• Title/Summary/Keyword: Cobb Angle

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Effects of Schroth 3-Dimensional Exercise on Cubb's Angle, Abdominal Endurance, Flexibility and Balance in Adolescents with Idiopathic Scoliosis (특발성 측만증 청소년의 Schroth 3차원 운동이 콥스각과 복부근지구력 및 유연성, 평형성에 미치는 영향)

  • Kim, Jung-Hyun;Oh, Doo-Hwan;Zhang, Seok-Am;Lee, Jang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.6
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    • pp.4098-4107
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    • 2015
  • The purpose of this study was to investigate the effects of 8-week schroth 3-dimensional exercise and ball-sling complex exercise treatment on cobb's angle, abdominal muscle endurance, flexibility and balance in adolescents with idiopathic scoliosis. Thirty subjects with scoliosis were random assignment into one of two experimental groups, either schroth treatment(n=15) or ball-sling complex exercise treatment(n=15). Exercise program was to perform for 8-week and 90min and 3 times per week. The results of this study were as follows; First, cobb's angle was significantly decreased after 8-weeks in schroth treatment(p<.001). And also abdominal muscle endurance(p<.05), flexibility(p<.001) and balance(p<.001) were significantly improve in pre vs. post treatment. Second, the ratio of cobb's angle change was significantly higher in schroth treatment compared to ball-sling complex exercise treatment following 8-weeks(p<.05). These results suggest that although both the schroth treatment and bal-sling complex exercise treatment in adolescents with idiopathic scoliosis can improve on cobb's angle, abdominal muscle endurance, flexibility and balance, but schroth treatment was better than ball-sling complex exercise treatment improving effect of cobb's angle. Therefore, we consider that schroth treatment has more effect of prevention and therapy in idiopathic scoliosis in adolescents.

Study for Range of Motion, Neck Disability Index According to Cervical Posture in Adults with Reduced Cervical Lordosis Due to Smartphone Use (스마트폰 사용에 의한 경추부 만곡이 감소된 성인의 경부 자세에 따른 관절가동범위와 목장애지수에 대한 연구)

  • Kim, Su-Hyung;Han, Sang-Chuol;Moon, Jong-Hoon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.4
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    • pp.679-690
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    • 2017
  • The purpose of this study was to investigate the relationship between neck posture and range of motion and neck disability index(NDI) in young adults with reduced cervical lordosis. This study selected 34 young adults with cervical lordosis reduced (Cobb's angle less than 35 degrees). The assessor measured neck flexion, extension, left lateral flexion, right lateral flexion, left rotation, right rotation and forward displacements of all subjects using cervical of range motion instrument, Then, the NDI was evaluated. After all assessments, degree for cervical lordosis was divided into two groups: bottom group(severe cervical lordosis) and top group(mild cervical lordosis). The bottom group was significantly higher in Cobb's angle, extension, left lateral flexion, right lateral flexion, left rotation, right rotation and forward displacement compared to the top group (p<.05). There was no significant difference between the two groups in flexion, NDI(p >.05). In comparison of subscale of NDI, top group was significantly higher in pain, lifting, and headache than bottom group (p <.05). In correlation analysis, Cobb's angle showed significant positive correlation with flexion, extension, left lateral flexion, right lateral flexion, left rotation and right rotation(p<.05), and showed significant negative correlation with forward displacement, NDI(p<.05). Cobb's angle showed a significant negative correlation with pain, lifting, and headache of subscale of NDI(p<.05). The findings of this study potentially suggest that neck posture may affect the cervical range of motion and pain.

Impacts from the Wearing of a SPINE-GUARD on a Cross-Legged Sit on Variations of the Cobb's Angle, Lower Back Pain and Trunk Flexion Angle (양반 앉은 자세에서의 SPINE-GUARD 착용이 허리부위의 코브각 및 통증 그리고 몸통 굽힘각도의 변화에 미치는 영향)

  • Choi, Seok-Joo;Jeong, Bong-Jae;Choi, Wan-Suk
    • Journal of the Korean Society of Radiology
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    • v.5 no.5
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    • pp.277-282
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    • 2011
  • When we keep sitting for a long time, we end up with pain due to changes in the curvature in the waist. This study examined impacts from the wearing of a SPINE-GUARD(belt for the waist stabilization) on a cross-legged sit on variations of the Cobb's angle, lower back pain and trunk flexion angle. 15 men for the examination have watched movies or attended lectures while wearing a belt for 90 minutes per round for every five rounds for two weeks. The Cobb's angle showed a significant decrease from $48.36{\pm}14.57$ before wearing to $28.09{\pm}11.63$ after wearing (p<0.05). Pain decreased from $4.53{\pm}2.36$ before wearing to $2.733{\pm}2.153$ after wearing (p<0.05). The trunk flexion angle also showed a significant decrease from $82.33{\pm}20.30$ before wearing to $70.2{\pm}19.43$ after wearing (p<0.05). Given these findings, the wearing of a SPINE-GUARD seems to affect variations of the Cobb's angle and trunk flexion angle, and decrease of lower back pain.

