• 한방재활의학과학회지
• /
• 제18권3호
• /
• pp.187-199
• /
• 2008

Objectives : The purpose of this study is to report the concept of familial scoliosis through eight cases. Methods : The family tree was constructed with eight cases which was diagnosed idiopathic scoliosis by physical examination and radiological study. Results : According to the family tree of this sibs, idiopathic scoliosis apparently behaves as an autosomal dominant inheritance. As to parents and grandparents, although they are not confirmed the appearance of idiopathic scoliosis, we know that they transmit trait to their descendants as a genotype. Conclusions : This study is shown that idiopathic scoliosis has a familial condition and provided useful information that can be used early diagnosis and treatment with screen tests based on the family tree.

• Child Health Nursing Research
• /
• 제17권3호
• /
• pp.167-173
• /
• 2011

Purpose: This study was conducted to compare the postural habits, body image, and peer attachment of adolescents with idiopathic scoliosis and healthy adolescents, and to examine the correlation between body image and peer attachment in each group. Methods: Eighty-three adolescents with idiopathic scoliosis and 83 healthy adolescents were recruited from 4 middle schools located in W city. Data were collected from November 22 to December 6 2010 using a structured questionnaire including items about postural habits, body image, and peer attachment. Data were analyzed using descriptive statistics, $X^2$-test, independent t-test and Pearson Correlation Coefficient. Results: Compared to healthy adolescents, adolescents with idiopathic scoliosis were more likely to use one hand, to lean back while seated, and to put weight on one leg while standing. The score for body image was significantly lower for adolescents with idiopathic scoliosis compared to healthy adolescents, but peer attachment was not significantly different between the two groups. Body image was significantly correlated with peer attachment only for the adolescents with idiopathic scoliosis. Conclusion: Interventions to promote balanced postural habits in adolescents with idiopathic scoliosis are needed. Information on body image and peer attachment for these adolescents should also be considered when developing interventions.

• 대한추나의학회지
• /
• 제6권1호
• /
• pp.67-84
• /
• 2005

Idiopathic scoliosis is a complex three-dimensional deformity of the spine. There is two ways in treatment of scoliosis, normally. In order to prevent a progressive course of the disorder, conservative treatment is started in selected patients. And sometimes, operation is performed to severe patients. But, application standard is vague. So We reviewed the latest medical theses. English language articles in Medline database between 2003 and 2005. 8. 31. were reviewed. The searching words was Idiopathic scoliosis, conservative treatment, brace. exercise. We classified 27 articles. The results of this research demonstrate that conservative treatment is more effective than observation until operation.

• The Journal of Korean Physical Therapy
• /
• 제16권1호
• /
• pp.60-69
• /
• 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.

• Physical Therapy Rehabilitation Science
• /
• 제10권4호
• /
• pp.430-437
• /
• 2021

Objective: The purpose of this study was to investigate the effect of 3-dimensional posture correction(3DPC) exercise program incorporating PNF respiratory muscle strengthening(RMS) exercise on spinal alignment and trunk expansion in patients with idiopathic scoliosis and the difference in intervention effect by type of idiopathic scoliosis. Design: Comparative study using paired t-test and analysis of variance measures. Methods: The subjects of this study were 5 men and 24 women diagnosed with idiopathic scoliosis with a Cobb angle greater than 10 degrees and less than 45 degrees. A 3DPC exercise program incorporating PNF RMS exercise was conducted twice a week for 1 hour per session for 6 weeks, and Cobb angle, Angle of trunk rotation, and trunk expansion were measured before and after the intervention. Results: After the intervention, Cobb angle and trunk rotation angle showed a statistically significant decrease, and trunk expansion showed a statistically significant increase. In the effect difference by type, there was a statistically significant difference in the angle of trunk rotation of the thoracic in 3C and Single Lumbar. Conclusions: In conclusion, it is thought that a 3DPC exercise program incorporating PNF RMS exercise can be effectively used in clinical practice to improve spinal alignment and trunk expansion in patients with idiopathic scoliosis.

• 정형스포츠물리치료학회지
• /
• 제14권2호
• /
• pp.99-107
• /
• 2018

Purpose: This study investigated scoliosis muscle activity after the trunk side shift exercise. Methods: Fifty-eight subjects (control group=30, scoliosis group=28) participated in this study. The patients with idiopathic scoliosis were randomly divided into two groups: the side shift exercise (SSE) group and the trunk stabilization exercise (TSE) group. The SSE group performed SSE with chair training for eight weeks. A one-way ANOVA test was carried out to compare the results within the idiopathic scoliosis patient group prior to and after different exercise methods. Result: The muscle activity differences of the TPS, LPS, and latissimus dorsi muscles significantly decreased in all idiopathic scoliosis exercises groups after training. According to the exercise method, the TPS differed between the control group (CG) and TSE group and between the SSC and TSE groups. The LPS and latissimus dorsi muscles showed differences between the CG and TSE groups. Conclusions: This study found that the side shift exercise effectively improve spine muscles. The side shift exercise was performed using chairs that were designed for this study. Thus, this method is easily accessible for busy students who are exposed to scoliosis or spinal disorders that are caused by a pattern of inactivity.

