• 척추신경추나의학회지
• /
• 제10권1호
• /
• pp.35-45
• /
• 2015

Objectives : To evaluate the clinical effectiveness of Flexible brace(SpineCor Brace). Methods : CNKI, PubMed databases and Korean Journal of Oriental Medicine in 1999-2014 were searched for studies on SpineCor. This study researched 4 randomized controlled trial studies. Results : The results suggested that the SpineCor brace reduced the probability of the progression of early idiopathic scoliosis comparing with its natural history or rigid brace. But some studies showed that there is no significant difference between SpineCor and rigid brace. Conclusions : These results indicate that SpineCor have obvious effects on treatment of scoliosis and no adverse reactions, therefore we need to study more researches on SpineCor.

• 한국융합학회논문지
• /
• 제5권4호
• /
• pp.61-68
• /
• 2014

본 연구는 schroth 운동(3차원적 융합운동)이 폐기능과 Cobb's angle, scoliometer angle과 척추세움근의 근활성도에 미치는 영향을 알아보기 위해 실시되었다. Cobb's angle $10^{\circ}$ 이상의 특발성 척추측만증을 가지고 있는 학생 40명을 대상으로 각각 20명의 슈로스운동군과 전통적인 치료군으로 나누어 총 8주간 주 3회, 회당 60분의 운동을 실시하였다. 8주간의 Schroth 운동을 적용한 그룹에서는 Cobb's angle과 갈비뼈 돌출부, 폐활량, 체간의 확장, 오른쪽 흉추부위의 활성도에 유의한 차이를 보였다. 8주간의 전통적인 측만증 운동을 실시한 그룹에서는 체간의 확장성에서 유의한 차이를 보였다. 본 연구의 결과를 통해 3차원적 접근법인 슈로스운동이 특발성 척추측만증 환자의 흉추측만각도의 감소와 폐기능의 향상을 목적으로 한 중재기법으로 기존의 운동방법보다 효과적이라고 할 수 있다. 따라서 차후의 연구에서는 척추측만증이 장기간의 관리와 치료가 필요한 질환임을 이해하고 이에 따라 체계적인 자세관리와 3차원적 융합운동 프로그램의 적용이 필요하다고 사료된다.

• Journal of Yeungnam Medical Science
• /
• 제21권1호
• /
• pp.40-50
• /
• 2004

특발성 척추측만증 환자에서 3차원적인 재구성을 이용한 관상면에서 척추경의 폭을 측정하는 것이 오차를 줄일 수 있는 방법이고 척추경 나사못의 삽입 시 척추경의 크기를 술 전에 측정한 후 그 값의 최대치보다 작은 최대 크기의 원추형 나사못을 삽입하는 것이 안전한 방법이라 사료된다. 척추경 나사못을 삽입할 시에는 척추경의 모양이 원주 형태가 아닌 낙루 형태나 신장 형태 등 추체마다의 다양한 모양을 고려하여 나사못 크기와 삽입 방법에 세심한 주의가 필요할 것으로 사료된다.

