• Title/Summary/Keyword: lumbar scoliosis

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The effects of Lumbar Stabilization Exercise on Balance Ability and Lumbar Trunk Muscle Endurance in Patients with Adolescent Idiopathic Scoliosis(Pilot study) (요부안정화운동이 청소년기 특발성 척추 측만증 환자의 균형능력과 요부근지구력에 미치는 효과(Pilot study))

  • Shin, Seung-Sub;Lee, Sun-Woo;Song, Chang-Ho
    • Journal of muscle and joint health
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    • v.19 no.1
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    • pp.16-26
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    • 2012
  • Purpose: The purpose of this study was to investigate the effects of lumbar stabilization exercise on balance ability in patients with adolescent idiopathic scoliosis. Methods: This study was one group pretest-posttest design. Twenty young idiopathic scoliosis patients were recruited for this study. They had the lumbar stabilization exercise program for 40 minutes a day, three times per week for 3 weeks. The lumbar trunk muscle endurance test and clinical balance tests (functional forward reach, functional lateral reach, Fukuda 50-stepping, one leg standing with eyes open and eyes closed) were measured before and after the lumbar stabilization exercise. Results: There were significant differences between pre-and post-test in absolute value of the difference between right and left lateral reach, distance of Fukud 50-stepping and one leg standing on the each side with eyes closed(p<.05). The results showed that the lumbar trunk muscle endurance significantly increased(p<.05). Conclusion: In this study indicated that the lumbar stabilization exercise was effective on balance ability and lumbar trunk muscle endurance in patients with young idiopathic scoliosis.

The Comparative analysis of X-ray film on Lumbar Scoliosis and HNP by Barge Method (Barge 방식에 의한 요추부 척추측만증과 추간판 탈출증의 X-ray 비교분석)

  • Kim, Gyu-Sub
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.1
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    • pp.53-61
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    • 2011
  • Objective: The purpose of this study is to evaluate the disc block subluxation for lumbar scoliosis and herniation of nucleus pulpous (HNP). Methods: We used AP & Lateral view X-ray for patients. And we measured of disc wedge angle, vertebral body rotation to evaluate the typical and atypical disc block subluxation. Results: On the analysis of the lateral view X-ray, 4th lumbar intervertebral disc angle (I.V.D angle) showed $4^{\circ}$, $5^{\circ}$, $3^{\circ}$, $0^{\circ}$ in the cases. On the 4th lumbar analysis of the AP view X-ray, lumbar scoliosis showed right disc wedge angle was $11^{\circ}$ (case 1), $17^{\circ}$ (case 2) and left vertebral body rotation was 13mm, 6mm. Lumbar HNP showed left disc wedge angle was $5^{\circ}$ (case 3), $4^{\circ}$ (case 4) and left vertebral body rotation was 2mm, 4mm. Conclusions: Disc block subluxation has been in lumbar scoliosis, but not been in lumbar HNP.

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Correlation Analysis Between Lumbar Scoliosis of X-ray and HIVD of L-spine MRI in LBP Patients who Visit Korean Medicine Hospital (한방병원에 요통으로 내원한 환자에서 X-ray상 요추측만과 MRI상 HIVD와의 연관성 분석)

  • Kim, Kil-Hwan;Choi, Young-Jun;Kwon, Ok-Jun;Joo, Young-Kuk;Song, Seung-Bae;Song, Gwang-Chan;Seo, Ji-Yeon;Choo, Won-Jung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.41-51
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    • 2016
  • Objectives : This study is planned to classify Correlation between Cobbs Angle of Lumbar scoliosis and prevalence of Lumbar Intervertebral Disc. Methods : We Measured the lumbar scoliosis angle of the 114men and 91 women patients with lumbar pain in Bucheon Jaseng Korean Medicine Hospital. We use Cobb's angle method for measuring the lumbar scoliosis. And We use Magentic Resonance Imaging(MRI) for classifying the patient who has lumbar intervertebral disc or not. Results : 1.There was no statistical relation between the Cobbs angle and gender(P>0.05) 2.There was no statistical relation between the Cobbs angle and age(P>0.05) 3.There was significant relation between the direction of lumbar scoliosis and the direction of disc herniation(P<0.05) 4.There was no statistical relation between on the Cobbs angle and disc herniation. The more severe of lumbar scoliosis has not tendency of disc herniation. 5.There was no statistical relation between lumbar scoliosis Cobbs Angle on HIVD of L-spine patient and direction of disc herniation on horizontal plane. Conclusions : The direction of disc herniation has tendency of the opposite direction of lumbar scoliosis. When disc herniation, opposite side bending broad intervertebral foramen and reduce pressure.