• 척추신경추나의학회지
• /
• 제12권2호
• /
• pp.63-71
• /
• 2017

Objectives : The purpose of this study is to report the effect of muscle energy technique(MET) on idiopathic scoliosis with double curved thoracolumbar spine. Methods : Two patients with idiopathic scoliosis with double curved thoracolumbar spine were treated by MET. To investigate the outcome of the patients' improvement, we observed the standing X-ray of cervical, thoracic, lumbar spine. And Cobb's angle, correctability and visual analog scale(VAS) were used to measure changes during treatment. Results : After treatment, Cobb's angle, correctability and VAS were improved significantly. Conclusions : MET showed significant improvement to idiopathic scoliosis with double curved thoracolumbar spine. There is limitation on this study due to insufficient number of cases. Further research should be followed.

• Asian Spine Journal
• /
• 제12권6호
• /
• pp.1028-1036
• /
• 2018

Study Design: Single-center, observational, case-control study. Purpose: Comparison and analysis of the metabolic and coagulative profiles in patients with idiopathic scoliosis, patients with congenital scoliosis, and healthy controls. Overview of Literature: Serum melatonin deficiency has been a controversial topic in the etiopathogenesis of scoliosis. Low bone mineral density, low vitamin D3 levels, and high parathyroid hormone levels are common metabolic abnormalities associated with scoliosis that may be responsible for its pathogenesis. In addition to metabolic defects, several studies have shown coagulation defects that either persist from the preoperative period or occur during surgery and usually lead to more than the expected amount of blood loss in patients undergoing deformity correction for scoliosis. Methods: The study population (n=73) was classified into those having congenital scoliosis (n=31), those with idiopathic scoliosis (n=30), and healthy controls (n=12). After detailed clinicoradiological evaluation of all the subjects, 10-mL blood samples were collected, measured, and analyzed for various metabolic and coagulation parameters. Results: The mean serum melatonin levels in patients with idiopathic scoliosis were significantly lower than those in the healthy controls. Although the mean serum melatonin level in the congenital group was also low, the difference was not statistically significant. Serum alkaline phosphatase and parathyroid hormone levels were higher in the scoliosis groups, whereas the vitamin D level was lower. No differences were observed in the coagulation profiles of the different groups. Conclusions: Low serum melatonin levels associated with scoliosis can be a cause or an effect of scoliosis. Moreover, low bone mineral density, high bone turn over, and negative calcium balance appear to play an important role in the progression, if not the onset, of the deformity.

• 대한치과교정학회지
• /
• 제44권5호
• /
• pp.254-262
• /
• 2014

Objective: The purpose of this study was to evaluate the relation between idiopathic scoliosis and facial deformity in the horizontal, vertical, and anteroposterior planes. Methods: A total of 123 female patients aged 14 years or older, who visited the Spine Clinic at the Department of Orthopedics, Korea University Guro Hospital for treatment of idiopathic scoliosis, were enrolled. Whole-spine anteroposterior and lateral radiographs were taken with the patient in a naturally erect position, and frontal and lateral cephalograms were taken in an erect position with the Frankfort horizontal line parallel to the floor. Scoliosis was classified according to the Cobb angle and Lenke classification of six curve types. Cephalometric tracing in all cases was carried out with V-Ceph 5.5 by the same orthodontist. The Kruskal-Wallis test was performed to determine whether any relation existed between each group of the idiopathic scoliosis classification and the cephalometric measurements of frontal and lateral cephalograms. Results: The measurements did not reveal any significant association between the Cobb angle and cephalometric measurements and between the curve type based on the Lenke classification and cephalometric measurements. Conclusions: Based on the results of this study, no apparent relation was observed between the severity of scoliosis and facial form variations in idiopathic scoliosis patients.

• 대한물리의학회지
• /
• 제4권1호
• /
• pp.31-41
• /
• 2009

Purpose : Purpose of this study was to determine correlation between Walter Reed Visual Analogue Scale (WRVAS) and Scoliosis Research Society-22(SRS-22) questionnaire for idiopathic scoliosis. Methods : For this study, to assess reliability, 224 middle school female students were applied the WRVAS & SRS-22 questionnaire. Pearson correlation analysis was used to know correlationship between WRVAS and SRS-22 questionnaire. Regression analysis was used to know causation between WRVAS and SRS-22 questionnaire. Results Positive correlation(.248) was found between WRVAS score and SRS-22 score. And SRS-22 was shown positive correlation compared with WRVAS as a result slope of .078 Conclusion : The WRVAS questionnaire is reliable positive correlation with SRS-22 questionnaire. It is valid and may be useful for clinical evaluation of idiopathic scoliosis patients.