A Case Report on the Scoliosis Patient with Lumbago Treated by Hyun-Ga Therapy (현가요법을 이용한 요통을 호소하는 측만증 환자 치험 1례)

  • Yoon, Dae-Shik
    • Korean Journal of Acupuncture
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    • v.28 no.1
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    • pp.171-177
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    • 2011
  • Objectives : This study is designed to evaluate the effect of Hyun-Ga therapy for the scoliosis patient with Lumbago. Methods : After treatment with Hyun-Ga therapy compared with Cobb's angle and Visual Analog Scale (VAS). Results : After six treatments with Hyun-Ga therapy in one case, significant decrease in Cobb's angle and Visual Analog Scale (VAS) was observed. Conclusions : Hyun-Ga therapy might be effective for the scoliosis patient with Lumbago. It will be attempted to more patients in the future.

Chuna Manual Therapy for Spinal Scoliosis : A Review of Clinical Study (척추측만증의 추나치료에 대한 문헌 고찰 연구 보고)

  • Heo, In
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.1
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    • pp.39-47
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    • 2019
  • Objectives : The purpose of this study was to evaluate the scientific literature demonstrating the effectiveness of Chuna manual therapy (CMT) in the treatment of spinal scoliosis. Methods : A literature search was conducted using eight electronic databases to identify all randomized controlled clinical trials (RCTs) that investigated CMT as a treatment for spinal scoliosis. The Cochrane risk of bias tool was used to assess the methodological quality of each RCT. Results : Five RCTs met our inclusion criteria and were included in the analysis. These studies demonstrated positive results of CMT with respect to the reduction of Cobb's angle, vertebral rotation angle score, bending test score, and efficacy rate compared with brace treatment. Positive results were also assured, in terms of the reduction of Cobb's angle, pulmonary function, and efficacy rate when comparing CMT combined with other therapy with brace treatment, gymnastic training, or traction therapy. Conclusions : This review has identified encouraging and limited evidence of CMT for the treatment of spinal scoliosis. However, to obtain stronger evidence, without the disadvantages of study design and quality, we recommend that treatment effectiveness of CMT for spinal scoliosis is investigated further using a well-designed RCT.

The Study of Effectiveness of 3 Spot DR for the Whole Spine Radiography with Comparison of Phantom Distortions (3 Spot DR를 이용한 척추 전장 촬영 시 모형 왜곡도 비교를 통한 유용성 연구)

  • Kim, Sang-Hyun;Lee, Mi-Hwa
    • Journal of Digital Convergence
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    • v.12 no.10
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    • pp.345-351
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    • 2014
  • The purpose of this study is to offer more accurate information in whole spine examination of 3 spot DR through the comparative study about image distortion as making the flat phantom and measuring horizontal, vertical ratio and cobb angle of the virtual. We produced $H(40cm){\times}V(116cm){\times}D(2.3cm)$ flat acrylic phantom with lattice type of lead plate. We took projection respectively 3 times, total 9 times in each equipments using manufactured phantom as changing OFD to 6, 12, 18 cm. We measured a horizontal and vertical length of lead lattice and calculated the ratio. As appointing arbitrary points in the phantom and we measured cobb angle. The results of horizontal, vertical ratio measured CR type 0.98~1.01, scan DR type 0.96~0.97 and 3 spot DR 0.99~1.01. Cobb angle measured $52.5{\sim}53.3^{\circ}$, $52.1{\sim}54.3^{\circ}$ and $52.8{\sim}53.2^{\circ}$. Finally we can say that 3 spot DR method is an accurate method without any distortion in whole spine radiography.

