• 척추신경추나의학회지
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• 제1권2호
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• pp.93-100
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• 2006

Objectives: To invesgate correlation between the scoliotic curve and BMI, cervical lordosis, lumbar lordosis and Ferguson angle in spinal scoliotic patient. Methods: The study was composed of 14 scoliosis patients beyond cobb'a angle $10^{\circ}$ (sample I group) and 15 scoliosis patients over cobb'a angle $10^{\circ}$ (sample II group). The patients were evaluated with X-ray findings of full spine AP and lateral views and statistically analyzed. Results: 1. Sample II group showed a significant decrease in BMI as compared with Sample I group(P<0.05). 2. Scoliotic curve had s negative relationship with $BMI({\gamma}=0.406)$ 3. Scolotic patients had a lower cervical angle than normal man. Conclusion: 1. The larger the scoliotic angle, the lower BMI 2. There are no concemed scoliotic curve and cervical lordosis, lumbar lordosis and Ferguson angle.

• 대한방사선기술학회지:방사선기술과학
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• 제34권4호
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• pp.263-269
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• 2011

척추촬영법은 의료기관별로 상이하고 각종 대학 및 국가시험을 위한 교재 등에 상이하게 기술되어 혼선을 빚고 있는 실정이다. 이에 동일한 환자의 선자세와 누운자세에서 촬영한 영상을 바탕으로 각 자세에서 척추측만각과 척추전만각의 차이를 비교함으로써 임상 및 관련기관, 참고서적에 가장 적절한 촬영 자세를 정립하여 제시하고자 하였다. 2009년 3월부터 2011년 9월까지 척추질환 환자 중 수술적 치료를 받지 않은 85명을 대상으로 Cobb's method를 이용하여 척추전만각(lordortic angle) 및 척추측만각(scoliotic angle)을 측정하였다. 각각의 측정자료는 t-test(SPSS 18)를 이용하여 유의성을 분석하였으며, 임상의 실태 파악을 위해 서울소재 10곳의 대학병원을 대상으로 척추촬영의 자세와 시행근거를 설문으로 조사하였다. 척추측만각의 측정 결과, 선자세가 바로누운자세보다 평균 20.98% 증가하였으며, 통계적으로 매우 유의한 차이를 보였다(p<.01). 척추전만각은 지지대잡은자세가 측와위자세보다 29.3% 증가하였으며, 통계적으로 매우 유의하였다(p<.01). 의료기관의 실태 결과, 누운자세촬영이 70.0%로 선자세촬영의 30.0%보다 월등하게 나타났다. 결론적으로 선자세촬영은 누운자세촬영보다 척추측만각 및 척추전만각이 증가하여 임상적 진단과 치료에서 중력이 가해진 선자세 촬영의 중요성과 일치하였으므로 임상의 검사자는 그 차이를 인식하여 필히 정확한 선자세에서 촬영이 요구된다.

• 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.

• 대한추나의학회지
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• 제2권1호
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• pp.121-132
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• 2001

Objectives The present study retrospectively investigated clinical outcome of patients with structual scoliosis during Chuna treatment. Methods : The study population consisted of 34 patients(14 patients of adolescent and 20 patients of adult) who were diagnosised as scoliosis with radiological finding. All patients were treated with Chuna treatment, and after treatment, evaluated with radiological measurement by calculating the scoliosis correction angle from the Initial and follow-up spine AP and lateral views. Also the evaluation of clinical outcome was done twice pre and post treatment during this study. Results : The results were summarized as follows ; 1) The 85.3 percent of patients complained physical pain. and adult group had various painful lesion compared with adolescent group. 2) Adult group had treated $18.0{\pm}7.2$ times and adolescent group treated $13.5{\pm}5.7$ times with Chuna treatment. 3) Scoliotic angle is reduced in 92.9 percent of adolescent group and had all of adult group after Chuna treatment, especially, statistically significance appeared in adult group. 4) Adult group was superior to adolescent group in correctability and scoliotic angle change. 5) Correction effect was better in the group which initial scoliotic angle was lessor, or had more time of treatment. 6) According to grade of vertebral body rotation, scoliotic angle is larger and correctability was lower. Conclusions : Chuna treatment was efficacious against scoliosis. And it is necessary for adolescent scoliosis patient to be more carefully treated and observed.

• 한국운동역학회지
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• 제24권3호
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• pp.269-275
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• 2014

The purpose of this study is to develop functional garment wear for patients with adolescent idiopathic scoliosis (AIS) and to analyze changes in Cobb's angle and the COM of the body and the pelvis during gaits in order to identify the effects of the functional garment wear. The subjects of the study were 9 patients with adolescent idiopathic scoliosis, who wore the functional garment wear for 12 weeks 12 hours a day. As for the research methods, the scoliotic angle was measured using Cobb's angle, and the shoulder angle and the COM of the body and the pelvis during gaits for the AIS patients were calculated using five high speed infrared cameras. As a result of the study, it was found that the scoliotic angle (Cobb's angle) was reduced significantly and that the smaller the original scoliotic angle, the greater the effects. As for the shoulder motion angle, a significantly larger angle was found 12 weeks after wearing the functional garment wear, and particularly, larger shoulder motion (activity) was observed at the phase of right heel contact. As for the motion of the body and the pelvis, the moving ranges were significantly reduced after wearing the functional garment wear for 12 weeks, which stabilized gait in the patients with adolescent idiopathic scoliosis.

