• Physical Therapy Korea
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• v.7 no.3
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• pp.1-18
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• 2000

The present study was performed to investigate the prevalence rate of idiopathic scoliosis and to determine the effect of exercise training on scoliotic angle in elementary school children. In this study, two out of five elementary schools in Seosan city were chosen by random sampling. Seven hundred sixty four students (from four grade to the sixth grade student) were selected in two schools. Screening tests were conducted to find idiopathic scoliosis. Among the 764 individuals, 139 subjects who showed positive sign in physical examination took whole spine radiography. Thirty six subjects who had a curve of 10 or greater and consented to participate in the exercise program were selected for the exercise program. The exercise program was performed four times a week for 5 months. The results of this study were as follows: 1) One hundred thirty nine subjects showed positive sign in the scoliosis screening test. 2) The overall prevalence of curve of $10^{\circ}or$ greater in X-ray finding was 8.15%. The prevalencies of curve of $10^{\circ}or$ greater in male and female were 7.1% and 9.2%, respectively. 3) Scoliosis curves were observed at thoracic area (48.4%), at thoracolumbar area (27.4%) and at lumbar area(24.4%). 4) Right side curve was 59.7%, and left side curve was 40.3%. 5) After the 5 month exercise program for scoliosis, the Cobb's angle was significantly decreased. 6) There was no significant difference of Cobb's angle change respect to sex, grades, and scoliosis curve site. Results shown here indicates that an early detection and early exercise for scoliosis can result in decreased the Cobb's angle in elementary school children.

• Journal of Acupuncture Research
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• v.33 no.4
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• pp.7-14
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• 2016

Objectives : This study was performed to investigate the correlation between Cobb's angle and digital infrared thermographic imaging(DITI) on adolescent idiopathic scoliosis. Methods : A total of 56 patients with adolescent idiopathic scoliosis were classified into four groups according to their Cobb's angle. Four groups were made for each increment of $5^{\circ}$: group $5-10^{\circ}$, group $11-15^{\circ}$, group $16-20^{\circ}$, and group $21-25^{\circ}$. Next we checked thermal differences of 6 acupoints(GB21, BL13, BL15, BL20, BL23, BL26) on DITI and analyzed correlation by SPSS ver. 20.0.0 for windows. Results : 1. The average patient age was approximately 13 years old. 2. The majority of patients complained of pain on both sides. 3. Significant correlation was found between group $11-15^{\circ}$ and group $16-20^{\circ}$, group $16-20^{\circ}$ and group $21-25^{\circ}$ on Simsu(BL15) by Duncan test. Conclusion : Using DITI, Simsu(BL15) is expected to be a valid indicator for the diagnosis and treatment of adolescent idiopathic scoliosis.

• Korean Journal of Applied Biomechanics
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• v.24 no.3
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• pp.269-275
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• 2014

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.

• Journal of Oriental Medical Thermology
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• v.9 no.1
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• pp.51-56
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• 2011

Purpose : The purpose of this study is to report the comparison of X-ray and Digital Infrared Thermographic Imaging (DITI) of a patient with idiopathic scoliosis. Method: The patient in this case was a 25-year-old female. Her chief complaint was a pain in lumbar, scapular and shoulder regions. We examined her with DITI and X-ray. And then We compared DITI and X-ray. Results: Cobb's angle of thoracic spine was $24.78^{\circ}$ as a primary curve. Cobb's angle of thoracolumbar spine was $17.63^{\circ}$. Temperature on convex side of the thoracic spine was $0.3^{\circ}C$ higher than the other side. Temperature on convex side of cervical spine was $1.4^{\circ}C$ higher than the other side. There was no correlation curvature degree with temperature difference. Conclusion : There was a tendency that the temperature on convex side of the spine is higher than the other side of the spine. DITI is a useful assessment tool when it is used with X-ray as a diagnostic tool of idiopathic scoliosis. Further studies are needed.

