• Title/Summary/Keyword: scoliosis

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Cardiopulmonary function and scoliosis severity in idiopathic scoliosis children

  • Huh, Seokwon;Eun, Lucy Yougmin;Kim, Nam Kyun;Jung, Jo Won;Choi, Jae Young;Kim, Hak Sun
    • Clinical and Experimental Pediatrics
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    • v.58 no.6
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    • pp.218-223
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    • 2015
  • Purpose: Idiopathic scoliosis is a structural lateral curvature of the spine of unknown etiology. The relationship between degree of spine curvature and cardiopulmonary function has not yet been investigated. The purpose of this study was to determine the association between scoliosis and cardiopulmonary characteristics. Methods: Ninety children who underwent preoperative pulmonary or cardiac evaluation at a single spine institution over 41 months were included. They were divided into the thoracic-dominant scoliosis (group A, n=78) and lumbar-dominant scoliosis (group B, n=12) groups. Scoliosis severity was evaluated using the Cobb method. In each group, relationships between Cobb angles and cardiopulmonary markers such as forced vital capacity (FVC), forced expiratory volume in one second ($FEV_1$), $FEV_1$/FVC, left ventricular ejection fraction, pulmonary artery flow velocity, and tissue Doppler velocities (E/E', E'/A') were analyzed by correlation analysis linear regression. Results: In group A, 72 patients (92.3%) underwent pulmonary function tests (PFTs), and 41 (52.6%) underwent echocardiography. In group B, 9 patients (75.0%) underwent PFT and 8 (66.7%) underwent echocardiography. Cobb angles showed a significant negative correlation with FVC and $FEV_1$ in group A (both P<0.05), but no such correlation in group B, and a significant negative correlation with mitral E/A ratio (P<0.05) and tissue Doppler E'/A' (P<0.05) in group A, with a positive correlation with mitral E/A ratio (P<0.05) in group B. Conclusion: Pulmonary and cardiac function was significantly correlated with the degree of scoliosis in patients with thoracic-dominant scoliosis. Myocardial diastolic function might be impaired in patients with the most severe scoliosis.

The Influence of Adolescent's Scoliosis on Stress and Study-attitude (청소년의 척추측만증이 스트레스 및 학습태도에 미치는 영향)

  • Hong, Eun-Jeong;Cho, Sung-Hyun;HwangBo, Kak
    • The Journal of Korean Physical Therapy
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    • v.24 no.1
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    • pp.15-21
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    • 2012
  • Purpose: The purpose of this study was to investigate the influence of adolescent's scoliosis on the stress level and study-attitude, to inform the public that there exist an important correlation between adolescent's scoliosis and stress, as well as, study-attitude, using a questionnaire. Methods: For this study, questionnaires were distributed to elementary school in G city from May 10 through May 31, 2011. This study measured a primary scoliosis-test by a scoliometer with 300 elementary school students and a secondary test by Cobb's angle using an X-ray. The subjects were divided into 2 groups (normal group (n=20), scoliosis group (n=20)). The collected data were analyzed by a t-test and Pearson analysis. Results: As a result of this study, the Cobb's angle showed significant difference between the scoliosis group and the normal group (p<0.001). Also, it tended to have a greater stress level in the scoliosis group than the relationship between scoliosis and the stress or study-attitude compared to the normal group (p<0.05). The correlation of stress according to Cobb's angle showed a positive relationship (r=0.36), and the correlation of study-attitude to Cobb's angle showed a negative relationship (r=-0.04). Conclusion: In conclusion, this study showed that scoliosis affects stress and study-attitude. We hope that this result would help diagnose adolescent's scoliosis in anearly stage and prevent any phychologic and social problems relating to it.

A Survey on the Current State and the Characteristics of Scoliosis in College Students

  • Jung, Hwa Shik
    • Journal of the Ergonomics Society of Korea
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    • v.18 no.3
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    • pp.13-26
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    • 1999
  • 126 male and 95 female Korean college students were examined for Scoliosis by using Moire type body observation apparatus. Scoliotic hump measuring instrument, and spinal cord side curvature condition measuring instrument. The prevalence rate of Scoliosis along with identifying its possible causal factors and characteristics were investigated. The results revealed that 5.56% of male and 8.42% of female students(male to female ratio 1:1.47) were suspected as having Scoliosis. There was a significant correlation between the students who have symptoms of Scoliosis and their physiological measurements(e.g., lower breathing capacity of the lungs). There were also close relationships between the suspected cases and their habits(e.g., poor sitting and sleeping posture). It is concluded that the Scoliosis in Korean college students should not be ignored.

