was to investigate the effects of lumbar stabilization exercise on balance ability in patients with adolescent idiopathic scoliosis. Methods: This study was one group pretest-posttest design. Twenty young idiopathic scoliosis patients were recruited for this study. They had the lumbar stabilization exercise program for 40 minutes a day, three times per week for 3 weeks. The lumbar trunk muscle endurance test and clinical balance tests (functional forward reach, functional lateral reach, Fukuda 50-stepping, one leg standing with eyes open and eyes closed) were measured before and after the lumbar stabilization exercise. Results: There were significant differences between pre-and post-test in absolute value of the difference between right and left lateral reach, distance of Fukud 50-stepping and one leg standing on the each side with eyes closed(p<.05). The results showed that the lumbar trunk muscle endurance significantly increased(p<.05). Conclusion: In this study indicated that the lumbar stabilization exercise was effective on balance ability and lumbar trunk muscle endurance in patients with young idiopathic scoliosis.

Comparisons of Postural Habits, Body Image, and Peer Attachment for Adolescents with Idiopathic Scoliosis and Healthy Adolescents (특발성 척추측만증 청소년과 정상 청소년의 자세습관, 신체상 및 또래관계 비교)

  • Choi, Ji-Hea;Oh, Eui-Geum;Lee, Hye-Jung
    • Child Health Nursing Research
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    • v.17 no.3
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    • pp.167-173
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    • 2011
  • Purpose: This study was conducted to compare the postural habits, body image, and peer attachment of adolescents with idiopathic scoliosis and healthy adolescents, and to examine the correlation between body image and peer attachment in each group. Methods: Eighty-three adolescents with idiopathic scoliosis and 83 healthy adolescents were recruited from 4 middle schools located in W city. Data were collected from November 22 to December 6 2010 using a structured questionnaire including items about postural habits, body image, and peer attachment. Data were analyzed using descriptive statistics, $X^2$-test, independent t-test and Pearson Correlation Coefficient. Results: Compared to healthy adolescents, adolescents with idiopathic scoliosis were more likely to use one hand, to lean back while seated, and to put weight on one leg while standing. The score for body image was significantly lower for adolescents with idiopathic scoliosis compared to healthy adolescents, but peer attachment was not significantly different between the two groups. Body image was significantly correlated with peer attachment only for the adolescents with idiopathic scoliosis. Conclusion: Interventions to promote balanced postural habits in adolescents with idiopathic scoliosis are needed. Information on body image and peer attachment for these adolescents should also be considered when developing interventions.

A Recent Study of Conservative Treatment of Idiopathic Scoliosis (특발성 척추 측만증(Idiopathic Scoliosis)의 보존적 치료에 대한 최근 임상 연구)

  • Lee, Kwang-Ho;Song, Yun-Kyung;Jun, Chan-Yong;Jung, Seung-Min
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.67-84
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    • 2005
  • Idiopathic scoliosis is a complex three-dimensional deformity of the spine. There is two ways in treatment of scoliosis, normally. In order to prevent a progressive course of the disorder, conservative treatment is started in selected patients. And sometimes, operation is performed to severe patients. But, application standard is vague. So We reviewed the latest medical theses. English language articles in Medline database between 2003 and 2005. 8. 31. were reviewed. The searching words was Idiopathic scoliosis, conservative treatment, brace. exercise. We classified 27 articles. The results of this research demonstrate that conservative treatment is more effective than observation until operation.

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The Clinical Case Report on Idiopathic Scoliosis with Chuna Therapy and Acupuncture Therapy (추나요법과 침치료를 이용한 특발성 척추측만증의 보존적 치료 치험 2례)

  • Yeom, Sun-Kyu;Jin, Eun-Seok;Jeong, Hae-Chan;Kim, Han-Kyum;Lee, Jin-Hyuk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.77-84
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    • 2010
  • Objectives : The propose of this study is to compare X-ray Cobb각 and clinical symptoms. Methods : Clinical datas were compared Cobb각 with X-ray Full spine A.P. and lateral view. Results : After treatment, One case, the L-spine Cobb각 correctability was 93.76%, the other case, the C-T spine Cobb각 correctability was 37.49%, the T-L spine Cobb각 correctability was 85.83%. Conclusions : The result suggest that chuna and acupuncture therapy was effective treatment on patients with idiopathic scoliosis. Also we experienced improvement of symptoms to this patient.

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Two Cases of Idiopathic Scoliosis with Double Curved Thoracolumbar Spine using Muscle Energy Technique (근에너지기법을 이용한 흉요추부 이중만곡 형태의 특발성 척추 측만증 호전 2례)

  • Lee, Sung-Joon;Lee, Hyuk-Jae;Lee, Yu-Jin
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.12 no.2
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    • pp.63-71
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    • 2017
  • Objectives : The purpose of this study is to report the effect of muscle energy technique(MET) on idiopathic scoliosis with double curved thoracolumbar spine. Methods : Two patients with idiopathic scoliosis with double curved thoracolumbar spine were treated by MET. To investigate the outcome of the patients' improvement, we observed the standing X-ray of cervical, thoracic, lumbar spine. And Cobb's angle, correctability and visual analog scale(VAS) were used to measure changes during treatment. Results : After treatment, Cobb's angle, correctability and VAS were improved significantly. Conclusions : MET showed significant improvement to idiopathic scoliosis with double curved thoracolumbar spine. There is limitation on this study due to insufficient number of cases. Further research should be followed.

