• 산업융합연구
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• 제20권1호
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• pp.107-114
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• 2022

척추측만증은 척추가 관상면에서 10도 이상 굽은 상태입니다. 하지만 관상면 뿐만 아니라 횡단면, 시상면에서의 변형도 포함되기 때문에 단순하지 않은 문제입니다. 측만증의 만곡은 성장기 어린이에게 상당히 진행되면 문제를 일으킵니다. 척추측만증의 치료는 관찰을 포함해서 기브스, 보조기, 물리치료, 운동 및 수술 등이 있습니다. 관리의 목표는 낮은 측만각을 유지하여 비대칭을 최소화하는 것이지만, 학업과 시간 부족으로 청소년들은 지속적인 치료를 받기 어려운 형편입니다. 이에 가정용 온열-마사지를 통해 측만각의 유지 또는 개선을 경험한 척추측만증 사례를 보고합니다.

• 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.

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

• 한방재활의학과학회지
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• 제19권4호
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• pp.229-236
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• 2009

Objectives : The purpose of this study is to report one case of spinal scoliosis patient with neglected congenital muscular torticollis treated by chuna manual therapy. Methods : The patient had been treated with chuna manual therapy. Full spine anteroposterior X-ray was taken to measure cobb's angle and cervico-mandibular angle before and after the period of treatment. Results : After treatment, the cobb's angle has been improved by $12^{\circ}$($31^{\circ}$ to $19^{\circ}$) at thoracic level, by $7^{\circ}$($17^{\circ}$ to $10^{\circ}$) at lumbar level. The cervico-mandibular angle has been improved by $5^{\circ}$($14^{\circ}$ to $9^{\circ}$). Conclusions : Chuna manual therapy was effective for a scoliosis patient with neglected congenital muscular therapy.

• 대한정형도수물리치료학회지
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• 제26권1호
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• pp.19-26
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• 2020

Background: The purpose of this study was compare and analyze the flexibility and dynamic balance in adolescents with idiopathic scoliosis and provide scientific basis for effectively treating idiopathic scoliosis. Methods: The subjects of this study were 20 members of adolescences. To measure the flexibility of the spine, a left buckling instrument was used, and it was measured using a modified sit and reach test. They were randomly divided into core exercise with sling program group (n=10) and general exercise program group (n=10), each consisting 50 minutes each for 4 times per week for 8 weeks. Results: The results of the study are as follows. First, Both groups were increased statistically significantly in spinal flexibility but no significant differences have been found between the two groups after 8 weeks of exercise. Second, Both groups were increased statistically significantly in balance ability of dynamic foot pleasure ratio but no significant differences have been found between the two groups after 8 weeks of exercise. Conclusion: In summarizing the results of this study, sling exercise with core exercise was effective in the decrease of flexibility and stability than general scoliosis exercise in adolescents with idiopathic scoliosis. It is also believed to be applicable to spinal diseases caused by muscular weakness since it is effective in strengthening core muscle strength.

• 대한한방소아과학회지
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• 제24권3호
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• pp.50-57
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• 2010

Objectives: The purpose of this study is to report two cases of adolescent patient with structural spinal scoliosis treated by Chuna therapy. Methods: We examined two adolescent patients with an X-ray examination. These patients were diagnosed with structural scoliosis, and we used acupuncture and Chuna method at these patients. Cobb's angle and VAS(Visual Analogue Scale) were used to evaluate effects of the treatment. Results and Conclusions: After the treatment, we got these improvement results : In one case, the Cobb's angle was improved by $8.4^{\circ}$ ($19^{\circ}$ to $10.6^{\circ}$) at thoracic level (44.2% correctability) and VAS has been changed from 5 to 1-2. In another case, the Cobb's angle was improved by $4.3^{\circ}$($11.3^{\circ}$ to $7^{\circ}$) at lumbar level(38.0% correctability) and VAS has been changed from 7 to 1-2.

• 대한통합의학회지
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• 제4권1호
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• pp.73-83
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• 2016

PURPOSE : The purpose of this study to suggest the exercise programs for improving the function and structure by applying the Masan university scoliosis program exercise method and electrical therapy method to the scoliosis patient. METHODS : The subjects were 18 patients who were diagnosed with scoliosis. They were randomly assigned either to a Masan university scoliosis program exercise group (n=11) that received Masan university scoliosis program exercise program or to a electrical therapy group (n=7). Flexibility, static balance, dynamic balance, and spinal angles were measured by using one leg standing with closed eyes, functional reach test, and Cobb's angle, respectively. The chest expansion were calculated using differences of chest circumference between maximum inspiration and maximum expiration. RESULT : Masan university scoliosis program group before and after the intervention there was a difference in the static balance, spine angle(p<.05). Masan university scoliosis program group before and after the intervention there was a difference in the flexibility, static balance, spine angle, chest expansion (p<.05). CONCLUSION : These results revealed that Masan university scoliosis program exercise program improved flexibility, static standing balance, spine angle, used as scoliosis management and intervention. Therefore, it is expected to be used as a method for the treatment and prevention in the process of rehabilitation of patients with scoliosis.