• Asian Spine Journal
• /
• 제12권6호
• /
• pp.1060-1068
• /
• 2018

Study Design: Retrospective study. Purpose: Lumbar intervertebral disc degeneration is an important cause of low back pain. Overview of Literature: Spinal fusion is often reported to have a good course for adolescent idiopathic scoliosis (AIS). However, many studies have reported that adjacent segment degeneration is accelerated after lumbar spinal fusion. Radiography is a simple method used to evaluate the orientation of the vertebral column. magnetic resonance imaging (MRI) is the method most often used to specifically evaluate intervertebral disc degeneration. The Pfirrmann classification is a well-known method used to evaluate degenerative lumbar disease. After spinal fusion, an increase in stress, excess mobility, increased intra-disc pressure, and posterior displacement of the axis of motion have been observed in the adjacent segments. Methods: we retrospectively secured and analyzed the data of 15 patients (four boys and 11 girls) with AIS who underwent a spinal fusion surgery. We studied the full-length view of the spine (anterior-posterior and lateral) from the X-ray and MRI obtained from all patients before surgery. Postoperatively, another full-length spine X-ray and lumbosacral MRI were obtained from all participants. Then, pelvic tilt, sacral slope, curve correction, and fused and free segments before and after surgery were calculated based on X-ray studies. MRI images were used to estimate the degree to which intervertebral discs were degenerated using Pfirrmann grading system. Pfirrmann grade before and after surgery were compared with Wilcoxon signed rank test. While analyzing the contribution of potential risk factors for the post-spinal fusion Pfirrmann grade of disc degeneration, we used generalized linear models with robust standard error estimates to account for intraclass correlation that may have been present between discs of the same patient. Results: The mean age of the participant was 14 years, and the mean curvature before and after surgery were 67.8 and 23.8, respectively (p<0.05). During the median follow-up of 5 years, the mean degree of the disc degeneration significantly increased in all patients after surgery (p<0.05) with a Pfirrmann grade of 1 and 2.8 in the L2-L3 before and after surgery, respectively. The corresponding figures at L3-L4, L4-L5, and L5-S1 levels were 1.28 and 2.43, 1.07 and 2.35, and 1 and 2.33, respectively. The lower was the number of free discs below the fusion level, the higher was the Pfirrmann grade of degeneration (p<0.001). Conversely, the higher was the number of the discs fused together, the higher was the Pfirrmann grade. Conclusions: we observed that the disc degeneration aggravated after spinal fusion for scoliosis. While the degree of degeneration as measured by Pfirrmann grade was directly correlated by the number of fused segments, it was negatively correlated with the number of discs that remained free below the lowermost level of the fusion.

• Journal of Korean Neurosurgical Society
• /
• 제58권1호
• /
• pp.50-53
• /
• 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.

• International Journal of Internet, Broadcasting and Communication
• /
• 제14권4호
• /
• pp.154-162
• /
• 2022

This study aimed to systematically review the available body awareness interventions in patients with musculoskeletal disorders. A total of 3,462 studies were searched in relevant databases using the search keywords, and six studies that met the selection criteria after review were included in the final analysis. The qualitative level of the studies was classified using the five levels of evidence-based classification, and systematic analysis was conducted according to PICO model (patient/population, intervention, comparison and outcomes). Of the six studies included in the final analysis, there were one, three, and two randomized controlled trials, non-randomized two-group studies, and case reports, respectively. Body awareness therapy was applied to patients with idiopathic scoliosis, non-specific musculoskeletal disorder, hip osteoarthritis, and amputation, who showed positive improvements after the interventions. Our results suggested that body awareness therapy is an important intervention with positive effects on the recovery of patients with musculoskeletal disorders.

• 대한심미치과학회지
• /
• 제30권2호
• /
• pp.71-90
• /
• 2021

가상 환자 데이터 세트는 단일 환자로부터 획득한 구강스캔 안면스캔 전신스캔 하악운동경로데이터 등 다양한 소스의 진단 데이터를 하나의 3차원 좌표계로 정렬한 데이터의 집합이다. 치과의사는 가상 환자 데이터 세트를 사용하여 효과적으로 치료 계획을 수립하고 다양한 치료 계획을 가상공간상에서 시뮬레이션 할 수 있으며, 가상 환자 데이터 세트에서 환자의 미소를 디자인 후 그 결과를 시뮬레이션하고 최적의 치료결과를 선택할 수 있다. 가상공간에서 선택된 치료 계획은 3D 프린팅, 밀링, 사출 성형과 같은 제조 기술을 사용하여 환자에게 동일하게 전달될 수 있다. 이러 치료 계획의 전달은 임시 수복물 제작 및 환자의 구강 내에서 목업 확인을 통해 최종 보철물 제작으로 연결할 수 있다. 이와 같이 진단 데이터, 중첩 및 가공의 정확도가 보장된다면 3차원 가상공간 상에서 시뮬레이션된 3D 디지털 스마일 디자인을 실제 환자에게 정확하게 전달할 수 있다. 가상환자데이터세트의 임상적용방법으로 동기능적교합측정 검사를 통해 교합조정치료를 치료계획에서 배제할수 있는 의사결정방법과, 턱관절질환을 가지고 있는 청소년기 특발성 척추측만증 환자의 턱관절 치료전후 전신스캔 비교분석방법, 그리고 전악수복증례인 상하악 총의치환자 진료시 가상환자데이터세트에 기반한 교합평면분석 및 디지털심미분석방법을 제시하였다.

