• 제목/요약/키워드: Cobb method

검색결과 81건 처리시간 0.026초

Kyphotic Angle Measurement Accuracy for Vertebral Osteoporotic Compression Fracture; Reliable Method for Kyphotic Angle Measurement

  • Hong, Jae-Taek;Lee, Sang-Won;Son, Byung-Chul;Sung, Jae-Hoon;Park, Choon-Keun;Kim, Moon-Chan
    • Journal of Korean Neurosurgical Society
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    • 제39권4호
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    • pp.256-259
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    • 2006
  • Objective : Having a reliable and reproducible measurement technique to measure the sagittal contour in vertebral fractures is paramount to clinical decision making. This study is designed to determine the most reliable measurement technique in osteoporotic vertebral compression fracture. Methods : Fifteen lateral radiographs of thoracic and lumbar fractures were selected and measured on two separate occasions by three spine surgeons using six different measurement techniques [Centroid, Harrison Posterior Tangent Methods and 4 different types of modified Cobb method]. The radiograph quality was assessed and the center beam location was determined. Statistical analysis including ANOVA for repeated measures was carried out using the SAS software [v 8.0]. Results : The inter and intraobserver variance of the Cobb method 4 and Harrison posterior tangent method were significantly lower than the other four methods. The intraobserver correlation coefficients were the most consistent using the Cobb method 4 [0.982]. which was followed by the Harrison posterior tangent [0.953] and Cobb methods 1 [0.874]. The intraobserver agreement [% of repeated measures within 5 degrees of the original measurement] ranged from 42% to 98% for each technique for all three observers, with the Cobb method 4 showing the best agreement [97.8%] followed by the Harrison posterior tangent method [937%]. Conclusion : The Cobb method-4 and Harrison posterior tangent methods, when applied to measuring the kyphosis, are reliable and have a similar small error range. The Cobb method 4 shows the best overall reliability. However, the centroid method and Cobb method using a fractured endplate do not produce an accurate result due to inter and intraobserver differences in determining the baseline.

교통사고 후 응급실에 내원한 경항통 환자의 경추 만곡 연구 (The Cervical Spine Curvature of Posterior Neck Pain Patients Who Visited Emergency Room After Whiplash Injury by Traffic Accident)

  • 조준영;이선행
    • 척추신경추나의학회지
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    • 제6권2호
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    • pp.121-132
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    • 2011
  • Objectives : The purpose of this study is to investigate the cervical spine curvature after whiplash injury by traffic accident. Methods : The cervical lateral radiographs of 102 outpatients who visited emergency room in Kyung-Hee university hospital at Gangdong after whiplash injury by road traffic accident were reviewed to measure the cervical spine angle using C1-7, C2-7 Cobb method, Sagittal tangent method, Jochumsen method and the Ishihara index by two oriental medical doctors. For statistics, we used SPSS version 17.0 for windows. Results : Means of cervical angle are $37.63{\pm}11.34^{\circ}$, $12.92{\pm}9.13^{\circ}$, $16.19{\pm}10.62^{\circ}$, $1.78{\pm}3.37$ and $8.51{\pm}9.78$ by C1-C7 Cobb Method, C2-C7 Cobb Method, Sagittal tangent method, Jochumsen method and Ishihara index, respectively. Hypolordosis is most numeral in patients by C1-C7 Cobb Method(n=40; 39.22%), Sagittal tangent method(n=68; 66.67%). And Straight is the most by Jochumsen method(n=54; 52.94%), but Normal is the most by Ishihara index(n=53; 51.96%). And Female has smaller curvature in cervical spine than male significantly by C2-C7 Cobb method and Sagittal tangent method(P<0.05). Conclusions : Whiplash injury tends to make hypolordosis or straight. And female has more vulnerable curvature than male in whiplash injury.

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고유수용성감각기관들을 자극하는 운동법들이 소아 측만 각도 변화에 미치는 효과 (How Promoting Proprioceptive Exercises Affects Pediatric Cobb's Angle)

  • 양재만;강한욱
    • PNF and Movement
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    • 제21권3호
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    • pp.367-376
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    • 2023
  • Purpose: The purpose of this study was to compare changes in pediatric Cobb's angle resulting from using the modified scoliosis exercise method to promote proprioception. Methods: There were 32 participants in this study. Cobb's angle was measured automatically using a ZeTTA PACS Viewer through a digital computer program with whole-body x-ray anterior to posterior. Scoliosis was diagnosed by a Cobb's angle of 10° or higher. Modified scoliosis exercises were used as the program for the three-stage method used in the study: the preparation phase (warm-up), actual exercise phase (main exercise), and final clean-up phase (cool-down). In this study, exercises that can promote proprioception, including muscle strengthening, stretching, equilibrium, myofascial release, balance taping, and traction, were applied, and their effects before and after treatment were compared. After implementing the exercise methods once a week-15 times total for about 4 months-the changes in Cobb's angle were measured. Results: After having the pediatric scoliosis patients practice the modified scoliosis exercises for four months, it was found that the Cobb's angle of the spine significantly decreased. Conclusion: The results of this study show that the modified pediatric scoliosis exercise, which is capable of promoting proprioception, is also effective in improving Cobb's angle.

