청소년의 척추측만증이 스트레스 및 학습태도에 미치는 영향

홍은정,조성현,황보각,Hong, Eun-Jeong,Cho, Sung-Hyun,HwangBo, Kak 대한물리치료학회 2012 대한물리치료학회지 Vol.24 No.1

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.

청소년기의 구조적 척추측만증에 대한 추나치료 결과 고찰

허수영,Heo, Su-Young 척추신경추나의학회 2001 대한추나의학회지 Vol.2 No.1

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.

Prevalence and Insight of Scoliosis among Korean Male Adolescents by Chest Radiographs

김도근,윤승환,오창현,박형천,박종운,현동근 대한척추신경외과학회 2011 Neurospine Vol.8 No.3

Objective: We applied chest radiographs to scoliosis screening for conscription. Prevalence, types of scoliosis, and insight of examinees with scoliosis were investigated. Methods: In this study, chest radiographs of 2417 males, who had been given an examination for conscription at the Seoul Regional Military Manpower Administration from April 2009 to May 2009, were analyzed. The prevalence of scoliosis more than a 10 degrees Cobb angle was calculated. The insight of scoliosis was investigated in every examinee and thoracolumbar radiographs were checked in those examinees with more than a 20 degree Cobb angle. Results: Among 1904 males, 477 (19.7%) exhibited scoliosis involving more than a 5 degrees Cobb angle were and 131(5.4%) exhibitedmore than a 10 degree Cobb angle. In those 131 cases, 18 (13.7%) had a known history of problems with scoliosis. Among the group measuring less than a 10 degree Cobb angle, 1.7% of them misunderstood scoliosis. Insight of scoliosis increased according to the severity of spinal curvature; however, nearly half of the cases with a 20 degree or greater Cobb angle had no insight with respect to their scoliosis. Conclusion: In male adolescents, the prevalence of scoliosis with a greater than 10 degree Cobb angle was 5.4% and there was a low insight with respect to scoliosis. Objective: We applied chest radiographs to scoliosis screening for conscription. Prevalence, types of scoliosis, and insight of examinees with scoliosis were investigated. Methods: In this study, chest radiographs of 2417 males, who had been given an examination for conscription at the Seoul Regional Military Manpower Administration from April 2009 to May 2009, were analyzed. The prevalence of scoliosis more than a 10 degrees Cobb angle was calculated. The insight of scoliosis was investigated in every examinee and thoracolumbar radiographs were checked in those examinees with more than a 20 degree Cobb angle. Results: Among 1904 males, 477 (19.7%) exhibited scoliosis involving more than a 5 degrees Cobb angle were and 131(5.4%) exhibitedmore than a 10 degree Cobb angle. In those 131 cases, 18 (13.7%) had a known history of problems with scoliosis. Among the group measuring less than a 10 degree Cobb angle, 1.7% of them misunderstood scoliosis. Insight of scoliosis increased according to the severity of spinal curvature; however, nearly half of the cases with a 20 degree or greater Cobb angle had no insight with respect to their scoliosis. Conclusion: In male adolescents, the prevalence of scoliosis with a greater than 10 degree Cobb angle was 5.4% and there was a low insight with respect to scoliosis.

Effect of the Type and Positon of Scoliosis on the Static Balance of Adolescents

윤나미,윤희종,김건 대한물리치료학회 2017 대한물리치료학회지 Vol.29 No.5

Purpose: This paper provides basic clinical data on the treatment of scoliosis patients by analyzing the effects of the type and position of scoliosis on the static balance using Tetrax on adolescents who have balance disorders as a consequence of structural changes, such as scoliosis. Methods: A total of 110 adolescents were divided into 6 groups according to the radiographs and 60 adolescents were sampled, 10 each for each group. The static balance was measured and analyzed on the existence of sight using Tetrax. Results: The changes followed by existence of sight in static balance group showed a significant difference statistically in Stability index in all groups (p<0.001). The changes in the static balance in each group in terms of the stability index were significant in all groups, where the experiments were performed under the eyes opened and eyes-closed condition (p<0.01)(p<0.001). The post-hoc comparison revealed the stability index to be the highest in the eyes-opened condition in group III, but not in group IV. In the eyes-closed condition, group III showed the highest stability index of all the groups. Conclusion: Adolescents with lumbar scoliosis had a lower static balance in single scoliosis with the eyes-closed condition or had little movement compensation. In addition, unlike the other normal scoliosis, back scoliosis has negative effects on the posture because it causes an increase in the disturbance of posture. Therefore, future studied will be needed to examine the imbalance of posture in people suffering from back pain.