• 대한정형외과학회지
• /
• 제54권2호
• /
• pp.141-149
• /
• 2019

목적: 단일 흉추 청소년기 특발성 척추 측만증의 수술적 치료로 척추경 나사못 고정술이 시행된 경우에 서로 다른 재질인 스테인레스강과 티타늄 합금 기기의 결과를 비교해 보고자 하였다. 대상 및 방법: 척추경 나사못 고정술과 선택적 흉추 유합술을 이용하여 수술을 시행하고 최소 2년 이상 추시가 가능하였던 단일 흉추 청소년기 특발성 척추 측만증 환자 141명을 후향적으로 조사하였다. 주 흉추 만곡이 40°-75°인 환자를 대상으로 하였으며, 기기의 재질에 따라 스테인레스강 기기가 사용된 경우는 S군(90명)으로, 티타늄 합금 기기가 사용된 경우는 T군(51명)으로 나누었다. S군의 강봉 직경은 7.0 mm였고 T군의 강봉 직경은 6.35 mm나 6.0 mm였다. 수술 전, 수술 직후와 술 후 2년에 촬영한 기립성 전 척추 방사선 사진을 이용하여 방사선적 측정을 시행하였다. 술 전 관상면과 시상면상 만곡의 측정값에서 두 군 간에 유의한 차이는 없었다. 결과: S군에서 술 전 51.3°±8.4°의 주 흉추 만곡은 술 후 2년에 19.0°±7.6° (63.1% 교정)로 감소되었고, 술 전 32.3°±8.4°의 요추 만곡은 술 후 2년에 12.7°±8.2° (62.9% 교정)로 감소되었다. T군에서는 술 전 49.5°±8.4°의 주 흉추 만곡과 30.3°±8.9°의 요추 만곡은 술 후 2년에 각각 18.8°±7.4° (62.2% 교정)와 11.3°±5.4° (63.3% 교정)로 감소되었다. 관상면상 만곡의 교정은 두 군 간에 통계적으로 유의한 차이는 없었다(p>0.05). 흉추 후만은 S군에서 술 전 16.8°±8.5°에서 술 후 2년에 24.3°±6.1°로, T군에서는 19.6°±11.2°에서 26.6°±8.5°로 증가되었다. 유합 분절수, 사용된 척추경 나사못의 개수 및 술 후 2년의 흉추 후만, 요추 전만, 관상면과 시상면 균형에도 두 군 간에 유의한 차이는 없었다(p>0.05). 결론: 척추경 나사못 고정술을 이용한 단일 흉추 청소년기 특발성 척추 측만증 수술에서 스테인레스강과 티타늄 합금 기기와 강봉은 관상면과 시상면에서 의미 있는 차이 없이 비슷한 교정을 보였다.