• Journal of Korean Medicine Rehabilitation
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• v.30 no.4
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• pp.55-64
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• 2020

Objectives This study aimed to analyze the trends of Korean traditional medicine treatment for idiopathic scoliosis. Methods We searched clinical studies used Korean traditional medicine for idiopathic scoliosis in 4 Korean online databases 'Koreanstudies Information Service System', 'Earticle', 'Oriental Medicine Advanced Searching Integrated System', 'Research Information Sharing Service'. We selected 18 studies and analyzed their characteristics according to author, publication year, number/sex/age of patient, treatment period, intervention, outcome measure and result. Results Eighteen case report studies were selected by criteria and randomized controlled trials were not found. The most frequently used therapy was Chuna therapy. Cobb's angle was most commonly used outcome measure. Conclusions In this study, we reviewed studies used Korean traditional medicine treatments for idiopathic scoliosis. However, evidence is limited because all selected studies were case reports. This study suggests that further clinical studies are needed to provide higher evidence about Korean traditional medicine treatment for idiopathic scoliosis.

• Journal of the Korean Society of Physical Medicine
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• v.16 no.3
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• pp.89-97
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• 2021

PURPOSE: This study examined the effects of coordinative locomotor training on the spine appearance and quality of life of patients with idiopathic scoliosis. METHODS: This study included two patients with idiopathic scoliosis: one with a thoracic and lumbar type scoliosis and the other with thoracic type scoliosis. The study design was a single case study (A-B-A'), with a baseline-intervention/phase-post-intervention. The baseline (A) was designed and measured five times, intervention phase (B) ten times, and post-intervention (A') five times. The coordinative locomotor training program was divided into 10 minutes of warm-up exercise, 30 minutes of the main exercise, and 10 minutes of the finishing exercise, for 50 minutes each time. The primary outcome measurements were measured using the Cobb's angle, Adam's test, and Gait view pro 2.0 to determine the changes in the spine appearance. The secondary outcome measurements were compared before and after using the SRS-22 questionnaire to determine the quality of life of the scoliosis patients. A statistical test analyzed the mean and standard deviation, and the rate of change was presented by a visual analysis method using descriptive statistics and graphs. RESULTS: The findings showed that the spine appearance and quality of life of the two subjects were improved compared to the baseline measurements during the intervention phase, and the improved state was maintained during the post-intervention period. CONCLUSION: These findings indicate that coordinative locomotor training may help improve the spine appearance and quality of life of patients with idiopathic scoliosis.

• The Journal of Korean Physical Therapy
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• v.14 no.4
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• pp.274-307
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• 2002

The TLSO was customized for this study in OO ortho-prosthesis institute from Jan. 1th., 2000 to Dec. 31th., 2000 and in order to measure effects of TLSO. 20 females in a growth period applicable to medical care took part in this study, they were on accidental spine scoliosis (From $15^{\circ}to35^{\circ}$). They were consisted of Group I(10 chest-bend) and Group II (10 dual-bend). The results were follows: 1. It showed the average difference in height by 1.37cm, 3.14cm in comparison between before and after TLSO, before and after one year and they were also statistically available(p < .05). 2. It showed the average difference in Cobb angle of a chest and waist by ($-10.95^{\circ},-8.50^{\circ}$), between before and right after TLSO. The results means that the Cobb angle of the chest and weist at right after TLSO was largely decreased, and it was also statistically available(p < .05). 3. It showed the difference in Cobb angle of the chest waist by $-9.50^{\circ},-7.35^{\circ} $ between before and one year after TLSO. It means that the Cobb angle of the chest and waist at the one year after TLSO was largely decreased, and it was also statistically available(p < .05). 4. It showed the difference in Cobb angle of the chest and waist by $2.34^{\circ},2.15^{\circ} $ between the right after and the one year after. TLSO, but the change of Cobb angle of the chest was regularly constant by a little increased, and it was also statistically available(p < .05). 5. In the measurement of the change of Cobb angle of the chest and waist according to the taking time on TLSO, it showed the slightest change in 10 people on TLSO for 23 hours by $13.30^{\circ},11.20^{\circ}$ , the change in 6 people on TLSO for 16 hours by $14.75^{\circ},12.67^{\circ}$, the change in 4 people on TLSO for 8 hours by $16.83^{\circ},14.00^{\circ} $ in this order. It means that the longer time on TLSO was to be the smaller the Cobb angle of the chest and waist, but it was not statistically available.

• Korean Journal of Applied Biomechanics
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• v.33 no.2
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• pp.73-83
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• 2023

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.