• 제목/요약/키워드: Lumbar scoliosis angle

검색결과 48건 처리시간 0.025초

12주간의 3D패브릭 보조기 착용에 따른 청소년 특발성 척추측만증 환자의 Cobb's Angle, Angle of Trunk Rotation (ATR), 신장 변화의 단일사례 연구 (A Single Case Study of Cobb's Angle, Angle of Trunk Rotation (ATR), and Height Changes in Adolescent Idiopathic Scoliosis Patients following 12 Weeks of Wearing a 3D Fabric Brace)

  • Sang-Gil Lee;Eun-Taek Oh;Ji-Eun Kang
    • 한국운동역학회지
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    • 제33권2호
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    • pp.73-83
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    • 2023
  • Objective: Adolescent idiopathic scoliosis patients make up 40% of all scoliosis patients, and it is likely to increase even more because of the increase in sitting times due to the pandemic. Method: The subject of this study was a 16-year-old female student. The Cobb's Angle at initial value was 42° at the thoracic and 33° at the lumbar. The subject's height was 161.6 cm, and the type of scoliosis was 3CL. The brace was built with fabric materials with the size information from the X-ray information and actual measurements. The brace was made for the adolescents to wear for a longer time by making them put pressure on the same pressure points of the existing braces. The subjects were required to wear the device for 16 hours every day for three months. Additional features to check the pressure and time were synchronized through an app for easier communication and management with the responsible investigator. Results: After wearing the 3D Fabric brace, Cobb's angle changed from 42° to 33° at the thoracic and 33° to 23° at the lumbar. The ATR changed from 9° to 8° at the thoracic and 11° to 6° at the lumbar. As a result, the changes in the ATR angle do relate to the decrease of Cobb's angle, which made the angle of scoliosis that is bent in a three-dimensional way improve, making the height of the subject increase from 161.6 cm to 163.5 cm. Conclusion: Through this study, developing a brace that is made in the form of the 3CL to align the strap direction and putting pressure on the proper pressure points makes Cobb's angle and the ATR smaller. This means that there is a positive effect on the changes in height. A brace made of light fabric material is a good brace to help treat adolescent idiopathic scoliosis. There was an opinion that it is more comfortable to wear than existing braces, but it seems necessary to conduct a quantitative study about the before and after of wearing the brace and a survey for Korean specific cases.

The Effect of 3-Dimensional Posture Correction Exercise Program Incorporating PNF Respiratory Muscle Strengthening Exercise on the Spinal Alignment and the Trunk Expansion in Patients with Idiopathic Scoliosis

  • Yoon, Sungyoung;Seok, Him;Heo, Jaeseok;Lee, Sangyeol
    • Physical Therapy Rehabilitation Science
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    • 제10권4호
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    • pp.430-437
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    • 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.

특발성 척추측만증의 과거력을 가진 요통 환자에서 도인운동요법을 병행한 한방치료의 효과: 증례 보고 (Korean Medical Treatment Including Daoyin Exercise Therapy in Patient with Lower Back Pain Who Suffered from Idiopathic Scoliosis: A Case Report)

  • 박현선;강신우;박서현;금동호
    • 한방재활의학과학회지
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    • 제32권3호
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    • pp.153-160
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    • 2022
  • This retrospective study reports the effectiveness of Daoyin exercise therapy in a patient with lower back pain who suffered from idiopathic scoliosis. A patient was treated with Korean medicine containing Daoyin exercise therapy for 4 weeks. The patient was assessed for the numeral rating scale (NRS), Cobb's angle, correctability, and coronal balance. After treatment, the NRS of low back pain decreased from 9 to 1. The Cobb's angle of the thoracic curve decreased from 27.31° to 17.66°. The Cobb's angle of the lumbar curve decreased from 21.86° to 9.05°. Correctabililty was 35.34% in the thoracic curve and 58.60% in the lumbar curve. And coronal balance decreased from positive 32.80 mm to negative 3.20 mm. This study suggests that Daoyin exercise therapy could be effective therapeutic choice for lower back pain with idiopathic scoliosis.

척추 측만증에 대한 견인 치료의 효과 (Traction Effects for the Treatment of Scoliosis)

  • 심재훈;오덕원
    • 한국전문물리치료학회지
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    • 제3권3호
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    • pp.12-23
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    • 1996
  • The purpose of this research is to identify traction effects for the treatment of scoliosis and compare the effects among patients as their own physical characters. In this research, the patients with scoliosis hospitalized for ten days have treated in the way of the static traction for twenty hours a day, and alternating lumbar and cervical traction for twenty minutes two times a day in the department of rehabilitaton of Yong-Dong Severance Hospital. The followings are the conclusions of this research: 1) The traction for the patients with scoliosis is effective treatment method to reduce the curved angle (p<0.001). 2) Statistically there is no significant difference of the reduced curved angle between male and female after the traction (P>0.05). 3) Statistically there is significant difference of the reduced curved angle among age groups after the traction (P<0.05). 4) Statistically there is significant difference of the reduced curved angle among curved angle groups after the traction (p<0.001). 5) Statistically there is no significant difference of the reduced curved angle among shapes of curved angle after the traction (P>0.05).