청소년기형 척추측만증 환자의 체질량지수 및 골밀도

서근택(Kuen Taik Sub),김성장(Seong Jang Kim),이정섭(Jung Sub Lee) 대한정형외과학회 2007 대한정형외과학회지 Vol.42 No.1

목적: 청소년기형 특발생 척추측만증 환자를 대상으로 체중과 신장에 따른 체질량 지수 및 골멸도를 측정하여 나이와 성이 같은 정상인과 비교하여 청소년기형 특발성 척추측만증 환자의 인체측정학적 요소의 특정을 알아보 파하였다. 대상 및 방법; 2003년 3월부터 2006년 3월까지 본원에 내원한 환자 중 새롭게 진단된 11-14세 여자 청소년기형 특발성 척추측만증 72예와 대조군 %예를 대상으로 체중, 신장, 체질량 지수를 측정하였으며 이중 에너지 방사 선 흡수 계측을 이용하여 요추부, 비우성 대퇴 경부, 대전자부, Ward 삼각부의 골밀도을 측정하여 비교 분석하였다. 결과: 청소년기형 특발성 척추측만증 72예의 평균 연령은 12.9세였으며 대조군 54예의 평균 연령은 13.1세였다. 두 군 사이에 통계학적인 차이를 보이지 않았다. 체중, 보정 전 체질량 지수 및 보정 체질량 지수는 청소년기형 특발성 척추측만증에서 낮았다. 청소년기형 특발성 척추측만증 72예의 요추부 및 대퇴 경부의 골밀도는 대조군에 비해 낮았으며, 대전자부와 Ward 삼각부에서는 차이가 없었다. 결론: 청소년기형 특발성 척추측만증에서 체중, 체질량 지수, 요추부와 대퇴경부의 골밀도는 낮았다. 청소년기형 특발성 척추측만증에서 체중, 체질량 지수 및 골밀도 감소의 원인과 조기 치료 효과에 대한 추가 연구가 필요할 것으로 판단되었다. Purpose: To compare the anthropometric parameters, including weight, height, body mass index and bone mineral density in patients with adolescent idiopathic scoliosis, with those in age- and gender-matched controls. Materials and Methods: The weight, height, body mass index and bone mineral density of 72 girls, aged 11-14 years, and newly diagnosed with adolescent idiopathic scoliosis were compared with 54 age-matched female control subjects. The bone mineral density of the lumbar spine, non-dominant femoral neck, greater trochanter and Ward's triangle were measured using dual-energy X-ray absorptiometry. Results: The average age of the 72 adolescent idiopathic scoliosis patients and 54 controls were 12.9 years and 13.1 years, respectively. There was no significant difference in age between the 2 groups. The weight, uncorrected and corrected body mass index, as well as the bone mineral density of the lumbar spine and femoral neck were significantly lower in the adolescent idiopathic scoliosis patients than those of the controls. There were no significant differences in bone mineral density of the greater trochanter and Ward's triangle between the 2 groups. Conclusion: The weight, body mass index and bone mineral density of the lumbar spine and femoral neck in the adolescent idiopathic scoliosis were significantly lower than the controls. Further studies will be needed to determine the cause and early treatment effects of the low weight, body mass index and bone mineral density in patients with adolescent idiopathic scoliosis.

