• The Journal of Korean Physical Therapy
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• v.24 no.1
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• pp.15-21
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• 2012

Purpose: The purpose of this study was to investigate the influence of adolescent's scoliosis on the stress level and study-attitude, to inform the public that there exist an important correlation between adolescent's scoliosis and stress, as well as, study-attitude, using a questionnaire. Methods: For this study, questionnaires were distributed to elementary school in G city from May 10 through May 31, 2011. This study measured a primary scoliosis-test by a scoliometer with 300 elementary school students and a secondary test by Cobb's angle using an X-ray. The subjects were divided into 2 groups (normal group (n=20), scoliosis group (n=20)). The collected data were analyzed by a t-test and Pearson analysis. Results: As a result of this study, the Cobb's angle showed significant difference between the scoliosis group and the normal group (p<0.001). Also, it tended to have a greater stress level in the scoliosis group than the relationship between scoliosis and the stress or study-attitude compared to the normal group (p<0.05). The correlation of stress according to Cobb's angle showed a positive relationship (r=0.36), and the correlation of study-attitude to Cobb's angle showed a negative relationship (r=-0.04). Conclusion: In conclusion, this study showed that scoliosis affects stress and study-attitude. We hope that this result would help diagnose adolescent's scoliosis in anearly stage and prevent any phychologic and social problems relating to it.

• The Journal of Korean Physical Therapy
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• v.16 no.1
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• pp.60-69
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• 2004

Many methods have been described for the early intervention of adolescent idiopathic scoliosis. Adolescent idiopathic scoliosis is lateral and rotational spinal curvature in absence of associated congenital or neurologic abnormalities, the most common type of scoliosis observed in child and young adults, and refers to curves that develop after the age of $10{\sim}18$. The curves of adolescent idiopathic scoliosis have the potential to progress rapidly during growth. Curves are currently universally measured by the Cobb's method and Ferguson method. Some curves do not remain small, these may be mildly or severely progressive and the ribs on the convex side of the curve separate, and those on the concave side ribs approximate so rib undergoes deformation with rib humping. The latter may make angles that can affect vestibular system, balance, sensory, especially cardipulmonary function. Intervention for adolescent idiopathic scoliosis is based on the patient's age, the angular value of the curve, the maturity of their skeleton, and the topography. The purpose of intervention for adolescent idiopathic scoliosis consists of knowing how to go to the best approach the correction of the lateral curve and rotational deformity holding the achieved for the remainder of spinal growth, preventing significant cosmetic abnormality, pain and cardiopulmonary complication, control the muscle imbalance and proprioceptive postural disturbances, be less need for radical surgery to avoid early surgery.

• Journal of Haehwa Medicine
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• v.15 no.1
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• pp.117-124
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• 2006

Objectives : This study was performed to evaluate the effect of oriental medical treatment on adolescent structural scoliosis. Methods : A patient who has scoliosis was treated with chuna and acupuncture treatment. After the treatment, we evaluated the effects of treatment with radiological measurement by calculating the scoliosis correction angle from the initial and follow-up spine AP view. Result : After the treatment, the cobb's angle of T-spine was changed $23^{\circ}$ to $15^{\circ}$, that of L-spine was changed $25^{\circ}$ to $10^{\circ}$. Conclusions : In this study, Chuna and acupuncture treatment was efficacious against scoliosis. And it is necessary for adolescent scoliosis patient to be more early detection, earily treated and continuous observed.

• The Journal of Pediatrics of Korean Medicine
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• v.24 no.3
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• pp.50-57
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• 2010

Objectives: The purpose of this study is to report two cases of adolescent patient with structural spinal scoliosis treated by Chuna therapy. Methods: We examined two adolescent patients with an X-ray examination. These patients were diagnosed with structural scoliosis, and we used acupuncture and Chuna method at these patients. Cobb's angle and VAS(Visual Analogue Scale) were used to evaluate effects of the treatment. Results and Conclusions: After the treatment, we got these improvement results : In one case, the Cobb's angle was improved by $8.4^{\circ}$ ($19^{\circ}$ to $10.6^{\circ}$) at thoracic level (44.2% correctability) and VAS has been changed from 5 to 1-2. In another case, the Cobb's angle was improved by $4.3^{\circ}$($11.3^{\circ}$ to $7^{\circ}$) at lumbar level(38.0% correctability) and VAS has been changed from 7 to 1-2.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.8 no.2
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• pp.87-95
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• 2013

