• 제목/요약/키워드: Cobb

검색결과 361건 처리시간 0.023초

3 Spot DR를 이용한 척추 전장 촬영 시 모형 왜곡도 비교를 통한 유용성 연구 (The Study of Effectiveness of 3 Spot DR for the Whole Spine Radiography with Comparison of Phantom Distortions)

  • 김상현;이미화
    • 디지털융복합연구
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    • 제12권10호
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    • pp.345-351
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    • 2014
  • 본 연구의 목적은 평면 모형의 가로, 세로 비율과 가상 cobb의 각도를 측정하는 등의 화상의 왜곡에 대한 비교 연구를 통해 3 spot DR 척추 전장 촬영 방법의 정확한 정보를 제공하는 것이다. 팬텀은 $H(40cm){\times}V(116cm){\times}D(2.3cm)$ 크기로 납판이 삽입 된 격자형 아크릴로 만들었다. 제작 모형을 사용하여 각 장비에 각각 3회, OFD를 변경하여 총 9회 촬영하였고 납 격자의 가로, 세로 길이와 비율을 측정하였다. 또한 모형에서 임의의 지점을 지정하여 Cobb 각도를 측정하였다. 가로 세로 비율은 CR은 0.98~1.01, scan DR은 0.96~0.97, 3 spot DR은 0.99~1.01로 측정되었다. Cobb 각도는 각각 $52.5{\sim}53.3^{\circ}$, $52.1{\sim}54.3^{\circ}$, $52.8{\sim}53.2^{\circ}$로 측정되었다. 실험 결과에 의해 평면 모형을 이용한 본 연구에서 척추 전장 촬영을 위한 3 spot DR 촬영 방식의 영상은 왜곡이 없는 정확한 방법이다.

12주간의 3D패브릭 보조기 착용에 따른 청소년 특발성 척추측만증 환자의 Cobb's Angle, Angle of Trunk Rotation (ATR), 신장 변화의 단일사례 연구 (A Single Case Study of Cobb's Angle, Angle of Trunk Rotation (ATR), and Height Changes in Adolescent Idiopathic Scoliosis Patients following 12 Weeks of Wearing a 3D Fabric Brace)

  • Sang-Gil Lee;Eun-Taek Oh;Ji-Eun Kang
    • 한국운동역학회지
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    • 제33권2호
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    • pp.73-83
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    • 2023
  • Objective: Adolescent idiopathic scoliosis patients make up 40% of all scoliosis patients, and it is likely to increase even more because of the increase in sitting times due to the pandemic. Method: The subject of this study was a 16-year-old female student. The Cobb's Angle at initial value was 42° at the thoracic and 33° at the lumbar. The subject's height was 161.6 cm, and the type of scoliosis was 3CL. The brace was built with fabric materials with the size information from the X-ray information and actual measurements. The brace was made for the adolescents to wear for a longer time by making them put pressure on the same pressure points of the existing braces. The subjects were required to wear the device for 16 hours every day for three months. Additional features to check the pressure and time were synchronized through an app for easier communication and management with the responsible investigator. Results: After wearing the 3D Fabric brace, Cobb's angle changed from 42° to 33° at the thoracic and 33° to 23° at the lumbar. The ATR changed from 9° to 8° at the thoracic and 11° to 6° at the lumbar. As a result, the changes in the ATR angle do relate to the decrease of Cobb's angle, which made the angle of scoliosis that is bent in a three-dimensional way improve, making the height of the subject increase from 161.6 cm to 163.5 cm. Conclusion: Through this study, developing a brace that is made in the form of the 3CL to align the strap direction and putting pressure on the proper pressure points makes Cobb's angle and the ATR smaller. This means that there is a positive effect on the changes in height. A brace made of light fabric material is a good brace to help treat adolescent idiopathic scoliosis. There was an opinion that it is more comfortable to wear than existing braces, but it seems necessary to conduct a quantitative study about the before and after of wearing the brace and a survey for Korean specific cases.

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

  • 이명숙
    • 한국간호교육학회지
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    • 제14권2호
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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.