• The Journal of Korean Physical Therapy
• /
• 제14권4호
• /
• pp.274-307
• /
• 2002

The TLSO was customized for this study in OO ortho-prosthesis institute from Jan. 1th., 2000 to Dec. 31th., 2000 and in order to measure effects of TLSO. 20 females in a growth period applicable to medical care took part in this study, they were on accidental spine scoliosis (From $15^{\circ}to35^{\circ}$). They were consisted of Group I(10 chest-bend) and Group II (10 dual-bend). The results were follows: 1. It showed the average difference in height by 1.37cm, 3.14cm in comparison between before and after TLSO, before and after one year and they were also statistically available(p < .05). 2. It showed the average difference in Cobb angle of a chest and waist by ($-10.95^{\circ},-8.50^{\circ}$), between before and right after TLSO. The results means that the Cobb angle of the chest and weist at right after TLSO was largely decreased, and it was also statistically available(p < .05). 3. It showed the difference in Cobb angle of the chest waist by $-9.50^{\circ},-7.35^{\circ} $ between before and one year after TLSO. It means that the Cobb angle of the chest and waist at the one year after TLSO was largely decreased, and it was also statistically available(p < .05). 4. It showed the difference in Cobb angle of the chest and waist by $2.34^{\circ},2.15^{\circ} $ between the right after and the one year after. TLSO, but the change of Cobb angle of the chest was regularly constant by a little increased, and it was also statistically available(p < .05). 5. In the measurement of the change of Cobb angle of the chest and waist according to the taking time on TLSO, it showed the slightest change in 10 people on TLSO for 23 hours by $13.30^{\circ},11.20^{\circ}$ , the change in 6 people on TLSO for 16 hours by $14.75^{\circ},12.67^{\circ}$, the change in 4 people on TLSO for 8 hours by $16.83^{\circ},14.00^{\circ} $ in this order. It means that the longer time on TLSO was to be the smaller the Cobb angle of the chest and waist, but it was not statistically available.

• 대한한방소아과학회지
• /
• 제29권4호
• /
• pp.67-76
• /
• 2015

Objectives The purpose of this review is to investigate the domestic and foreign studies of pediatric Chuna treatment and propose the directions of future studies and clinical applications. Methods We searched for the study at RISS, KISS, DBPIA, Pubmed, CNKI by keywords, '추나', 'Osteopathic', 'Chiropractic', 'Manipulation', '推拿', '導引', '按摩', After 2010. Results 1. Selected 3 domestic studies were categorized as 1 survey study and 2 case reports. Selected 41 foreign studies from Pubmed were categorized as 15 systemic reviews, 8 survey studies, 12 case reports and 6 control studies. Selected 82 foreign studies from CNKI were categorized as 10 systemic reviews, 22 case reports and 50 control studies. 2. 2 clinical domestic studies researched on idiopathic Scoliosis. The foreign clinical studies from Pubmed are 18 cases, and those studies were categorized into Premature baby care (3), Infant colic (2), ADHD (2), Congenital talipes equinovarus (1), Somatic dysfuntion (1), Nonsynostotic occipital plagiocephaly (1), Conversion disorder (1), Lower back pain (1), Chronic bilateral dorsal foot pain and stiffness (1), plantar fasciitis (1), Migraine headaches (1), Cyclic vomiting syndrome (1), Acute otitis media (1) and Cerebral palsy (1). The other 72 foreign clinical studies were from CNKI, and they studied 39 different diseases. Systematically, they studied about digestive diseases (25), respiratory diseases (20), fever (6), musculoskeletal diseases (5), nervous system diseases (5), dermatology diseases (2) and other disease states. The Chuna treatment was used in variety of studies. 3. 2 clinical domestic studies adopted techniques of Osteopathy Chuna. The foreign clinical studies from Pubmed adopted techniques of Osteopathic manipulation (10) and Chiropractic manipulation (8). The other foreign clinical studies from CNKI adopted techniques of Acupressure (69), Abdominal manipulation (23), Spinal manipulation (21), Thoracic manipulation (11), Traction manipulation (2), Muscular manipulation (2), Squeezing Sha manipulation (1), Spine correction (1), Joint manipulation (1) and Fascia manipulation (1). Conclusions In addition to musculoskeletal disorders, variety of pediatric diseases could be treated with Chuna treatment instead of acupuncture.