• 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.

• 척추신경추나의학회지
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• 제7권1호
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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.

• 한방재활의학과학회지
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• 제24권4호
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• pp.177-185
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• 2014

Objectives This study analyzed the correlation between body parameters measured using X-ray and Chuna posture analysis system to determine their clinical value in diagnosing and evaluating skeletomuscular diseases. Methods X-ray and Chuna posture analysis system were performed for 105 patients to measure physical characteristics such as Interacromial angle, Pelvic obliquity angle, Structural leg length discrepancy (SLLD), Midpatella-midtalus angle (MMA) and Q-angle, Anterior head translation (AHT), Anterior superior iliac spine to posterior superior iliac spine angle (ASIS-PSIS angle), Interscapular angle, Scoliotic angle and Cobb's angle. Statistical analysis using statistical analysis techniques and Pearson correlation coefficients was performed to assess the body parameters obtained by X-ray and Chuna posture analysis system. Results Significant correlations were observed between the values for Interacromial angle, Pelvic obliquity angle, SLLD, MMA and Q-angle, AHT, ASIS-PSIS angle, Interscapular angle, Scoliotic angle and Cobb's angle obtained by X-ray and Chuna posture analysis system. Significant correlations were also observed between right MMA and left Q-angle as well as between left MMA and right Q-angle. Conclusions Chuna posture analysis system can be used instead of X-ray measure body parameters and perform posture analysis in clinical practice. This study's findings are expected to serve as a basis for further research on the clinical application of Chuna posture analysis system.

• 한국산학기술학회논문지
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• 제18권4호
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• pp.341-348
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• 2017

본 연구에서는 척추측만증 환자의 척추 만곡 위치와 방향이 자세 균형에 미치는 영향을 평가하였다. 총 15명의 실험대상자를 흉추 만곡 그룹, 요추 만곡 그룹, 이중 만곡 그룹으로 분류하여 연구를 진행하였다. 초음파 기반 동작 분석 시스템과 압력 분포 시스템을 사용하여 환자의 동적 체간 움직임(요추, 흉요추, 하흉추, 상흉추에서의 각도 변화)과 족저 압력 분포(최대힘, 최대압력)을 측정하였다. 측정 결과를 통해, 특발성 척추측만증 환자의 동적 체간 움직임과 족저 압력 분포 모두 척추 만곡의 발생 부위와 방향에 따라 비대칭적으로 각도와 압력이 증가하면서 자세 불균형이 발생하는 것을 알 수 있었다. 또한, 단일 만곡과 이중 만곡을 가진 그룹 간의 자세 균형 패턴에서의 차이를 확인할 수 있었다. 추후 연구에서는 본 연구에서의 결과를 기반으로 척추측만증 환자의 자세 조절 능력과 체간 균형을 향상시키고 척추측만을 치료하는데 도움을 줄 수 있는 재활 훈련 장치를 개발하고자 한다.

• 한국전문물리치료학회지
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• 제7권3호
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• pp.1-18
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• 2000

The present study was performed to investigate the prevalence rate of idiopathic scoliosis and to determine the effect of exercise training on scoliotic angle in elementary school children. In this study, two out of five elementary schools in Seosan city were chosen by random sampling. Seven hundred sixty four students (from four grade to the sixth grade student) were selected in two schools. Screening tests were conducted to find idiopathic scoliosis. Among the 764 individuals, 139 subjects who showed positive sign in physical examination took whole spine radiography. Thirty six subjects who had a curve of 10 or greater and consented to participate in the exercise program were selected for the exercise program. The exercise program was performed four times a week for 5 months. The results of this study were as follows: 1) One hundred thirty nine subjects showed positive sign in the scoliosis screening test. 2) The overall prevalence of curve of $10^{\circ}or$ greater in X-ray finding was 8.15%. The prevalencies of curve of $10^{\circ}or$ greater in male and female were 7.1% and 9.2%, respectively. 3) Scoliosis curves were observed at thoracic area (48.4%), at thoracolumbar area (27.4%) and at lumbar area(24.4%). 4) Right side curve was 59.7%, and left side curve was 40.3%. 5) After the 5 month exercise program for scoliosis, the Cobb's angle was significantly decreased. 6) There was no significant difference of Cobb's angle change respect to sex, grades, and scoliosis curve site. Results shown here indicates that an early detection and early exercise for scoliosis can result in decreased the Cobb's angle in elementary school children.