가방 착용 방법에 따른 보행 시 다리관절 각도, 콥스 각, 족압 비율의 변화 (Influence on the Difference in Proportion of Leg Joint Angle during Walking, Cobb's Angle, Foot Pressure)

  • 이민철;이수현;장상훈
    • 대한물리치료과학회지
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    • 제25권2호
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    • pp.7-14
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    • 2018
  • Purpose: This study was conducted to analyze the effect of bag type on gait kinematic factors. The purpose of this study was to compare the Cobb's angle, leg angle and foot pressure difference according to bag type among 20 university students. Methods: The bag type was applied with two kinds of bags: not wearing a bag, backpack, and an eco bag. The bag weight was 10% of subjects weight in during experiment and only bag weight was 0.5kg. Results: Knee joint angle is increased when wearing backpack or an eco bag than not wearing bag. Cobb's angle increased when wearing backpack and wearing eco back. The difference in right and left foot pressure increased when wearing eco bag than not wearing bag and wearing backpack. Conclusion: Therefore, wearing a heavy backpack or an eco bag when walking for a long time may cause scoliosis and change the walking form.

X-ray 영상을 이용한 척추측만증 영상처리 알고리즘 개발 (Algorithm Development of Scoliosis Image Processing using X-ray Imaging)

  • 박은정;정주영;배철수;이상식
    • 한국정보전자통신기술학회논문지
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    • 제4권2호
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    • pp.88-95
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    • 2011
  • 본 연구에서는 코브 각도 측정법을 이용하여 척추 X-ray 영상을 측정할 때에 적용이 용이하도록 추간원판을 뚜렷하게 만드는 영상처리 알고리즘과 코브 각도 측정법을 일일이 적용하지 않고도 척추 전장을 포함하는 X-ray 필름의 기립 후전방 척추 영상을 하나의 척추선 함수 그래프로 변환하여 척추측만 정도 측정에 적용 또는 응용이 용이하게 하는 영상처리 알고리즘을 제시하였다. 척추 X-ray영상의 코브 각도 $1^{\circ}$당 L값의 평균을 산출한 결과는 0.568로 나타났고, 이를 기준으로 척추측만 정도 검출이 가능하였다.

정형 물리치료와 근막 이완요법이 특발성 척추 측만증의 개선에 미치는 영향 (The Effect of Orthopedic Physiotherapy and Fascia Relaxation Treatment on the Improvement of Idiopathic Scoliosis)

  • 하현진;양승훈;김경윤
    • 대한물리치료과학회지
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    • 제16권4호
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    • pp.1-9
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    • 2009
  • Background: The purpose of this study is to find out the effect on the improvement in idiopathic scoliosis when applying the orthopedic manual physical therapy and myofascial release technique. Methods: 20 patients in Cheon-An ${\bigcirc}{\bigcirc}$ hospital were selected as subjects whose Cobb's angle were higher than $10^{\circ}$ according to the radiograph. They were treated for 60 minutes a day, three days a week, and 8 weeks so that the total time of visit would be 24. We performed five tests (Moire test, X-ray, standing height test, Cobb's angle, pelvic level test, VAS) to indentifiy the therapeutic effects. Results: Four test results were improved more remarkably after those treatment than before(p<.001), except pelvic level test (p>.001). Conclusion: we confirmed that there were correcting effects on most of the valuation index from the primary analysis, which divided the subjects into 2 groups by Cobb's angle, but there were more effective in patients having lower than $25^{\circ}$. There were similarly correcting effects on most of the valuation index according to the secondary analysis, but there were particularly more effective in children.

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The Effects of Pilates Exercise Using the Three Dimensional Schroth Breathing Technique on the Physical Factors of Scoliosis Patients

  • HwangBo, Pil Neo
    • The Journal of Korean Physical Therapy
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    • 제30권6호
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    • pp.229-233
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    • 2018
  • Purpose: This study aims to verify the effects of Pilates exercise using the three-dimensional (3D) Schroth breathing technique on scoliosis patients in comparison with the existing Pilates exercise technique, which uses lateral breathing. Methods: The subjects were 16 scoliosis patients who went to S fitness center in Daegu, Korea. They were randomly and equally divided into a Schroth Pilates exercise group (SPEG), who performed Pilates exercise using 3D Schroth breathing, and a Pilates exercise group (PEG) who performed Pilates exercise using lateral breathing. The subjects conducted the Pilates exercise three times per week for 12 weeks. Changes in their Cobb's angle, angle of trunk rotation, and chest expansion ability were measured before and after the exercise. Results: Both groups experienced significant improvement in their Cobb's angle, angle of trunk rotation, and chest expansion ability after the exercise (p<0.05). Between-group comparison after the exercise showed that SPEG's improvement in Cobb's angle, angle of trunk rotation, and chest expansion ability were more significant than those of the PEG (p<0.05). Conclusion: This study verified that Pilates exercise using 3D Schroth breathing was more effective in improving scoliosis patients'physical condition than existing Pilates exercise. The researcher anticipates that the 3D Schroth breathing technique will be effectively utilized in other diverse intervention exercises besides Pilates exercise.