• Journal of Korean Neurosurgical Society
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• 제44권1호
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• pp.52-56
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• 2008

Objective : The purpose of this study was to introduce our surgical experiences of scoliosis and to evaluate the effectiveness of anterior correction and fusion in adolescent idiopathic scoliosis (AIS). Methods : Between August 2004 and August 2007, four patients with AIS were treated with anterior segmental fusion and fixation at our hospital. Mean follow-up period was 9 (6-12) months. The average age was 14.0 (13-15) years. According to Lenke classification, three patients showed Lenke 1 curve and one patient with Lenke 5 curve. Single rod instrumentation was performed in one patient, dual rod instrumentation in one patient and combined rod instrumentation in two patients. Coronal Cobb measurements were performed on all curves in thoracic, thoracolumbar and, lumbar spine and the angle of hump was measured by a scoliometer pre- and postoperatively. Results : The average operative time was 394 minutes (255-525) with an average intraoperative blood loss of 1,225 ml (1,000-1,700). The mean period of hospital stay was 19.3 days and there was no complication related to the surgery. The mean Cobb angle was reduced from $43.3^{\circ}$ to $14.8^{\circ}$ (65.8% correction) postoperatively and the rib hump corrected less than $5^{\circ}$. All patients and their parents were satisfied with the deformity correction. Conclusion : Anterior spinal correction and fusion of AIS with Lenke 1 and 5 curve showed excellent deformity correction without any complications. In particular, we recommend anterior dual rod instrumentation because of mechanical stability, better control of kyphosis, and a higher fusion rate.

• Journal of Korean Neurosurgical Society
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• 제61권6호
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• pp.716-722
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• 2018

Objective : Lateral interbody fusion (LIF) is attractive as a less invasive technique to address anterior spinal pathology in the treatment of adult spinal deformity. Its own uses and benefits in treatment of adult degenerative scoliosis are undefined. To investigate the radiographic and clinical outcomes of LIF, and staged LIF and posterior spinal fusion (PSF) for the treatment of adult degenerative scoliosis patients, we analyzed radiographic and clinical outcomes of adult degenerative scoliosis patients who underwent LIF and posterior spinal fusion. Methods : Forty consecutive adult degenerative scoliosis patients who underwent LIF followed by staged PSF at a single institution were retrospectively reviewed. Long-standing 36" anterior-posterior and lateral radiographs were taken preoperatively, at inter-stage, 3 months, 1 year, and 2 years after surgery were reviewed. Outcomes were assessed through the visual analogue scale (VAS), 36-Item Short Form Health Survey (SF-36), and Oswestry Disability Index (ODI). Results : Forty patients with a mean age of 66.3 (range, 49-79) met inclusion criteria. A mean of 3.8 levels (range, 2-5) were fused using LIF, while a mean of 9.0 levels (range, 3-16) were fused during the posterior approach. The mean time between stages was 1.4 days (range, 1-6). The mean follow-up was 19.6 months. Lumbar lordosis was significantly restored from $36.4^{\circ}$ preoperatively up to $48.9^{\circ}$ (71.4% of total correction) after LIF and $53.9^{\circ}$ after PSF. Lumbar coronal Cobb was prominently improved from $38.6^{\circ}$ preoperatively to $24.1^{\circ}$ (55.8% of total correction) after LIF, $12.6^{\circ}$ after PSF respectively. The mean pelvic incidence-lumbar lordosis mismatch was markedly improved from $22.2^{\circ}$ preoperatively to $8.1^{\circ}$ (86.5% of total correction) after LIF, $5.9^{\circ}$ after PSF. Correction of coronal imbalance and sagittal vertebral axis did not reach significance. The rate of perioperative complication was 37.5%. Five patients underwent revision surgery due to wound infection. No major perioperative medical complications occurred. At last follow-up, there were significant improvements in VAS, SF-36 Physical Component Summary and ODI scores. Conclusion : LIF provides significant corrections in the coronal and sagittal plane in the patients with adult degenerative scoliosis. However, LIF combined with staged PSF provides more excellent radiographic and clinical outcomes, with reduced perioperative risk in the treatment of adult degenerative scoliosis.

• Journal of Korean Neurosurgical Society
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• 제64권4호
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• pp.473-485
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• 2021

Adolescent idiopathic scoliosis (AIS), which is associated with an extensive range of clinical and radiological presentations, is the one of the most challenging spinal disorders. The goals of surgery are to correct the deformity in 3 dimensions and to preserve motion segments while avoiding complications. Despite the ongoing evolution of classification systems and algorithms for the surgical treatment of AIS, there has been considerable debate regarding the selection of an appropriate fusion level in AIS. In addition, there is no consensus regarding the exact description, relationship, and risk factors of coronal decompensation following selective fusion. In this review, we summarize the current concepts of selection of the fusion level for AIS and review the available information about postoperative coronal decompensation.