The Effects of Stage-based Training and Core Exercises on Cobb's Angle and Trunk Length in Scoliosis Patients: A Case Study (코어 운동을 포함한 변화단계별 훈련이 척추측만증 환자의 Cobb각과 몸통 길이에 미치는 영향)

  • Kim, Mi-Sun;Lee, Myoung-Hee;Kim, Ik-Hwan
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.1
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    • pp.127-132
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    • 2016
  • PURPOSE: The purpose of this study was to investigate the effects of stage-based training, including core exercises, on scoliosis patients. METHODS: Two patients with scoliosis participated in the study. Both patients participated for eight months and were trained for an hour three times a week. The training program consisted of stretching and strengthening, as well as core exercises, and was divided into five stages. The Cobb angles and trunk lengths of the subjects were measured after one month, two months, and four months of training. Measurements were also taken after the subjects completed training. All of the measurements were taken using Formetric 4D. RESULTS: The Cobb's angle of subject A, which was $41^{\circ}$ before training, measured $30^{\circ}$ following training. The Cobb's angle of subject B also improved from $41^{\circ}$ prior to training to $34^{\circ}$ after training. Furthermore, the trunk lengths of both subjects improved. The trunk length of subject A increased from 438 mm to 450 mm and, and the trunk length of subject B increased from 433 mm to 458 mm. CONCLUSION: This study has shown that stage-based training and core training can be used as effective treatments for scoliosis patients.

Thoracic Scoliosis in Patients with Primary Spontaneous Pneumothorax

  • Lee, Yeiwon;Kim, Young Jin;Ryu, Han Young;Ku, Gwan Woo;Sung, Tae Yun;Yoon, Yoo Sang;Kim, Tae-Kyun
    • Journal of Chest Surgery
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    • v.51 no.4
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    • pp.254-259
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    • 2018
  • Background: Primary spontaneous pneumothorax (PSP) affects patients without clinically apparent lung disorder found in tall and thin young male. Scoliosis refers to curves exceeding $10^{\circ}$ Cobb angle observed through chest X-ray and affects 2% to 4% of adolescents. Both conditions are commonly encountered in primary health care setting. The aim of this study is to access the correlation of thoracic scoliosis and PSP in adolescent. Methods: A retrospective analysis was conducted for patients diagnosed for PSP in Konyang University Hospital between January 2010 and March 2017. Chest X-rays of 222 patients and 155 normal control (NC) cases were reviewed to measure the Cobb angle. Greater than $10^{\circ}$ of Cobb angle is diagnosed as scoliosis. Results: Scoliosis in patient with PSP has higher incidence than that of NC group (p<0.001). Median value of Cobb angle is $12.9^{\circ}$ in PSP group and $14.7^{\circ}$ in NC group. Directional relationship between scoliosis and pneumothorax in PSP group is also observed; 40.5% cases are ipsilateral and 59.5% are contralateral. Conclusion: PSP patients tend to have thoracic scoliosis more commonly compared with normal healthy adolescent. Scoliosis may contribute to heterogeneity of alveolar pressure which exacerbates subpleural bleb formation that can cause pneumothorax. The causal relationship is unclear and further studies are needed in the future.

The Effects of 3 Dimensional Exercises and Klapp's Exercise on Scoliosis (3차원적인 운동프로그램과 Klapp's 운동프로그램이 척추측만에 미치는 영향)

  • Yang, Hoesong;Jeong, Chanju;Yoo, Youngdae;Bae, Sehyeon;Park, Jinsu;Mun, Jihye;Yang, Seyoul;Lee, Sol;Ha, Yura;Heo, Jeongae
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.2
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    • pp.67-78
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    • 2014
  • PURPOSE: The purpose of this study was to investigate the effects of 3 dimensional exercises and Klapp's exercise on parameters of scoliosis in subjects with non-structure scoliosis. METHOD: This study was performed on 24 subjects. Twenty-four subjects were divided into two groups; 3 dimensional exercise(n=12), Klapp's exercise(n=12). Both of the group performed the exercise 3 times a week for 5 weeks. The data was analyzed by the Paired t-test for comparing before and after changes of factors in each group and the Independent t-test for comparing the between groups. RESULT: The result are as follows. There was statistically significant difference of before and after arthopometric parameters, trunk flexion, Cobb's angle in 3 dimensional exercise(p<0.05). There was statistically significant difference of before and after acromion high, trunk extension, Cobb's angle in Klapp's exercise(p<0.05). There was no statistically significant difference of between the two group in arthropometric parameters, ROM, Cobb's angle(p>0.05). CONCLUSION: As a result of this study, we found that the 3 dimensional exercise may be effective more than Klapp's exercise.

The Influence of Adolescent's Scoliosis on Stress and Study-attitude (청소년의 척추측만증이 스트레스 및 학습태도에 미치는 영향)

  • Hong, Eun-Jeong;Cho, Sung-Hyun;HwangBo, Kak
    • 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.