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Medical genomic approach to early-onset scoliosis

  • Yim, Shin-Young
    • Journal of Genetic Medicine
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    • v.18 no.2
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    • pp.94-100
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    • 2021
  • Early onset scoliosis (EOS) describes the onset of scoliosis before the age of 10 years and is associated with significant health risks. Compared to adolescent idiopathic scoliosis, studies on the etiology of EOS in children are more common. EOS includes inhomogeneous groups of patients, and the etiology of EOS may be congenital, neuromuscular, syndromic, or idiopathic. The identification of the molecular etiology underlying patients with EOS has been increasing. This could provide valuable information for optimizing the management and care of these children. In this review, EOS was reviewed from a medical genomic perspective.

Effects of an Exercise Program Including Promotion of Self-Efficacy on the Physical and Psychological Functions of Middle School Students with Minimal Scoliosis (자기효능증진법을 병용한 척추교정운동이 척추측만증 중학생의 신체적, 심리적 기능에 미치는 효과)

  • Lee, Myung-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.2
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    • pp.282-293
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    • 2008
  • Purpose: This study was done to identify the effects of an exercise correction program for scoliosis on the physical and psychological functions of middle-school students with scoliosis. Method: The design of this study was a nonequivalent control group pretest-posttest design. The students who participated in the study were 45 middle school students with scoliosis. Twenty-four students were assigned to the experimental group and 21 to the control group. The treatment given to the experimental group was a scoliosis correction exercise program. The scoliosis correction exercise program was given 3 times a week for a period of 12 weeks. Result: For Cobb's angle, a significant decrease was observed in the experimental group. For flexibility, the sit-and-reach test showed a significant increase in the experimental group. For depression, self-esteem and body satisfaction, the difference between the two groups was not significant. Conclusion: Based on the above results, the effects of a spine correction exercise program produced a decrease in Cobb's angle and an increase in the sit-and-reach test for flexibility. This program is not expensive and is convenient, and thus has been identified as a good nursing intervention for correcting scoliosis.

Comparisons of Postural Habits, Body Image, and Peer Attachment for Adolescents with Idiopathic Scoliosis and Healthy Adolescents (특발성 척추측만증 청소년과 정상 청소년의 자세습관, 신체상 및 또래관계 비교)

  • Choi, Ji-Hea;Oh, Eui-Geum;Lee, Hye-Jung
    • Child Health Nursing Research
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    • v.17 no.3
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    • pp.167-173
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    • 2011
  • Purpose: This study was conducted to compare the postural habits, body image, and peer attachment of adolescents with idiopathic scoliosis and healthy adolescents, and to examine the correlation between body image and peer attachment in each group. Methods: Eighty-three adolescents with idiopathic scoliosis and 83 healthy adolescents were recruited from 4 middle schools located in W city. Data were collected from November 22 to December 6 2010 using a structured questionnaire including items about postural habits, body image, and peer attachment. Data were analyzed using descriptive statistics, $X^2$-test, independent t-test and Pearson Correlation Coefficient. Results: Compared to healthy adolescents, adolescents with idiopathic scoliosis were more likely to use one hand, to lean back while seated, and to put weight on one leg while standing. The score for body image was significantly lower for adolescents with idiopathic scoliosis compared to healthy adolescents, but peer attachment was not significantly different between the two groups. Body image was significantly correlated with peer attachment only for the adolescents with idiopathic scoliosis. Conclusion: Interventions to promote balanced postural habits in adolescents with idiopathic scoliosis are needed. Information on body image and peer attachment for these adolescents should also be considered when developing interventions.

The study of correlation between foot-pressure distribution and scoliosis (보행시 족저압 분포와 척추 측만의 상관관계 연구)

  • Park, Jae-Hyun;Jang, Hwa-Seon;Jung, Jae-Woo;Noh, Si-Chul;Choi, Heung-Ho
    • Journal of Sensor Science and Technology
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    • v.17 no.3
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    • pp.210-216
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    • 2008
  • The propose of this study is evaluating which correlation of foot pressure distribution and scoliosis that happen by walking to 20'th Mens that have not experienced a scoliosis. The propose of this study is evaluating which correlation of foot pressure distribution and scoliosis that happen by walking to 20'th Mens that have not experienced a scoliosis. Measurement and analysis of Foot Pressure was executed by using by F-scan System. Degree of scoliosis was expressed as a angle used x-ray image of 5-lumbar from 4-thoracic vertebra The correlation between result of foot pressure and degree of scoliosis was evaluated under 0.05 interrelationship, and variables used for analysis were showed high correlation.

