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단기간 슈로스(Schroth) 운동이 특발성 척추측만증 환자의 척추측만각도(Cobb Angle), 몸통회전도, 외형 그리고 삶의 질에 미치는 영향

The Effects of Short Term Schroth Exercise on the Cobb Angle, Angle of Trunk Rotation, Cosmetic Appearance, and Quality of Life in Idiopathic Scoliosis

  • 김지선 (경운대학교 보건대학 물리치료학과) ;
  • 이숙 (건양대학교 의과학대학 물리치료학과) ;
  • 임동환 (건양대학교 의과학대학 물리치료학과) ;
  • 조은우 (건양대학교 의과학대학 물리치료학과) ;
  • 서동권 (건양대학교 의과학대학 물리치료학과)
  • Kim, Ji-Seon (Dept. of Physical Therapy, College of Health, Kyungwoon University) ;
  • Lee, Sook (Dept. of Physical Therapy, College of Medical Science, Konyang University) ;
  • Lim, Dong-Hwan (Dept. of Physical Therapy, College of Medical Science, Konyang University) ;
  • Cho, Eun-Woo (Dept. of Physical Therapy, College of Medical Science, Konyang University) ;
  • Seo, Dong-Kwon (Dept. of Physical Therapy, College of Medical Science, Konyang University)
  • 투고 : 2016.12.01
  • 심사 : 2016.12.22
  • 발행 : 2017.02.28

초록

PURPOSE: The purpose of this study was to describe the effects of short term Schroth exercise on the Cobb angle, angle of trunk rotation (ATR), cosmetic appearance, and quality of life (QOL) in idiopathic scoliosis patients. METHODS: Five subjects with idiopathic scoliosis, (female, 3; male, 2) curvature type: thoracic, 2; lumbar, 3 underwent short term Schroth exercise for seven days. The exercise was performed for 3 h long sessions per day. The Cobb angle and QOL were measured before and after the intervention. ATR and cosmetic appearance were measured once. Sessions consisted of one baseline, seven intervention and three follow-up phases. The sessions were conducted with a one day interval. RESULTS: After the intervention, the Cobb angle was found to be significantly improve (p <.05), while the QOL did not differ (p>.05). The ATR showed decreased trends in the intervention phase. Data points during the intervention and follow-up phases showed a decrease in comparison with data points at the baseline, indicating that Schroth exercise might be effective in reducing the ATR and that these effects can be maintained after the intervention. Cosmetic appearance did not showed changed trends during the Schroth exercise intervention phase. CONCLUSION: Our results suggest that short term Schroth exercise may be valuable in improving the Cobb angle and ATR in patients with idiopathic scoliosis.