연안어업 요소생산성에 관한 실증연구 (An Empirical Analysis on Factor Productivity of Coastal Fishery)

  • 김창완;어윤양;이진수;송동효
    • 수산경영론집
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    • 제53권1호
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    • pp.1-16
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    • 2022
  • This paper aims to propose a new systematic approach to analyze the factor productivity and to investigate those characteristics of factor productivity in operational and managerial perspectives. The Cobb-Douglas production function is adopted to estimate the labor and capital productivity. In estimating those productivities the data of The Research on the Actual Condition of Coastal Fisheries (RACF), especially those of Jeon-Nam Province are used. The statistical analysis of RACF data shows that the characteristics are a little bit different between labor and capital of the operational equipment in the coastal fisheries. The Cobb-Douglas type production function is useful in estimating the factor productivity, especially in case of 'coastal Stow-net fishery' even though the limited data is used. However, in case of 'trap fishery,' the Cobb-Douglas production function appears to have some limitations in estimation. This implies that estimating the factor productivities in fisheries employing broad perspectives and various methods are needed.

코어 운동을 포함한 변화단계별 훈련이 척추측만증 환자의 Cobb각과 몸통 길이에 미치는 영향 (The Effects of Stage-based Training and Core Exercises on Cobb's Angle and Trunk Length in Scoliosis Patients: A Case Study)

  • 김미선;이명희;김익환
    • 대한물리의학회지
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    • 제11권1호
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    • pp.127-132
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    • 2016
  • PURPOSE: The purpose of this study was to investigate the effects of stage-based training, including core exercises, on scoliosis patients. METHODS: Two patients with scoliosis participated in the study. Both patients participated for eight months and were trained for an hour three times a week. The training program consisted of stretching and strengthening, as well as core exercises, and was divided into five stages. The Cobb angles and trunk lengths of the subjects were measured after one month, two months, and four months of training. Measurements were also taken after the subjects completed training. All of the measurements were taken using Formetric 4D. RESULTS: The Cobb's angle of subject A, which was $41^{\circ}$ before training, measured $30^{\circ}$ following training. The Cobb's angle of subject B also improved from $41^{\circ}$ prior to training to $34^{\circ}$ after training. Furthermore, the trunk lengths of both subjects improved. The trunk length of subject A increased from 438 mm to 450 mm and, and the trunk length of subject B increased from 433 mm to 458 mm. CONCLUSION: This study has shown that stage-based training and core training can be used as effective treatments for scoliosis patients.

The Effect of Postural Correction and Subsequent Balloon Inflation in Deformity Correction of Acute Osteoporotic Vertebral Fractures

  • Liu, Hai-Xiao;Xu, Cong;Shang, Ping;Shen, Yue;Xu, Hua-Zi
    • Journal of Korean Neurosurgical Society
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    • 제55권6호
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    • pp.337-342
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    • 2014
  • Objective : To determine deformity correction by postural correction and subsequent balloon inflation in acute vertebral compression fractures (OVCFs) and to examine the effect of bone mineral density on deformity correction. Methods : A totol of 50 acute OVCFs received balloon kyphoplasty. Lateral radiographs were taken and analyzed at five different time points : 1) preoperative, 2) after placing the patient in prone hyperextended position, 3) after balloon inflation, 4) after deposition of the cement, and 5) postoperative. All fractures were analyzed for height restoration of anterior (Ha), middle (Hm) and posterior (Hp) vertebra as well as Cobb angle and Kyphotic angle. The bone mineral density (BMD) of lumbar spine was measured by dual-energy X-ray absorptiometry. According to the T-score, the patients were divided into two groups which were osteoporosis group and osteopenia group. Results : Postoperative measurements of Ha, Hm and the Cobb angle demonstrated significant reduction of 4.62 mm, 3.66 mm and $5.34^{\circ}$ compared with the preoperative measurements, respectively (each p<0.05). Postural correction significantly increased Ha by 5.51 mm, Hm by 4.35 mm and improved the Cobb angle by $8.32^{\circ}$ (each p<0.05). Balloon inflation did not demonstrate a significant improvement of Ha, Hm or the Cobb angle compared with baseline prone hyperextended. Postural correction led to greater improvements of Ha, Hm and Cobb angle in osteoporosis group than osteopenia group (each p<0.05). Conclusion : In acute OVCFs, the height restoration was mainly attributed to postural correction rather than deformity correction by balloon inflation. BMD affected deformity correction in the process of postural correction.