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The Effects of PNF on Active Lumbar Flexion ROM and Activity of Daily Living for Adult Scoliosis with Low Back Pain (급성 요통을 동반한 성인 측만증 환자에게 적용한 고유수용성신경근촉진법이 요부 능동 굴곡 관절가동 범위 및 일상생활동작에 미치는 영향 : 증례보고)

  • Na, Eun-Jin;Shin, Seung-Sub
    • PNF and Movement
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    • v.10 no.4
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    • pp.33-40
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    • 2012
  • Purpose : The purpose of this study was to investigate the effects of PNF on active lumbar flexion ROM and difficulty of activity of daily living for adult scoliosis with low back pain. Methods : A 23-aged adult scoliosis with diagnosed herniated lumbar disc. The patient was treated by PNF for 30 minutes a day, 2 times a week during six weeks. Active lumbar flexion ROM and difficulty of activity of daily living were evaluated by the Modified-Modified Schober test and Oswestry Disability Questionnaire every week after treatment including the pretest of the first day of treatment. Results : There were a significant improvement in active lumbar flexion ROM between pretest and the last test. There were significant decreased in difficulty of activity of daily living positive between pretest and the last test. Conclusion : PNF will be useful for increasing active lumbar flexion ROM and decreasing the difficulty of activity of daily living positive for adult scoliosis with low back pain.

Effect of Unstale Surface Lumbar Stabilization Exercise on Trunk Posture and Balance Ability in Patients With Scoliosis (불안정한 지지면의 척추안정화 운동이 척추측만증 환자의 체간 자세와 균형에 미치는 영향)

  • Lee, Woo-Jin;Lim, Chang-Hun
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.59-67
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    • 2012
  • Purpose : This study was somatosensory less in patients with idiopathic scoliosis somatosensory input to the lumbar stabilization exercises carried out to determine the most effective treatment method to be stable and unstable in terms of supporting the lumbar stabilization exercises the patient's torso length and postural sway by comparing the distance from a standing position and looked for differences in effect on the balance. Methods : The subjects of the study were 18 patients who showed the symptom of scoliosis. The study classified the patients into two experimental groups, one using an unstable surface and one a fixed surface, and the patients were required to do a lumbar stabilization exercise a total of 12 times for 60 minutes per session, three times a week for four weeks. The study carried out a paired comparison t-test so as to compare differences between measurement values in each experimental group before and after the exercise. Results : Superior iliac spine on the left, there was a significant reduction in the group doing the lumbar stabilization exercise on an unstable surface (p<0.05). Regarding change in sway distance to the left and right directions in the group doing the lumbar stabilization exercise on the unstable surface, there was a significant decrease in both the condition of closed eyes or open eyes (p<0.05). As for change in sway distance in forward-and-backward direction, there was a significant reduction in the condition of either closed eyes or open eyes (p<0.05). Conclusion : The lumbar stabilization exercise on an unstable surface improved the trunk posture of patients with scoliosis symmetrically, and the static balance ability in a standing posture was discovered to be improved. In the future, the lumbar stabilization exercise on an unstable surface may be used as a posture correction and balance increase exercise for patients with scoliosis.

Effect of Unstable Surface Exercise on Trunk Posture and Balance Ability in Patients With Scoliosis: After six months follow-up (불안정한 표면 운동이 척추측만증 환자의 체간자세와 균형에 미치는 영향)

  • Lee, Woo Jin;Kong, Young Soo;Ko, Yu Min;Park, Ji Won
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.232-238
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    • 2013
  • Purpose: The aim of this study was to evaluate the effect of lumbar stabilization exercise on an unstable surface on trunk posture and static standing balance ability in patients with scoliosis. Methods: Subjects included 18 patients who showed symptom of scoliosis. Patients were divided into two experimental groups, one using an unstable surface and one using a fixed surface, and the patients were required to perform a lumbar stabilization exercise a total of 12 times for 60 minutes per session, three times per week for a period of four weeks, with a six-months follow-up period. Results: A significant reduction was observed in the group that performed the lumbar stabilization exercise on an unstable surface (p<0.05). A significant decrease in both the condition of closed eyes or open eyes in the left and right directions was observed in the group that performed the lumbar stabilization exercise on an unstable surface (p<0.05). After six months, results of comparison of the length of both sides of the trunk showed a significantl decrease in the group performing lumbar stabilization exercises on an unstable surface. Conclusion: Lumbar stabilization exercise on an unstable surface improved the trunk posture of patients with scoliosis symmetrically, and static balance ability in a standing posture showed improvement. In the future, lumbar stabilization exercise on an unstable surface may be used as an exercise for posture correction and balance increase for patients with scoliosis.