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굴곡신연기법을 이용한 흉요추 추간판 탈출증과 척추 측만증의 치험 1례 (A Case Report on the Thoracic & Lumbar Disc and Scoliosis Treated by Flexion-Distraction Technique)

  • 김세종;민부기;윤일지;오민석
    • 척추신경추나의학회지
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    • 제1권2호
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    • pp.73-80
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    • 2006
  • 2006년 6월 13일부터 2005년 7월 10일까지 대전대학교 부속 청주한방병원 한방재활과에 입원하였던 교통사고로 인하여 악화된 요통 및 하지 방산통의 임상증상을 보이며 신경학적인 이학검사 및 X-ray 혹은 자기공명영상(MRI)에서 흉요추 추간판 탈출증 및 척추 측만증으로 확진된 환자에게 굴곡신연기법을 병행한 치료법을 시술하여 요통의 호전 및 측만각의 개선 효과를 거두어 이에 보고하는 바이다.

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척주측만증과 허리뼈 골절 수술 환자의 엑스선 촬영법 연구 (A Study of Radiographic Methods to X-ray Study of Patients with Spinal Scoliosis and Vertebrae Bone Fracture of Lumbar Spine)

  • 안병주;이준행
    • 한국방사선학회논문지
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    • 제13권3호
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    • pp.425-431
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    • 2019
  • 본 연구자는 척주 측만증 및 허리뼈 분쇄 골절된 환자의 수술 후 단순 엑스선 척주 측방향 촬영에서 두개의 철심이 겹친 영상을 얻어내기 위해 엑스선관 및 인체팬톰의 각도를 변화시켜 영상을 얻었다. 영상 평가를 위해 대학병원 영상의학과에서 10년 이상 근무한 방사선사 5명에게 주관적 평가를 하였다. 측정 결과 척주 측만증 측방향 촬영은 정중 이마면을 IR면 중심에 일치되게 하고 일곱 번째 등뼈가 중앙이 되도록 자세를 조정한 후 엑스선관과 척주팬톰 자세를 각각 수직으로 촬영하면 척주 측방향 촬영에서 두 개의 겹쳐진 영상을 얻을 수 있었고 주관적 평가에서도 높은 점수를 얻었다. 또한 허리뼈 탈구 골절된 허리뼈 측방향 촬영은 이마면을 IR면 중심에 일치시키고 네번째 허리뼈가 중앙이 되도록 자세를 조정하여 엑스선관 각도를 수직되게 하고 척주 팬톰을 네번째 허리뼈를 수직하여 촬영 하게 되면 척주 측방향 촬영에서 두개의 철심이 겹치는 영상을 얻을 수 있었고 주관적 평가에서도 높은 점수를 얻었다.

추나요법을 시행한 특발성 척추측만증 환자 30례에 관한 임상적 고찰 (Clinical Study on Idiopathic Scoliosis with Massotherapy)

  • 양기영;홍권의;이현;이병렬;신영일
    • Journal of Acupuncture Research
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    • 제18권6호
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    • pp.27-34
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    • 2001
  • Objective : The purpose of this study was to inspect the effect of Massotherapy on idiopathic scoliosis patients, utilizing Cobb's angle to determine the degree of curvature progression in the thoracic and lumbar regions. Methods : To obtain this result, we examinated 30 case of parents who visit Dept. of Acupuncture and Moxibustion Oriental Medical Hospital. Taejon University. with idiopathic scoliosis. We observe their age, sex, symptoms and Cobb's angle. Results : As a result of this examination, we detected the fact that it's difficult to treat isiopathic scoliosis fundamentally. But, Their symptoms are improved. So it is necessary to treat scoliosis actively with massotherapy . Conclusion : We want to be put this knowledge to practical use on treating Scoliosis and think the study like this must be go on continuously.

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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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척추 측만증 환자에서의 척추 만곡과 경추 및 요추 전만각, Ferguson각의 상관관계에 대한 고찰 (A Study on the Relationship Scoliotic Curve and Cervical Lordosis, Lumar Lordosis and Ferguson Angle in Spinal Scoliosis Patient)

  • 김석;윤현석;반효정;정해찬;염선규;진은석;김한겸
    • 척추신경추나의학회지
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    • 제5권2호
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    • pp.33-41
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    • 2010
  • Objectives : This study is designed to find out the relationship of scoliotic curve, cervical lordosis, lumbar lordosis and Ferguson's angle. Method : The study was composed of 46 scoliosis patients who had single curvature(Group I) on their lumbar spine(Group I-A) or thoracic spine(Group I-B) and 38 patients who had double curvature(Group II) on their lumbar and thoracic spine. The patients were evaluated with X-ray findings of full spine AP and Lateral views and statistically analyzed. Results : 1. Group II showed a significant increase in scoliotic curve angle as compared with Group I(P<0.05). 2. Scoliotic curve has a negative relationship with cervical lordosis in group II. Conclusion : 1. The patients who has double curvature of spine had higher scoliotic curve angle compared with who has single curvature. 2. The Scoliotic curve and cervical lordosis was statistically concerned on patients who has double curvature of spine.

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근에너지기법을 이용한 흉요추부 이중만곡 형태의 특발성 척추 측만증 호전 2례 (Two Cases of Idiopathic Scoliosis with Double Curved Thoracolumbar Spine using Muscle Energy Technique)

  • 이성준;이혁재;이유진
    • 척추신경추나의학회지
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    • 제12권2호
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    • pp.63-71
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    • 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.

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