Effect of the Type and Positon of Scoliosis on the Static Balance of Adolescents

( Na-mi Yoon ),( Hee-jong Yoon ),( Geon Kim ) 대한물리치료학회 2017 대한물리치료학회지 Vol.29 No.5

Purpose: This paper provides basic clinical data on the treatment of scoliosis patients by analyzing the effects of the type and position of scoliosis on the static balance using Tetrax on adolescents who have balance disorders as a consequence of structural changes, such as scoliosis. Methods: A total of 110 adolescents were divided into 6 groups according to the radiographs and 60 adolescents were sampled, 10 each for each group. The static balance was measured and analyzed on the existence of sight using Tetrax. Results: The changes followed by existence of sight in static balance group showed a significant difference statistically in Stability index in all groups (p<0.001). The changes in the static balance in each group in terms of the stability index were significant in all groups, where the experiments were performed under the eyes opened and eyes-closed condition (p<0.01)(p<0.001). The post-hoc comparison revealed the stability index to be the highest in the eyes-opened condition in group III, but not in group IV. In the eyes-closed condition, group III showed the highest stability index of all the groups. Conclusion: Adolescents with lumbar scoliosis had a lower static balance in single scoliosis with the eyes-closed condition or had little movement compensation. In addition, unlike the other normal scoliosis, back scoliosis has negative effects on the posture because it causes an increase in the disturbance of posture. Therefore, future studied will be needed to examine the imbalance of posture in people suffering from back pain.

DITI를 활용한 청소년기 특발성 척추측만증에 대한 임상적 고찰

양태준,정상준,곽민경,장여진,현민경,윤태경,김하나,위통순 대한침구의학회 2016 대한침구의학회지 Vol.33 No.4

A Clinical Study on Adolescent Idiopathic Scoliosis using DITI※ Tae Jun Yang1, Sang Jun Jeong1, Min Kyung Kwak1, Yeo Jin Jang1, Min Kyoung Hyun2, Tae Kyung Yoon3, Ha Na Kim4 and Tung Shuen Wei1,* 1Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongshin University 2Department of Acupuncture & Moxibustion, Dongseo Korean Medical Hospital 3Department of Acupuncture & Moxibustion, Bu-Chun Jaseng Korean Medical Hospital 4Department of Neuropsychiatry, College of Oriental Medicine, Dongshin University Objectives : This study was performed to investigate the correlation between Cobb’s angle and digital infrared thermographic imaging(DITI) on adolescent idiopathic scoliosis. Methods : A total of 56 patients with adolescent idiopathic scoliosis were classified into four groups according to their Cobb’s angle. Four groups were made for each increment of 5°: group 5-10°, group 11-15°, group 16-20°, and group 21-25°. Next we checked thermal differences of 6 acupoints(GB21, BL13, BL15, BL20, BL23, BL26) on DITI and analyzed correlation by SPSS ver. 20.0.0 for windows. Results : 1. The average patient age was approximately 13 years old. 2. The majority of patients complained of pain on both sides. 3. Significant correlation was found between group 11-15° and group 16-20°, group 16-20° and group 21-25° on Simsu(BL15) by Duncan test. Conclusion : Using DITI, Simsu(BL15) is expected to be a valid indicator for the diagnosis and treatment of adolescent idiopathic scoliosis.

Effect of the Type and Positon of Scoliosis on the Static Balance of Adolescents

Yoon, Na-Mi,Yoon, Hee-Jong,Kim, Geon 대한물리치료학회 2017 대한물리치료학회지 Vol.29 No.5

Purpose: This paper provides basic clinical data on the treatment of scoliosis patients by analyzing the effects of the type and position of scoliosis on the static balance using Tetrax on adolescents who have balance disorders as a consequence of structural changes, such as scoliosis. Methods: A total of 110 adolescents were divided into 6 groups according to the radiographs and 60 adolescents were sampled, 10 each for each group. The static balance was measured and analyzed on the existence of sight using Tetrax. Results: The changes followed by existence of sight in static balance group showed a significant difference statistically in Stability index in all groups (p<0.001). The changes in the static balance in each group in terms of the stability index were significant in all groups, where the experiments were performed under the eyes opened and eyes-closed condition (p<0.01)(p<0.001). The post-hoc comparison revealed the stability index to be the highest in the eyes-opened condition in group III, but not in group IV. In the eyes-closed condition, group III showed the highest stability index of all the groups. Conclusion: Adolescents with lumbar scoliosis had a lower static balance in single scoliosis with the eyes-closed condition or had little movement compensation. In addition, unlike the other normal scoliosis, back scoliosis has negative effects on the posture because it causes an increase in the disturbance of posture. Therefore, future studied will be needed to examine the imbalance of posture in people suffering from back pain.