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The study of correlations between clinical balance scales and balance performance monitor parameters in patients with adolescent idiopathic scoliosis (청소년기 특발성 척추측만증 환자의 임상적 균형 평가지수와 균형 수행 모니터 측정값의 상관성 연구)

  • Shin, Seung-Sub
    • PNF and Movement
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    • v.8 no.3
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    • pp.39-47
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    • 2010
  • Purpose : The purpose of this study was to investigate the correlations between clinical balance scales and Balance Performance Monitor parameters in patient with adolescent idiopathic scoliosis (AIS). Methods : Twenty AIS subjects (age, $14.26{\pm}1.93yrs$; height, $160.56{\pm}7.98cm$; weight, $47.54{\pm}6.94kg$)were participated in this study. Postural sway(mean balance, sway angle, sway area, sway path, maximal sway velocity) were were evaluated by balance performance monitor. Measurements for clinical balance scales were Functional reach test (both side), the Lateral reach test (both side) and One leg standing test (both legs). Results : The results were as follows. There were positive strong correlation between major curve direction and left-right sway angle, sway path, maximal sway velocity. There were negative strong correlation between the functional reach and left-right sway angle, sway area, sway path, maximal sway velocity. And the lateral reach were also showed negative strong correlation parameters of balance performance monitor. One leg standing were negatively correlated with left-right sway angle, sway path, maximal sway velocity. Conclusion : The clinical balance scales will be useful tools for balance measurements, and basic tools for clinical setting for patient with AIS.

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A Clinical Two Case Studies on Juvenile Idiopathic Scoliosis Treated by Lumbar Flexion-Distraction Manipulation And Sitting Position Thoracic And Lumbar Vertebra Adjustment Manipulation (요추굴곡신연기법과 좌위흉요추교정법을 이용한 청소년기 특발성 척추측만증 환자 치험 2례)

  • Jang, Hong-Gyu;Yang, Du-Hwa;Woo, Chang-Hun;Ahn, Hui-Duk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.1
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    • pp.103-114
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    • 2014
  • Objectives : The purpose of this study was to report clinical effects of Lumbar flexion-distraction manipulation and Sitting position thoracic and lumbar vertebra adjustment manipulation on patient with Juvenile idiopathic scoliosis Methods : The patients have been treated with the above two Chuna manual manipulations. We measured Cobb's angle, VNRS before and after treatment Results : After treatment, we confirmed these transition : In first case, Cobb's angle of T-spine changed from 27 to 23 : Cobb's angle of L-spine changed from 17 to 10 : VNRS changed from 6 to 2. In second case Cobb's angle of T-spine changed from 30 to 21 : Cobb's angle of L-spine changed from 16 to 16 : VNRS chagned from 6 to 3 Conclusion : The result suggests that these two Chuna manual manipulations were effective treatment on patients with Juvenile idiopathic scoliosis.

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A Clinical Case of Muscle Energy Technique and Schroth Method for Idiopathic Scoliosis (근에너지기법(Muscle Energy Technique)과 Schroth Method를 이용한 특발성 척추 측만증 호전 1례)

  • Lee, Sung-Joon;Park, Jae-Hyun;Nam, Su-Hyeon;Kang, Jun-Hyuk
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.3
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    • pp.173-179
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    • 2014
  • The purpose of this study is to report the effect of muscle energy technique (MET) and Schroth method on idiopathic scoliosis. A patient with idiopathic scoliosis was treated by MET and Schroth method. To investigate the outcome of the patient's improvement, we observed the X-ray of cervical, thoracic, lumbar spine. And Cobb's angle, correctability, visual analog scale (VAS) were used to measure changes during treatment. After treatment, Cobb's angle and correctability, VAS were improved significantly. MET and Schroth method are proved to be helpful to improve idiopathic scoliosis. And, further studies will be needed.

Effects of Sling-Based Core Exercise Program on Cobb Angle and Core Strength of Idiopathic Scoliosis in Adolescences (슬링을 통한 코어운동프로그램이 청소년의 특발성 척추측만증의 Cobb각과 코어근력에 미치는 효과)

  • Yu, Dang-young;Yang, Young-sik;Park, Sung-doo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.2
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    • pp.47-56
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    • 2019
  • Background: The purpose of this study was compare and analyze the Cobb's angle, core muscle strengthening in adolescents with idiopathic scoliosis and provide scientific basis for effectively treating idiopathic scoliosis in the future. Methods: The subjects of this study were 20 members of adolescent girls. Measurement tools were comprised Cobb's angle test, core muscle strengthening test. After 8 weeks of program, both groups had the same measurements as before program start. Results: The results of the study are as follows. First, the experimental group was decreased statistically significantly in Cobb's angle than the control group. Second, Both groups were increased statistically significantly in core muscle strengthening. The experimental group was increased statistically significantly direction in front, back l than the control group. Conclusion: Sling exercise with core exercise was effective in the decrease of Cobb's angle and core muscle strength than general scoliosis exercise in adolescents with idiopathic scoliosis.