Effect of Trunk Side Shift Exercise on the Trunk Muscle Activation of Patients with Idiopathic Scoliosis (몸통 가쪽이동 운동이 척추옆굽음증 환자의 몸통근육의 근활성도에 미치는 영향)

  • Lee, Woo jin
    • Archives of Orthopedic and Sports Physical Therapy
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    • v.14 no.2
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    • pp.99-107
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    • 2018
  • Purpose: This study investigated scoliosis muscle activity after the trunk side shift exercise. Methods: Fifty-eight subjects (control group=30, scoliosis group=28) participated in this study. The patients with idiopathic scoliosis were randomly divided into two groups: the side shift exercise (SSE) group and the trunk stabilization exercise (TSE) group. The SSE group performed SSE with chair training for eight weeks. A one-way ANOVA test was carried out to compare the results within the idiopathic scoliosis patient group prior to and after different exercise methods. Result: The muscle activity differences of the TPS, LPS, and latissimus dorsi muscles significantly decreased in all idiopathic scoliosis exercises groups after training. According to the exercise method, the TPS differed between the control group (CG) and TSE group and between the SSC and TSE groups. The LPS and latissimus dorsi muscles showed differences between the CG and TSE groups. Conclusions: This study found that the side shift exercise effectively improve spine muscles. The side shift exercise was performed using chairs that were designed for this study. Thus, this method is easily accessible for busy students who are exposed to scoliosis or spinal disorders that are caused by a pattern of inactivity.

A Case Report on the Immediate Effects of Cytoskeletal Manual Therapy on Pain, Muscle Thickness, and Pressure Pain Threshold in a Patient with Scoliosis

  • Hyunjoong Kim;Dajeong Kim
    • Physical Therapy Rehabilitation Science
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    • v.12 no.1
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    • pp.19-25
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    • 2023
  • Objective: Patients with scoliosis complain of various symptoms such as muscle imbalance, dysfunction, back pain, abnormal posture and gait abnormality. The most basic treatment for scoliosis is to observe the progress based on conservative treatment. Therefore, in this case report, the effect of cytoskeletal manual therapy (CMT), a soft tissue mobilization technique, on pain intensity, muscle thickness, and pressure pain threshold (PPT) in a patient with scoliosis was investigated. Design: A case report Methods: A 25-year-old male diagnosed with scoliosis visited the Neuromusculoskeletal Science Laboratory with chronic back pain. In the laboratory, scoliosis was confirmed through the X-ray image used for his diagnosis, and it was confirmed again through Adam's forward bending test. Pain, pressure pain threshold and muscle thickness were measured to compare the immediate effects of CMT applied in the laboratory for 40 minutes. Treatments were visited two weeks after the first visit and outcome measures were assessed after a total of two visits. Results: After receiving CMT up to the second session, the pain intensity decreased by 4 points and the screening angle decreased by 15 degrees. Muscle thickness decreased in all but 10 mm on the dominant side of the thoracic spine. All of the PPTs increased, and the greatest increase was 3.1 lb on the dominant side of the thoracic spine. Conclusions: CMT showed positive improvement in pain during trunk flexion, spinal curvature, muscle imbalance, and pressure pain, which is considered as an ancillary treatment option for scoliosis management.

The Study of Correlationship of the Fukuda Stepping Test to Determine Type of Idiopathic Scoliosis Curve (척주측만증 환자의 만곡과 후쿠다 검사의 상관성에 관한 연구)

  • Lee, Sang-Yeol;Jo, Marg-Eun;Ko, Min-Ji;Kim, Young-Ju;Lee, Seung-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.2
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    • pp.13-16
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    • 2016
  • PURPOSE: The Fukuda test can be used at home and in school to diagnose scoliosis at an early stage and prevent serious curvature of the spine. This study aimed to use the Fukuda test to detect scoliosis. An additional aim was to invoke the national interest in imbalanced postures and habits, which result in scoliosis, by providing data obtained in periodic assessments. METHODS: The study consisted of 35 idiopathic scoliosis patients (22 in right lumbar spinal region and 13 in the left lumbar spinal region). The distance of displacement and angle of displacement were measured following the Fukuda test. A correlation analysis was then used to examine the distance of displacement and angles of displacement and rotation with regard to the direction of the curve in scoliosis. RESULTS: There was a significant negative correlation (p<0.00) between the direction of the curve in scoliosis and the angle of displacement, but there was no correlation between the cobb's angle and distance of displacement or between the cobb's angle and angle of rotation. CONCLUSION: The Fukuda test did not capture changes in spinal curvature such as the cobb's angle, or subsequent changes in the muscles. Thus, the Fukuda test is not suited to examining the direction or status of the thoracic curve in scoliosis patients. Simple methods to objectively measure scoliosis need to be developed.