Effect of Fascial Distortion Model on the Cobb's Angle in Adolescents with Idiopathic Scoliosis

  • Lee, Woo-Jin
    • The Journal of Korean Physical Therapy
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    • 제31권1호
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    • pp.31-34
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    • 2019
  • Purpose: This study examined the effects of the fascial distortion model (FDM) method on Cobb's angle. Methods: Fourteen subjects participated in this study. The idiopathic scoliosis group performed FDM treatments eight times in four weeks. A Shapiro-Wilks test was used to verify the normality of a group of idiopathic scoliosis patients. A paired t-test was performed to determine the satisfaction with the normality. Results: The difference in Cobb's angle was reduced significantly (p<0.05) by an average of $5.72^{\circ}{\pm}2.24$ from $15.51^{\circ}{\pm}1.81$ before the experiment. Conclusion: This study found that the use of the FDM method was effective in improving the Cobb's angle. The application of a FDM treatment appears to stabilize the fascia with decreased ability to adapt physiologically. The application of the CD and TB method of FDM treatment improved the asymmetry spine by dispersing moisture in fascia and improving the contraction and relaxation ability. The results suggest that the Cobb's angle is reduced when FDM is applied, thereby preventing the progression of curvature and avoiding psychological and physical problems that can arise from improving patients with scoliosis.

측만증 환자에서 3차원 체표면 영상분석과 Cobb 각의 상관관계 (Correlation of the 3D-Surface Topography and Cobb's Angle in Scoliotic Patient's)

  • 최은정;김태열
    • 대한임상전기생리학회지
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    • 제3권1호
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    • pp.61-70
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    • 2005
  • The purpose of study correlation between 3D-surface topography and Cobb angle in scoliotic patients. It would be recognizing possibility of clinical application with 3D-surface topography with scoliosis assessment and correlation analysis of obtained Cobb angle through measured results of surface topography and took X-ray of subjects with scoliosis, which used to 3D-surface topography of laser scan method. A scoliosis subjects 16(males 4, females 12) agreed for study's purport volunteer our study that diagnose the scoliosis through 3D-surface topography and X-ray. The results were as follow: It was shown that the relation of Cobb angle of scoliosis and itemized 3D-surface topography measurement in horizontal view(p<0.01). top difference of cervicothoracic and lumbar in anterior-posterior view(p<0.05), the top difference of thoracic, thoracolumbar(p<0.01). These results suggest that an itemized 3D-surface topography measurement was highly correlated with Cobb angle. It would be a useful diagnosis method and assessment of physical therapy plan.

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경추의 전만 감소와 경항통의 상관관계 연구 (The Study about the Correlation between Cervical Hypolordosis and Neck Pain)

  • 김동민;하선윤;조성연;김용석;남상수
    • Journal of Acupuncture Research
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    • 제25권5호
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    • pp.69-76
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    • 2008
  • Objectives : The objective of this study was to observe the correlation between Cervical hypolordosis and Neck pain. Methods : Cervical lordosis(Cobb method[C1-C7], Cobb method[C2-C7], Ishihara index) was measured using the sagittal radiograph of the cervical spine and Neck pain(VAS scale, Neck Disability Index) was evaluated. Based on Cobb method[C1-C7], 48 subjects(Cobb method[C1-C7]${\leq}45^{\circ}$) were divided into Hypolordosis group and Normal group. Window version SPSS 12K was used for statistical analysis about correlation between Cervical lordosis and Neck pain, also about difference of the Neck pain between Normal and Hypolordosis group. Results : It was as follows, 1. Cobb method[C1-C7] and Neck pain(VAS scale, NDI) showed a significant correlation coefficient (p<0.05). Ishihara Index and NDI also showed a significant correlation coefficient of -0.297(p=0.040). 2. The VAS scale in the hypolordosis group was $5.62{\pm}2.34$ and that of the normal group was $3.41{\pm}2.01$(p=0.001). The NDI in the hypolordosis group was $2.30{\pm}0.66$ and that of the normal group was $1.81{\pm}0.51$(p=0.007). There was no significant difference in Age, Sex between both group. Conclusions : There was a significant correlation between Cervical hypolordosis and Neck pain. Hypolordosis group complained a severe neck pain.