Finding of Relation Between 4th Lumbar Rotational Malposition and Scoliosis (요추 4번의 회전변위와 척추측만증과의 상관성에 관한 연구)

  • Kim, Gyu-Sub;Kim, Jae-Young;Min, Young-Kwang;Seo, Young-Tae;Sung, Ik-Jae;Lee, Seung-Woo;Jee, Jae-Dong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.7 no.1
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    • pp.27-34
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    • 2012
  • Objectives : The purpose of this study is to find out the relation between 4th lumbar rotational malposition and scoliosis. Methods : We investigated 22 cases of patients who were diagnosed as scoliosis. We used AP & Lateral view X-ray for patients. And we analysed the relation between 4th lumbar rotational malposition and scoliosis. Results : P-value was 0.436 between 4th lumbar rotational amount and lordotic angle, and was 0.758 between 4th lumbar rotational amount and wedge angle(p>0.05). And p-value was 0.022 between 4th lumbar rotational amount and scoliotic apex rotational amount(p<0.05), but was 0.286 between 4th lumbar rotational amount and Cobb's angle(p>0.05). Conclusions : The results suggest that 4th lumbar rotational malposition was statistically correlation with scoliotic apex rotational malposition, was not Cobb's angle, 4th lumbar lordotic & wedge angle.

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Influence of Habitual Unilateral Support on Scoliosis Angle and Iliac Crest Height of Lumbago Patients (습관적인 편측지지가 요통환자의 측만각과 장골능 높이에 미치는 영향)

  • Cho, Woon-Soo;Kim, Yong-Nam;Jeong, Jin-Gyu
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.5 no.2
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    • pp.73-84
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    • 2007
  • This study aims to examine changes from differences in the lumbar scoliosis angle and iliac crest height due to abnormal and habitual posture shown in unilateral weight load at standing posture and suggest data for preventing and treating lumbago. The subjects of this study are 16 lumbago patients between twenties and forties with chronic lumbago over six months, but without neurological symptoms. As a result of photographing front and back with three conditions such as weight load on both sides and left or right unilateral weight load posture in order to examine changes of lumbar scoliosis and iliac crest according to changes of posture at unilateral weight load, while scoliosis angle and iliac crest height by habitual unilateral support were increased, those by opposite support were decreased. In conclusion, it was found that habitual unilateral weight load may cause continuous distortion of spinal angle and change of iliac crest height and these may be a factor of lumbago. Therefore, if habitual unilateral weight load state is kept continuously, distortion of lumbar angle and iliac crest height may be greater and common efforts to change habitual unilateral weight load are needed.

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Three Clinical Cases Study on Idiopathic Lumbar Scoliosis with Muscle Energy Techniques and Acupuncture Therapy (근에너지기법(Muscle Energy Techniques)과 침치료를 이용한 특발성 요추부 척추측만증 치험 3례)

  • Eom, Tae-Woong;Moon, Tae-Woong;Kang, Myung-Jin;Kong, Duck-Hyun;Cho, Tae-Young;Lee, Ki-Ha;Yoo, Da-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.173-185
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    • 2008
  • Objectives : This study is designed to evaluate the effectiveness of muscle energy techniques and acupuncture therapy on patients with idiopathic lumbar scoliosis. Methods : We have investigated 3 patients with idiopathic lumbar scoliosis, used muscle energy techniques and acupuncture therapy, measured Cobb's angle before and after treatment. Results : After treatment, One case, the L-spine Cobb's angle correctability was 62.74%, another case was 34.66%, the other case was 45.50%. Conclusions : These results suggest that muscle energy techniques and acupuncture therapy was effective treatment on patients with idiopathic lumbar scoliosis.

Thread Embedding Acupuncture and Complex Korean Medicine Treatment for Lumbar Spinal Stenosis with Degenerative Scoliosis: A Clinical Case Report

  • Park, Yu-Kyeong;Lee, Jung Hee;Kim, Jae Soo;Lee, Yun Kyu;Lee, Hyun-Jong
    • Journal of Acupuncture Research
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    • v.38 no.4
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    • pp.320-324
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    • 2021
  • Lumbar spinal stenosis (LSS) is a common degenerative spinal condition that can have unpredictable improvement and worsening of symptoms which include low back pain, radiating pain, claudication, and degenerative lumbar scoliosis affecting quality of life. In this study, thread embedding acupuncture (TEA) was used as a conservative treatment for LSS in combination with complex Korean medicine treatments (acupuncture, herbal medicines, and physical therapy). The treatment was evaluated using the numerical rating scale, walking distance and duration, and inclination of radiological lumbar scoliosis according to antalgic posture. TEA was performed 27 times between June 8, 2020, and March 16, 2021. The patient showed improvement in numerical rating scale score from 7 to 2, pain-free walking distance from 10 m to 900 m, and scoliosis inclination following treatment. The findings of this study suggest that TEA may be helpful in the treatment of LSS.