Objectives: This report of three cases illustrates the potential effect of chuna therapy and myofascial release technique on back pain and curve regression in the at-risk, skeletally immature patient with adolescent idiopathic scoliosis. Methods: The correction program for scoliosis takes 3 month per case. Chuna Therapy and MRT were given once a week and other oriental medicine care was given twice a week to care the complications of scoliosis. The Cobb's angle(by X-ray, Full spine view) and Visual analogue scale(VAS) were evaluated before and after the treatments. Results: After the program, both of Cobb's angle and VAS decreased. Conclusion: Though it is a case report, we found Chuna Therapy and MRT might have valid effect on adolescent idiopathic scoliosis patients. Further rigorous case series and controlled trials are warranted.

• 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 Acupuncture Research
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• v.36 no.3
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• pp.119-130
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• 2019

This study analyzed randomized controlled trials (RCTs) and case studies investigating Chuna manual therapy and variations of this term, for adolescent idiopathic scoliosis. On June $15^{th}$, 2019, 6 online databases were used to retrieve studies. A total of 527 articles were retrieved, and 14 RCTs and 20 case studies were selected for review. Typically, the frequency of Chuna therapy was 1-2 times/week. The most common period of treatment was 12 months in RCTs and 3-6 months in case studies. Cobb's angle was the most frequent evaluation index used (11 RCTs and 20 case studies). In control groups, brace treatment was used in 8 RCTs. In 6 RCTs and 20 case studies, Cobb's angle significantly decreased after Chuna therapy, and in 4 RCTs, Chuna therapy was as effective as brace treatment, with no significant difference between groups. Adverse events were not reported except for minor reactions in only 3 case studies. This review suggested that Chuna therapy for adolescent idiopathic scoliosis was more advantageous than and as effective as brace treatment in most cases, although the risk of bias in 13 RCTs was unclear.

• 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.

• Journal of Korean Medicine Rehabilitation
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• v.23 no.1
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• pp.65-75
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• 2013

The objective of this study is to report the effect of Chuna manipulation and foot orthosis treatment on juvenile, adolescent idiopathic scoliosis by observing four clinical case studies. Pre-and post-treatment, we investigated the changes in Cobb's angle, pelvic height and walking pattern by using the standing full spine X-ray. After application of a Chuna manipulation and foot orthosis treatment, Cobb's angle was reduced in 4 cases. Difference of pelvic height was reduced in 3 cases, and other 1 case was increased rather. And walking balance was improved in the case of measuring walking balance pattern. This study showed that Chuna manipulation and foot orthosis treatment has meaningful effect on juvenile, adolescent idiopathic scoliosis and more researches should be followed.

• Journal of International Academy of Physical Therapy Research
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• v.11 no.4
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• pp.2191-2196
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• 2020

Background: Incorrect postures of adolescents caused by the use of smart devices have been noted as a factor causing spinal diseases. Objectives: To examine the effect of joint mobilization and stretching on Cobb's angle and respiratory function in adolescent idiopathic scoliosis (AIS). Design: Cluster-randomized controlled trial. Methods: A total of 22 subjects with AIS were enrolled. They were allocated to two groups: the joint mobilization (n=11) and the stretching (n=11). All interventions were conducted for 30 minutes, three times a week for six weeks. Outcome measures were the Cobb's angle and respiratory function. The Cobb's angle and respiratory function measured using the X-ray and Micro-Quark. Results: Joint mobilization group showed significant differences in Cobb's angle and respiratory function, but stretching group showed significant differences Cobb's angle. The differences in peak expiratory flow (PEF) between the two groups were significant. Conclusion: This study proved that joint mobilization is a more effective intervention for AIS to improve Cobb's angle and respiratory function, when compared to stretching.