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참고문헌

  1. Amendt LE, Ause-Ellias KL, Eybers JL, et al. Validity and reliability testing of the Scoliometer. Phys Ther. 1990;70(2):108-17. https://doi.org/10.1093/ptj/70.2.108
  2. Asher M, Min Lai S, Burton D, et al. Discrimination validity of the scoliosis research society-22 patient questionnaire: relationship to idiopathic scoliosis curve pattern and curve size. Spine. 2003;28(1):74-8. https://doi.org/10.1097/00007632-200301010-00017
  3. Berdishevsky H, Lebel VA, Bettany-Saltikov J, et al. Physiotherapy scoliosis-specific exercises - a comprehensive review of seven major schools. Scoliosis Spinal Disord. 2016;11:20. https://doi.org/10.1186/s13013-016-0076-9
  4. Berdishevsky H. The effectiveness of the Schroth method of physical therapy for treating an adult with adolescent idiopathic scoliosis (AIS) in an outpatient clinic in the United States with third-party payer constraints: a case report. Scoliosis. 2013;8(Suppl 2):O10. https://doi.org/10.1186/1748-7161-8-S1-O10
  5. Bettany-Saltikov J, Parent E, Romano M, et al. Physiotherapeutic scoliosis-specific exercises for adolescents with idiopathic scoliosis. Eur J Phys Rehabil Med. 2014; 50(1):111-21.
  6. Borysov M, Borysov A. Scoliosis short-term rehabilitation (SSTR) according to 'Best Practice' standards-are the results repeatable?. Scoliosis. 2012;7(1):1. https://doi.org/10.1186/1748-7161-7-1
  7. Bunnell WP. An objective criterion for scoliosis screening. J Bone Joint Surg Am. 1984;66(9):1381-7. https://doi.org/10.2106/00004623-198466090-00010
  8. Carman DL, Browne RH, Birch JG. Measurement of scoliosis and kyphosis radiographs. Intraobserver and interobserver variation. J Bone Joint Surg Am. 1990; 72(3):328-33. https://doi.org/10.2106/00004623-199072030-00003
  9. Fusco C, Zaina F, Atanasio S, et al. Physical exercises in the treatment of adolescent idiopathic scoliosis: an updated systematic review. Physiother Theory Pract. 2011;27(1):80-114. https://doi.org/10.3109/09593985.2010.533342
  10. Grivas TB, Vasiliadis ES, Mihas C, et al. Trunk asymmetry in juveniles. Scoliosis. 2008;3:13. https://doi.org/10.1186/1748-7161-3-13
  11. Gstoettner M, Sekyra K, Walochnik N, et al. Inter- and intraobserver reliability assessment of the Cobb angle: manual versus digital measurement tools. Eur Spine J. 2007;16(10):1587-92. https://doi.org/10.1007/s00586-007-0401-3
  12. Jelacic M, Villagrasa M, Pou E, et al. Barcelona Scoliosis Physical Therapy School - BSPTS - based on classical Schroth principles: short term effects on back asymmetry in idiopathic scoliosis. Scoliosis. 2012; 7(Suppl 1):O57. https://doi.org/10.1186/1748-7161-7-S1-O57
  13. Jung JC, Park MC, Lee KH, et al. The correlation between Walter Reed Visual Analogue Scale (WRVAS) and Scoliosis Research Society-22 (SRS-22) questionnaire for idiopathic scoliosis. J Korean Soc Phys Med. 2009;4(1):31-41.
  14. Lee JH, Kim SY. Comparative effectiveness of Schroth therapeutic exercise versus sling therapeutic exercise in flexibility, balance, spine angle and chest expansion in patient with scoliosis. J Korean Soc Phys Med. 2014;9(1):11-23. https://doi.org/10.13066/kspm.2014.9.1.11
  15. Levy AR, Goldberg MS, Mayo NE, et al. Reducing the lifetime risk of cancer from spinal radiographs among people with adolescent idiopathic scoliosis. Spine. 1996; 21(13):1540-7. https://doi.org/10.1097/00007632-199607010-00011
  16. Lonstein JE. Scoliosis: surgical versus nonsurgical treatment. Clin Orthop Relat Res. 2006;443:248-59. https://doi.org/10.1097/01.blo.0000198725.54891.73
  17. Mohokum M, Mendoza S, Udo W, et al. Reproducibility of rasterstereography for kyphotic and lordotic angles, trunk length, and trunk inclination: a reliability study. Spine. 2010;35(14):1353-8. https://doi.org/10.1097/BRS.0b013e3181cbc157
  18. Niemeyer T, Schubert C, Halm HF, et al. Validity and reliability of an adapted german version of scoliosis research society-22 questionnaire. Spine (Phila Pa 1976). 2009; 34(8):818-21. https://doi.org/10.1097/BRS.0b013e31819b33be
  19. Otman S, Kose N, Yakut Y. The efficacy of Schroth s 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey. Saudi Med J. 2005;26(9):1429-35.
  20. Parent S, Newton PO, Wenger DR. Adolescent idiopathic scoliosis: etiology, anatomy, natural history, and bracing. Instr Course Lect. 2005;54:529-36.
  21. Schreiber S, Parent EC, Moez EK, et al. The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis-an assessor and statistician blinded randomized controlled trial: "SOSORT 2015 Award Winner". Scoliosis. 2015;10:24. https://doi.org/10.1186/s13013-015-0048-5
  22. Schroeder J, Grenz K, Schaar H, et al. Pilates can affect sagittal spinal alignment: an observational study. J spine. 2014;3:5
  23. Schroth CL. Introduction to the Three-dimensional Scoliosis treatment according to Schroth. Physiotherapy. 1992;78(11):810-5. https://doi.org/10.1016/S0031-9406(10)60451-8
  24. Weinstein SL, Dolan LA, Cheng JC, et al. Adolescent idiopathic scoliosis. Lancet. 2008;371(9623):1527-37. https://doi.org/10.1016/S0140-6736(08)60658-3
  25. Weinstein SL, Dolan LA, Spratt KF, et al. Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study. JAMA. 2003;289(5): 559-67. https://doi.org/10.1001/jama.289.5.559
  26. Weiss HR, Hollaender M, Klein R. ADL based scoliosis rehabilitation the key to an improvement of timeefficiency? Stud Health Technol Inform. 2006;123: 594-8.
  27. Weiss HR, Klein R. Improving excellence in scoliosis rehabilitation: a controlled study of matched pairs. Pediatr Rehabil. 2006;9(3):190-200. https://doi.org/10.1080/13638490500079583
  28. Weiss HR, Seibel S. Scoliosis short-term rehabilitation (SSTR)-a pilot investigation. The Internet Journal of Rehabilitation. 2010;1(1):11.
  29. Weiss HR, Weiss G, Petermann F. Incidence of curvature progression in idiopathic scoliosis patients treated with scoliosis in-patient rehabilitation (SIR): an ageand sex-matched controlled study. Pediatr Rehabil. 2003;6(1):23-30. https://doi.org/10.1080/1363849031000095288
  30. Weiss HR. The method of Katharina Schroth - history, principles and current development. Scoliosis. 2011;6:17. https://doi.org/10.1186/1748-7161-6-17

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