• 제목/요약/키워드: 측만증

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척추측만증의 임상적 관찰 (A Clinical Study on Patients of Scoliosis)

  • 진재도;이정훈;이승우;서정철;한상원
    • Journal of Acupuncture Research
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    • 제18권5호
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    • pp.11-23
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    • 2001
  • Objective : This study is designed to evaluate the clinical effect of the oriental medical treatment (Ex: chuna, physical theraphy, acupuncture, moxibustion, herb medicine, etc.) on patient of scoliosis. Methods : We investigated 12 patients with scoliosis who visited to Department of Acupunture & Moxibustion, Tae gu Oriental Hopital of Kyung San University from January 2000 to September. 12 patients had a diagnosis of scoliosis by X-ray. We treated 12 patients by the oriental medical treatment (Ex: chuna, acupuncture, physical theraphy, moxibustion, herb medicine, etc.)and they were evaluated with post treatment X-ray findings. Results : 1. We investigated 6 female and 6 male patients. The most commom distribution of age was 30's. 2. In the scoliosis angle : before treatment, the average scoliosis angle was $13.56^{\circ}$ but after treatment, it was decreased to $9.31^{\circ}$ and the mean correctability was 33.47%. 3. The more servious the symptoms were, the lesser the correction rate was. It was decreased in the order of Gr I, Gr II, Gr III and Gr IV. 4. The larger the scoliosis angle and the degree of rotation were, the lesser the correction rate was. Conclusion : These results suggest that the oriental medical treatment (Ex: chuna, acupuncture, physical theraphy, moxibustion, herb medicine, etc.) was effective treatment modality on patient of scoliosis.

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척추 측만증 환자에서의 척추 만곡과 경추 및 요추 전만각, Ferguson각의 상관관계에 대한 고찰 (A Study on the Relationship Scoliotic Curve and Cervical Lordosis, Lumar Lordosis and Ferguson Angle in Spinal Scoliosis Patient)

  • 김석;윤현석;반효정;정해찬;염선규;진은석;김한겸
    • 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.

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특발성 척추측만증 환자의 X-ray와 적외선 체열촬영의 비교 1례 (A Case report of Idiopathic Scoliosis Patient : Comparison of X-ray and Digital Infrared Thermographic Imaging)

  • 조준영;김진우;박경선;이진무
    • 대한한방체열의학회지
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    • 제9권1호
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    • pp.51-56
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    • 2011
  • Purpose : The purpose of this study is to report the comparison of X-ray and Digital Infrared Thermographic Imaging (DITI) of a patient with idiopathic scoliosis. Method: The patient in this case was a 25-year-old female. Her chief complaint was a pain in lumbar, scapular and shoulder regions. We examined her with DITI and X-ray. And then We compared DITI and X-ray. Results: Cobb's angle of thoracic spine was $24.78^{\circ}$ as a primary curve. Cobb's angle of thoracolumbar spine was $17.63^{\circ}$. Temperature on convex side of the thoracic spine was $0.3^{\circ}C$ higher than the other side. Temperature on convex side of cervical spine was $1.4^{\circ}C$ higher than the other side. There was no correlation curvature degree with temperature difference. Conclusion : There was a tendency that the temperature on convex side of the spine is higher than the other side of the spine. DITI is a useful assessment tool when it is used with X-ray as a diagnostic tool of idiopathic scoliosis. Further studies are needed.

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특발성 척추측만증의 한의학적 치료에 대한 국내 연구 동향: 국내 학술지를 중심으로 (A Review of the Domestic Trends of Korean Traditional Medicine for Idiopathic Scoliosis)

  • 이상운;추희영;김호;이상건;최재용;이유진;최강의
    • 한방재활의학과학회지
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    • 제30권4호
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    • pp.55-64
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    • 2020
  • Objectives This study aimed to analyze the trends of Korean traditional medicine treatment for idiopathic scoliosis. Methods We searched clinical studies used Korean traditional medicine for idiopathic scoliosis in 4 Korean online databases 'Koreanstudies Information Service System', 'Earticle', 'Oriental Medicine Advanced Searching Integrated System', 'Research Information Sharing Service'. We selected 18 studies and analyzed their characteristics according to author, publication year, number/sex/age of patient, treatment period, intervention, outcome measure and result. Results Eighteen case report studies were selected by criteria and randomized controlled trials were not found. The most frequently used therapy was Chuna therapy. Cobb's angle was most commonly used outcome measure. Conclusions In this study, we reviewed studies used Korean traditional medicine treatments for idiopathic scoliosis. However, evidence is limited because all selected studies were case reports. This study suggests that further clinical studies are needed to provide higher evidence about Korean traditional medicine treatment for idiopathic scoliosis.

