• Annals of Rehabilitation Medicine
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• 제42권6호
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• pp.863-871
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• 2018

Objective To evaluate the association between progression of curvature of scoliosis, and correction for functional component in patients with juvenile idiopathic scoliosis (JIS). Methods We retrospectively reviewed medical data of patients prescribed custom molded foot orthosis (FO) to correct inequality of RCSPA (resting calcaneal stance position angle), and chose 52 patients (26 females, 26 males) with Cobb angle ${\geq}10^{\circ}$ in radiology and uneven pelvic level at iliac crest by different RCSPA (${\geq}3^{\circ}$) as a factor of functional scoliosis. They had different hump angle ${\geq}5^{\circ}$ in forward bending test, for idiopathic scoliosis component. Their mean age and mean period of wearing FO were $79.5{\pm}10.6months$ and $18.6{\pm}0.70months$. Results Cobb angle was reduced from $22.03^{\circ}{\pm}4.39^{\circ}$ initially to $18.86^{\circ}{\pm}7.53^{\circ}$ after wearing FO. Pelvis height difference and RCSPA difference, were reduced from $1.07{\pm}0.25cm$ initially to $0.60{\pm}0.36$, and from $4.25^{\circ}{\pm}0.71^{\circ}$ initially to $1.71^{\circ}{\pm}0.75^{\circ}$ (p<0.01). Cobb angle improved most in 9 months. However, there was no significant improvement for those with more than $25^{\circ}$ of Cobb angle initially. Mean Cobb angle improved in all age groups, but patients less than 6 years had clinically significant improvement of more than $5^{\circ}$. Conclusion JIS can have functional components, which should be identified and managed. Foot orthosis is useful in correcting functional factors, in the case of pelvic inequality caused by different RCSPA, for patients with juvenile idiopathic scoliosis.

• 한방재활의학과학회지
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• 제23권1호
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• pp.65-75
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• 2013

The objective of this study is to report the effect of Chuna manipulation and foot orthosis treatment on juvenile, adolescent idiopathic scoliosis by observing four clinical case studies. Pre-and post-treatment, we investigated the changes in Cobb's angle, pelvic height and walking pattern by using the standing full spine X-ray. After application of a Chuna manipulation and foot orthosis treatment, Cobb's angle was reduced in 4 cases. Difference of pelvic height was reduced in 3 cases, and other 1 case was increased rather. And walking balance was improved in the case of measuring walking balance pattern. This study showed that Chuna manipulation and foot orthosis treatment has meaningful effect on juvenile, adolescent idiopathic scoliosis and more researches should be followed.

• 척추신경추나의학회지
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• 제9권1호
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• pp.103-114
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• 2014

Objectives : The purpose of this study was to report clinical effects of Lumbar flexion-distraction manipulation and Sitting position thoracic and lumbar vertebra adjustment manipulation on patient with Juvenile idiopathic scoliosis Methods : The patients have been treated with the above two Chuna manual manipulations. We measured Cobb's angle, VNRS before and after treatment Results : After treatment, we confirmed these transition : In first case, Cobb's angle of T-spine changed from 27 to 23 : Cobb's angle of L-spine changed from 17 to 10 : VNRS changed from 6 to 2. In second case Cobb's angle of T-spine changed from 30 to 21 : Cobb's angle of L-spine changed from 16 to 16 : VNRS chagned from 6 to 3 Conclusion : The result suggests that these two Chuna manual manipulations were effective treatment on patients with Juvenile idiopathic scoliosis.

• Journal of Korean Neurosurgical Society
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• 제63권2호
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• pp.228-236
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• 2020

Objective : It can be assumed that the progression of scoliosis in the juvenile period will increase the asymmetry in the rib cage, and thus will contribute to an increase in the breast asymmetry (BA) in the future. We are looking for answers to the questions; "How will the breasts look with respect to each other and what is the possibility of developing BA in the early follow-up period following the early surgical treatment and final fusion surgery of juvenile idiopathic scoliosis (JIS)?" For this reason, in this study, we aimed to evaluate the breast asymmetries of patients in the period after the final fusion. Methods : Following growing rod treatment, final fusion was achieved in 12 females with JIS. We used the anthropomorphic measurement of the modified BREAST-V formula to assess whether there was an asymmetry between the breasts after an average of 4.8 years (2-11) following final fusion. Results : In comparison, the mean volume of the left breast (222.4 mL [range, 104.1-330.2]) was larger than the mean volume of the right breast volume (214.5 mL [range, 95.2-326.7]) (p=0.034). The left breast was larger in 75% of the patients. BA was observed in 50% of the patients. No correlation was detected between the Cobb angle of the patient after final fusion and BA (p=0.688). Conclusion : In the late follow-up period, BA was detected in 50% of the patients with JIS who achieved final fusion after treatment with growing rod. In majority of the patients, left breast was larger. The patients with JIS and their families can be informed prior to the operation about the probability of BA seen in the follow-up period after fusion.

• 대한방사선기술학회지:방사선기술과학
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• 제28권4호
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• pp.327-332
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• 2005

본 연구는 초등학생, 중학생, 고등학생 및 대학생 등 청소년 2,787명을 대상으로 100 mm Mirror Camera을 이용하여 Cobb's Angle이 $10^{\circ}$이상인 특발성 척추 측만증 이상자의 유병율을 성별과 연령별로 분석하였다. 연구 결과 Cobb's Angle이 $10^{\circ}$이상으로 특발성 척추 측만증인 자는 전체 2.787명 중 257명(9.2%)이었으며, 13세 이하(초등학생)가 132명, 16세 이하(중학생)가 52명, 18세 이하(고등학생)가 35명, 19세 이상(대학생)이 38명이었고, 연령 따른 1차 검사에서의 $x^2-test$ 분석결과 유의성이 없는 것으로 나타났으며, Cobb's Angle이 $10^{\circ}$이상인 대상자들의 측만발생 부위는 흉-요추부 147명(57.2%), 흉추부 81명(31.5%), 경-흉추부위 20명(7.8%), 요추부위 7명(2.7%), 경추부위 2명(0.8%)으로 흉-요추부위에서 가장 많은 빈도를 보였으며, 측만방향으로는 우측 183명(71.2%)으로 좌측 74명(28.8%)보다 높게 나타났다. 척추 측만증이 $10^{\circ}$이상인 대상자 중에서 주요 호소 부위는 느끼지 못함이 219명이었으며, 요추부위 18명, 경추부위 9명, 흉추부위 7명, 견부부위 2명, 골반부위와 온몸이 다 아프다고 한 대상자는 각각 1명으로 총 257명이었고, 척추 측만증이 있는 자와 대상자의 주요 호소증상간의 분산분석의 결과는 유의성이 있는 것으로 나타났다.