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요통과 경추, 요추전만의 관계에 대한 임상적 연구 (A Clinical Study on Correlation between Cervical, Lumbar Lordosis and Low Back Pain)

  • 정다운;여경찬;윤인애;강현선;문성일
    • Journal of Acupuncture Research
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    • 제26권2호
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    • pp.15-29
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    • 2009
  • Objectives: This study was designed to investigate the correlation between cervical, lumbar lordosis and low back pain(LBP), sex, age and duration of LBP. Methods : Cervical, lumbar lordosis(by Cobb's Method) and Ferguson's angle were measured and evaluated in LBP group and control. Radiograph was taken in lateral direction, erect position. Cobb's angle between C1-C7, C2-C7, L1-L5, L1-S1 and Ferguson's angle were measured and investigated with statistical program. Results: 1. Cervical lordosis have no relation to LBP, sex and age. 2. Lumbar lordosis and Ferguson's angle have no relation to LBP and sex. 3. Cobb's angle L1-L5 have no relation to age. Lumbar lordosis from L1 to S1(Cobb's angle L1-S1) increased in old group(Age>40) compared to young group(Age${\leq}$40). 4. In LBP group, Cobb's angle L1-S1 have no relation to duration of LBP. Lumbar lordosis from L1 to L5(Cobb's angle L1-L5) decreased in acute LBP group compared to Chronic group. Conclusions : Cervical, lumbar lordosis and Ferguson's angle have no relation to LBP and sex. As far as age is concerned, old group have larger lumbosacral lordosis than young group. Acute LBP group have smaller lumbar lordosis(Cobb's angle L1-L5) than chronic group.

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척추 측만증에 대한 필라테스 효과 (The Pilates Effects about Scoliosis)

  • 서준환;홍성균
    • 한국방사선학회논문지
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    • 제8권7호
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    • pp.397-400
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    • 2014
  • 본 연구의 목적은 필라테스 운동이 척추 측만증 환자의 요추 Cobb's angle에 어떠한 영향을 미치는지의 효과를 알아보는데 있다. 이 운동의 효과를 검증하기 위하여 필라테스 자세교정운동(PCE), 척추스트레칭운동(SSE), 근육강화운동(MSE)등을 시행하였다. 자세교정운동은 불균형한 근육에너지를 바로잡아주며 척추스트레칭 운동은 척추주변의 과 긴장된 근육을 이완시키고 근육강화운동은 주동근과 길항근의 균형을 잡아주어 척추 주변 근육의 탄력성과 유연성을 회복시켜주게 된다. 연구방법은 필라테스 적용 전과 적용 후의 X-ray 촬영에 의한 요추의 Cobb's angle을 측정하여 검증하였다. X-ray 촬영을 통한 Cobb's angle 실험 전 후의 결과는 필라테스 실시 후 약 5도 정도에서 통계적으로 유의하게 감소하였다(p=0.005). 따라서 필라테스 운동이 척추 측만증에 완화에 도움이 되는 것으로 나타났다.

자세관리프로그램이 초등학생의 척추측만 정도와 자세에 대한 지식에 미치는 영향 (Effect of a Posture Training Program on Cobb Angle and Knowledge of Posture of Elementary School Students)

  • 박미정;박정숙
    • 대한간호학회지
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    • 제33권5호
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    • pp.643-650
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    • 2003
  • Purpose: This study was conducted to examine the effect of a posture training program, including posture education and spinal exercise as implemented on the elementary school students with scoliosis. Method: The design of this study is nonequivalent sample control group pretest-posttest design. The study subjects were elementary school students attending 7 elementary schools located in G city in Gyungsangbuk-Do. Among them, those who had the Cobb angle between 4~10$^{\circ}$ in spine x-ray who agreed to participate in the study program were selected as the study subjects. The research instruments included the degree of spinal scoliosis(cobb angle), the level of knowledge on posture, and an evaluation following the posture training program. The data were collected from March 1, 2002 to July 30, 2002. The collected data were analyzed by frequency, percentile, mean, standard deviation, t-test, i test and Mann-Whitney U test were using SPSS WIN10.0 program. Result: The elementary school students with scoliosis who received the posture training program have a lower Cobb angle and higher level of knowledge of posture than the elementary school students with scoliosis who did not receive the posture training program. Conclusion: The posture training program was effective on the on Cobb angle and Knowledge of posture in the elementary school students with scoliosis in this study. Therefore, the program training program can be usefully utilized for the students with mild scoliosis in the field of school health.

성장에 따른 중학생 척추측만증 이행양상 (Scoliosis Progression according to the Growth of Middle School Students)

  • 김죽향;김은주
    • 지역사회간호학회지
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    • 제14권3호
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    • pp.479-487
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    • 2003
  • Purpose: This study was conducted to investigate the progression of Cobb's angle of middle school students according to the Risser grade changes during a one-year follow up period, and to identify the prevalence rate and related factors regarding scoliosis. Method: A total of 2,124 middle school students were preliminarily screened by the Adam's forward bending test. Among them, 21 adolescents diagnosed with scoliosis (above 5Cobb's angle) by X-Raying were the subjects and followed up for checking Cobb's angle and the Risser grade for one year. Results: The overall prevalence of scoliosis in middle school students was 2.13% and the prevalence in girls was higher than in boys. The Cobb's angle was significantly high in seniors and girls. The cases in low angle and low Risser grade demonstrated significant changes in progressive Cobb's angle compared to the cases in high angle and high Risser grade after one-year. But gender and pattern of curvature were not significantly different from the changes scoliosis angle after one-year. Conclusion: Based on these study results, juniors in low Risser grade were inclined to aggravate scoliosis despite the low degree of curvature at the first measurement.

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