• Title/Summary/Keyword: Adolescent Structural Scoliosis

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A Clinical Study on the Outcome of Chuna Treatment of Adolescent Structural Scoliosis (청소년기의 구조적 척추측만증에 대한 추나치료 결과 고찰)

  • Heo, Su-Young
    • The Journal of Korea CHUNA Manual Medicine
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    • v.2 no.1
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    • pp.121-132
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    • 2001
  • Objectives The present study retrospectively investigated clinical outcome of patients with structual scoliosis during Chuna treatment. Methods : The study population consisted of 34 patients(14 patients of adolescent and 20 patients of adult) who were diagnosised as scoliosis with radiological finding. All patients were treated with Chuna treatment, and after treatment, evaluated with radiological measurement by calculating the scoliosis correction angle from the Initial and follow-up spine AP and lateral views. Also the evaluation of clinical outcome was done twice pre and post treatment during this study. Results : The results were summarized as follows ; 1) The 85.3 percent of patients complained physical pain. and adult group had various painful lesion compared with adolescent group. 2) Adult group had treated $18.0{\pm}7.2$ times and adolescent group treated $13.5{\pm}5.7$ times with Chuna treatment. 3) Scoliotic angle is reduced in 92.9 percent of adolescent group and had all of adult group after Chuna treatment, especially, statistically significance appeared in adult group. 4) Adult group was superior to adolescent group in correctability and scoliotic angle change. 5) Correction effect was better in the group which initial scoliotic angle was lessor, or had more time of treatment. 6) According to grade of vertebral body rotation, scoliotic angle is larger and correctability was lower. Conclusions : Chuna treatment was efficacious against scoliosis. And it is necessary for adolescent scoliosis patient to be more carefully treated and observed.

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A Clinical Case Study on Treatment of Adolescent Structural (청소년기의 구조적 척추측만증 환자 치험 1례에 대한 보고)

  • Kang, Jun-Hyuk;Hong, Seo-Young;Yoon, Il-Ji;Oh, Min-Suck
    • 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.

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A Clinical Trial for Two Adolescent Patients with Structural Spinal Scoliosis (청소년기의 구조적 척추 측만증 치험 2례)

  • Hong, Sang-Joon;Choi, Ka-Hye;Song, In-Sun;Lee, Chul-Hwi
    • 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.

Suggestion of Structural Analysis Model Using Auxiliary Rehabilitation Device for a Patient of Spinal Curvature (척추측만증 환자의 재활 치료 보조기 개발을 위한 구조 해석 모델 제시)

  • Bak, Jeong-Il;Yoon, Ho-Cheul;Kou, Heung;Yum, Deuk-Joon;Sun, Dong-Youn;Kim, Young-Chul
    • Proceedings of the IEEK Conference
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    • 2009.05a
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    • pp.141-144
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    • 2009
  • The purpose of this study is to develop the auxiliary rehabilitation device for a patient of spinal curvature. The adolescent diopathic scoliosis(AIS) must be treated by rehabilitation brace if Cobb angle is $20^{\circ}{\sim}40^{\circ}$. The rehabilitation brace is consist of 4 vest and 2 hinge parts(hinge and couple bar) that give a force to the ribs. But thin and light hinge parts for young patient failed easily because of unusual movement of the upper body. We studied optimum design and structural analysis of hinge parts when it distorted by tensile and bending force. The specimen of hinge parts were tested to evaluate the failure strength. And we attached circuits with memory and sensor detecting pressure and displacement to recoding stress in hinge parts. These data are used to alarm the patient to stop unusual movement and understand the load history.

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Effect of the Type and Positon of Scoliosis on the Static Balance of Adolescents

  • Yoon, Na-Mi;Yoon, Hee-Jong;Kim, Geon
    • The Journal of Korean Physical Therapy
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    • v.29 no.5
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    • pp.287-291
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    • 2017
  • Purpose: This paper provides basic clinical data on the treatment of scoliosis patients by analyzing the effects of the type and position of scoliosis on the static balance using Tetrax on adolescents who have balance disorders as a consequence of structural changes, such as scoliosis. Methods: A total of 110 adolescents were divided into 6 groups according to the radiographs and 60 adolescents were sampled, 10 each for each group. The static balance was measured and analyzed on the existence of sight using Tetrax. Results: The changes followed by existence of sight in static balance group showed a significant difference statistically in Stability index in all groups (p<0.001). The changes in the static balance in each group in terms of the stability index were significant in all groups, where the experiments were performed under the eyes opened and eyes-closed condition (p<0.01)(p<0.001). The post-hoc comparison revealed the stability index to be the highest in the eyes-opened condition in group III, but not in group IV. In the eyes-closed condition, group III showed the highest stability index of all the groups. Conclusion: Adolescents with lumbar scoliosis had a lower static balance in single scoliosis with the eyes-closed condition or had little movement compensation. In addition, unlike the other normal scoliosis, back scoliosis has negative effects on the posture because it causes an increase in the disturbance of posture. Therefore, future studied will be needed to examine the imbalance of posture in people suffering from back pain.

Adolescent Idiopathic Scoliosis Treatment by a Korean Neurosurgeon : The Changing Role for Neurosurgeons

  • Hyun, Seung-Jae;Kim, Woong-Beom;Park, Young-Seop;Kim, Ki-Jeong;Jahng, Tae-Ahn;Kim, Yongjung J.
    • Journal of Korean Neurosurgical Society
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    • v.58 no.1
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    • pp.50-53
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    • 2015
  • Objective : The purpose of this study was to evaluate radiographic/clinical outcomes of adolescent idiopathic scoliosis (AIS) patients treated by a Korean neurosurgeon. Methods : Ten AIS patients were treated by a single neurosurgeon between January 2011 and September 2013 utilizing segmental instrumentation with pedicle screws. Basic demographic information, curve pattern by Lenke classification, number of levels treated, amount of correction achieved, radiographic/clinical outcomes [by Scolisis Resarch Society (SRS-22r) questionnaire] and complications were evaluated to determine the surgical results. Pulmonary function test was utilized to assess forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) before and after surgery. Results : The average percentage of correction of the major structural curve was 73.6% (ranged from 64% to 81.5%). Preoperative and final postoperative absolute FVC averaged 3.03 L and 3.76 L (0.73 L increase, p=0.046), and absolute FEV1 averaged 2.63 L and 3.49 L (0.86 L increase, p=0.021). Preoperative and final postoperative average self-image and function scores of SRS-22r were, $2.6{\pm}0.5$, $3.3{\pm}0.1$, $4.0{\pm}0.5$, and $4.6{\pm}0.0$, respectively. There was a significant improvement of the self-image and function scores of SRS-22r questionnaires before and after surgery (p<0.05). There was no case of neurological deficit, infection and revision for screw malposition. One patient underwent a fusion extension surgery for shoulder asymmetry. Conclusion : Radiographic/clinical outcomes of AIS patients treated by a Korean neurosurgeon were acceptable. Fundamental understanding of pediatric spinal deformity is essential for the practice of AIS surgery.