19세 남자 청소년에서의 특발성 척추 측만증의 유병률

오창현,장윤종,이재환,윤승환,박형천,박종운 대한척추신경외과학회 2010 Neurospine Vol.7 No.3

Objective: To evaluate the prevalence and the epidemiological findings of scoliosis in 19-year-old Korean males. Methods: We applied chest radiographs for scoliosis screening from the examinations for conscription at Regional Military Manpower Administration in Seoul, Korea, from April 2009 to December 2009. A total 28,779 males, aged 19 years, were screened for scoliosis. Additional thoraco-lumbar radiographs were obtained for every examinee identified with scoliosis of more than 20 degrees using Cobb’s angle. Results: The prevalence of scoliosis of more than 10 degrees of Cobb’s angle was 5.3%(1532 of 28,779 males). The most common category for these 19-year-old males was scoliosis of 10 to 19 degrees. The most common pattern of scoliosis was thoracic(57.6%), followed by thoracolumbar(32.1%), lumbar(7.0%), and double major curves(3.3%) scoliosis. Conclusions: Among 28,779 19-year-old Korean males, the prevalence of scoliosis of more than 10 degrees Cobb angle was 5.3%, and thoracic scoliosis was the most common.

Feasibility of Single-Stage Posterior Passive Correction and Fusion Surgery for Congenital Scoliosis in Adolescent Patients Who Have Attained Skeletal Maturity

Chiu Chee Kidd,Tan Rommel Lim,Gani Siti Mariam Abd,Chong Jessamine Sze Lynn,Chung Weng Hong,Chan Chris Yin Wei,Kwan Mun Keong 대한척추외과학회 2022 Asian Spine Journal Vol.16 No.3

Study Design: Retrospective study.Purpose: To report the perioperative and radiological outcomes of single-stage posterior passive correction and fusion (SSPPCF) in adolescent patients who present with congenital scoliosis.Overview of Literature: The surgical treatment for congenital scoliosis is complex. There is no definitive guide on surgical options for skeletally matured adolescent patients who have congenital scoliosis.Methods: Patients with congenital scoliosis who underwent SSPPCF using a pedicle screw system were reviewed. We identified the following three surgical indications: (1) hemivertebra or wedge vertebra over the thoracic or thoracolumbar region with structural lumbar curves, (2) hemivertebra or wedge vertebra at the lumbar region with significant pelvic obliquity or sacral slanting, and (3) mixed or complex congenital scoliosis. The demographic, perioperative, and radiographic data of these patients were collected.Results: Thirty-four patients were reviewed. The mean patient age was 14.6±3.4 years. There were 13 hemivertebrae, three wedged vertebrae, two butterfly vertebrae, three hemivertebrae with butterfly vertebra, eight unsegmented bars, and five multiple complex lesions. The average surgical duration was 219.4±68.8 minutes. The average blood loss was 1,208.4±763.5 mL. Seven patients required allogeneic blood transfusion. The mean hospital stay duration was 6.1±2.5 days. The complication rate was 11.8% (4/34): one patient had severe blood loss, one had rod breakage, and two had distal adding-on. The Cobb angle reduced from 65.9°±17.4° to 36.3°±15.3° (p<0.001) with a correction rate (CR) of 44.8%±17.4%. The regional kyphotic angle decreased from 39.9°±20.5° to 27.5°±13.9° (p=0.001) with a CR of 19.3%±49.6%. Radiographic parameters (radiographic shoulder height, clavicle angle, T1 tilt, cervical axis, pelvic obliquity, coronal balance, and apical vertebral translation) showed significant improvement postoperatively.Conclusions: SSPPCF was a feasible option for adolescent patients with congenital scoliosis who were skeletally matured.