요추굴곡신연기법과 좌위흉요추교정법을 이용한 청소년기 특발성 척추측만증 환자 치험 2례 (A Clinical Two Case Studies on Juvenile Idiopathic Scoliosis Treated by Lumbar Flexion-Distraction Manipulation And Sitting Position Thoracic And Lumbar Vertebra Adjustment Manipulation)

  • 장홍규;양두화;우창훈;안희덕
    • 척추신경추나의학회지
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    • 제9권1호
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    • pp.103-114
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    • 2014
  • Objectives : The purpose of this study was to report clinical effects of Lumbar flexion-distraction manipulation and Sitting position thoracic and lumbar vertebra adjustment manipulation on patient with Juvenile idiopathic scoliosis Methods : The patients have been treated with the above two Chuna manual manipulations. We measured Cobb's angle, VNRS before and after treatment Results : After treatment, we confirmed these transition : In first case, Cobb's angle of T-spine changed from 27 to 23 : Cobb's angle of L-spine changed from 17 to 10 : VNRS changed from 6 to 2. In second case Cobb's angle of T-spine changed from 30 to 21 : Cobb's angle of L-spine changed from 16 to 16 : VNRS chagned from 6 to 3 Conclusion : The result suggests that these two Chuna manual manipulations were effective treatment on patients with Juvenile idiopathic scoliosis.

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추나요법과 근막이완요법의 연소성 특발성 측만증 환자 3례에 대한 증례 보고 (Chuna Therapy and Myofascial Release Technique for the Pain Relief and Cobb's Angle Improvement in Patients with Adolescent Idiopathic Scoliosis : Case Report)

  • 조희근;이상영;한세혁;신준혁;박수곤;김민성;황춘호;박진우;성인형;정필선;설재욱;김대훈;최은실
    • 척추신경추나의학회지
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    • 제8권2호
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    • pp.87-95
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    • 2013
  • Objectives: This report of three cases illustrates the potential effect of chuna therapy and myofascial release technique on back pain and curve regression in the at-risk, skeletally immature patient with adolescent idiopathic scoliosis. Methods: The correction program for scoliosis takes 3 month per case. Chuna Therapy and MRT were given once a week and other oriental medicine care was given twice a week to care the complications of scoliosis. The Cobb's angle(by X-ray, Full spine view) and Visual analogue scale(VAS) were evaluated before and after the treatments. Results: After the program, both of Cobb's angle and VAS decreased. Conclusion: Though it is a case report, we found Chuna Therapy and MRT might have valid effect on adolescent idiopathic scoliosis patients. Further rigorous case series and controlled trials are warranted.

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족저부 통증 및 비증을 호소하는 측만증 동반 환자에게 족부 보조기와 추나 치료를 포함한 한의학적 치료를 병행한 증례보고 (A Clinical Case Report Treated with Foot Orthosis and Korean Medicine therapy including Chuna for the Patient Suffer Sole Pain and Numbness that Accompany Scoliosis)

  • 이현호;정성현;최지훈;이기언;조경상;변다영
    • 척추신경추나의학회지
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    • 제12권2호
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    • pp.53-62
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    • 2017
  • Objectives : The purpose of this study is to report the effect of foot orthosis and Korean Medicine therapy including Chuna on symptom that accompany scoliosis by observing one clinical case study. Methods : One patient suffer sole pain and numbness that accompany scoliosis who received outpatient treatment was investigated for the changes in numerical rating scale(NRS), pelvic height and pelvic angle. Pelvic height and angle were checked by using Whole spine X-ray. During outpatient treatment, patient treated by foot orthosis and Korean Medicine therapy including Chuna. Results : After 7 times treatment, NRS showed a remarkable difference, which decreased from 7 to 1. Pelvic height decreased from 11.16mm to 8.58mm and pelvic angle decreased from $5.03^{\circ}$ to $3.16^{\circ}$. They showed a slight difference. Conclusions : Foot orthosis and Korean Medicine therapy including Chuna might be effective in the patient that showed symptoms which is caused by scoliosis.

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좌골신경통을 동반한 측만증 환자에 대한 한방치료와 신발 높이기 병행에 대한 증례연구 (A Case Study of Scoliosis with Sciatic Pain Patient Treated by Korean Medicine and Shoe Lift)

  • 방성필;김성필;김진우;류혜선;천혜선;류미선;김재홍;위통순;윤여충;여경찬;정호석
    • Journal of Acupuncture Research
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    • 제27권5호
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    • pp.135-143
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    • 2010
  • Objectives : The purpose of this study was to investigate the effect of Korean medicine and Shoe Lift for scoliosis with sciatic pain patient. Methods : The patient who has scoliosis and sciatic pain was treated by Korean medicine and Shoe Lift. The patient's symptoms were assessed by Cobb's angle, correctability, verbal numberical rating scale(VNRS) and revised oswestry disability questionnaire(RODQ) every week. Results : After 18weeks treatment, Cobb's angle correctability was 34.357%. Patient's VNRS score and RODQ score were decreased each from 10 to 1 and from 41 to 6. Conclusions : This result suggest that Korean medicine and Shoe Lift were effective treatment on patient for scoliosis with sciatic pain.

Longbone 검출기를 이용한 Scanogram의 유효성 평가 (Effectiveness Evaluation of Scanogram Using Longbone Detector)

  • 장수한;허지은
    • 대한방사선기술학회지:방사선기술과학
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    • 제43권4호
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    • pp.235-242
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    • 2020
  • Scanogram is that combine several practical images into one image to observation. So it is an important consideration in many clinical situation such as iliac measurement, leg alignment measurement and Scoliosis. Currently, scanogram examinations are mainly conducted for children and elderly patients. In this study, in order to apply the longbone detector to children or elderly patients who are difficult to cooperate with, we compared the longbone detector from D equipment with the G equipment discovery 656 Puls equipment in reproducibility of images, distribution of irradiation dose, scattering dose, irradiation time and image acquisition time. D equipment took more than twice as much time as G equipment. The scattered dose generated about 50% more G equipment than D equipment. In the whole spine scanogram and the measurement length of the lower leg, D equipment was also measured longer than G equipment. However, both methods did not show much difference from the CT scanogram, so there was no problem in measurement. The height of the thyroid radiation dose of G equipment was produced more radiation than D equipment. However, the longbone detector deviated from the x-ray center line relative to the tube rotation method, and was measured lower by the directionality of the measuring instrument, so that the error could not be corrected. In the conclusion of study, using the longbone detector is excellent for applying to children or elderly patients to reduce scattering dose. However, using CR may be useful to normal patients. Because, the image quality may deteriorate due to an imbalance of dose difference in thickness depending on the body part. So, it is useful to using a compensation filter or tube rotation method when we take a whole spine scanogram.

바른체형운동 프로그램의 운동역학적 활용 방안 (척추측만증 여중생들을 중심으로) (Utilization of Sport Biomechanics for the Correct Posture Exercise Program (Centering in Female Middle School Students))

  • 김의숙;양정옥;이중숙
    • 한국운동역학회지
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    • 제23권3호
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    • pp.261-269
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    • 2013
  • The purpose of this study was to investigate the degree of improvement of scoliosis, muscle function and VAS between the exercise group and the control group after conducting correct posture exercise program with 20 female students diagnosed with scoliosis through PAPS in M middle school for 12 weeks. The conclusion was as follows. Cobb's angle in exercise group was changed from $11.6^{\circ}{\ae}2.5^{\circ}\acute{y} $ to $7.3^{\circ}{\ae}2.0^{\circ}\acute{y} $ which was statistically significant difference (p<.001). However, the change in Cobb's angle was not significant in control group, hence there was no statistically significant difference. The limber back strength was changed from $45.9^{\circ}{\ae}8.7$ kg to $51.6^{\circ}{\ae}14.9$ kg and sit-up was changed from $13.7^{\circ}{\ae}5.1$ times to $12.9^{\circ}{\ae}5.3$ times in exercise group, but they were not statistically significant. Control group also showed no statistically significant change in back strength and sit-up. The degree of VAS was changed from $7.3^{\circ}{\ae}1.6$ to $3.3^{\circ}{\ae}2.4$ which was a statistically significant difference (p<.01) in exercise group. However, there was no statistically significant difference in control group. Consequently, correct posture exercise program was considered to be effective for the reduction of Cobb's angle and degree of VAS for middle school female students with scoliosis. Therefore the correct posture exercise program can be recommended for youth scoliosis to improve and prevent the body imbalance and ultimately for the health of the youths.