• Title/Summary/Keyword: Cobb test

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Effect of Coordinative Locomotor Training on Spine Appearance and Quality of Life in Patients with Idiopathic Scoliosis: Single Subject Study (협응이동훈련이 특발성 측만증 환자의 척추 외형과 삶의 질에 미치는 효과 : 단일사례연구)

  • Kim, Jin-Cheol;Oh, Eun-Ju
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.3
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    • pp.89-97
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    • 2021
  • PURPOSE: This study examined the effects of coordinative locomotor training on the spine appearance and quality of life of patients with idiopathic scoliosis. METHODS: This study included two patients with idiopathic scoliosis: one with a thoracic and lumbar type scoliosis and the other with thoracic type scoliosis. The study design was a single case study (A-B-A'), with a baseline-intervention/phase-post-intervention. The baseline (A) was designed and measured five times, intervention phase (B) ten times, and post-intervention (A') five times. The coordinative locomotor training program was divided into 10 minutes of warm-up exercise, 30 minutes of the main exercise, and 10 minutes of the finishing exercise, for 50 minutes each time. The primary outcome measurements were measured using the Cobb's angle, Adam's test, and Gait view pro 2.0 to determine the changes in the spine appearance. The secondary outcome measurements were compared before and after using the SRS-22 questionnaire to determine the quality of life of the scoliosis patients. A statistical test analyzed the mean and standard deviation, and the rate of change was presented by a visual analysis method using descriptive statistics and graphs. RESULTS: The findings showed that the spine appearance and quality of life of the two subjects were improved compared to the baseline measurements during the intervention phase, and the improved state was maintained during the post-intervention period. CONCLUSION: These findings indicate that coordinative locomotor training may help improve the spine appearance and quality of life of patients with idiopathic scoliosis.

Effects of Schroth exercise therapy on curvature and body appearance of patients with lumbar idiopathic scoliosis

  • Lee, Hyung-Joo;Lee, Suk-Min
    • Physical Therapy Rehabilitation Science
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    • v.9 no.4
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    • pp.230-237
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    • 2020
  • Objective: To investigate the physical appearance and therapeutic changes that occur with the performance of Schroth exercise in patients with scoliosis. Design: Randomized controlled trial. Methods: Fifteen subjects with maximum curvature of the lumbar who were diagnosed with idiopathic scoliosis had volunteered to participate in the study. Eight subjects were included in the experimental group where they performed the Schroth Therapeutic Exercise and the other seven were included in the control group. The experimental group underwent 2 hours of weekly treatment for 12 weeks, while the control group did not during the same period based on the decisions of patients or guardians. The Mann-Whitney rank test was carried out to compare the treatment results of the two groups, and the comparison within the group was done by Wilcoxon signed-rank test. The vertebral rotation angle (VRA) was by Scoliometer, and difference of rotated and curved portion volume (DV) between both sides on the major curvature portion measured by 3D human body scanning system. Results: In the experimental group, 12 weeks of Schroth exercise therapy has significant improved in correction rate (CR) in Cobb's angle (CA), VRA, and DV between both sides on the major curvature portion (p<0.05), while significant differences were not found between the groups regarding weight bearing difference in both feet (WD) and DV (p<0.05). Conclusions: Schroth exercise performance showed significant changes in the patient's therapeutic changes (CA, VRA), but the physical appearance (DV, WD) was not significant, indicating that external changes in the treatment goal setting are more difficult goals to achieve.

Comparative Analysis of Spontaneous Infectious Spondylitis : Pyogenic versus Tuberculous

  • Lee, Yangwon;Kim, Bum-Joon;Kim, Se-Hoon;Lee, Seung-Hwan;Kim, Won-Hyung;Jin, Sung-Won
    • Journal of Korean Neurosurgical Society
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    • v.61 no.1
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    • pp.81-88
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    • 2018
  • Objective : Spondylitis is often chemotherapy resistant and requires long-term treatment. Without adequate chemotherapy, the outcome can be fatal or result in severe neurologic damage. Therefore, differentiating the etiology of spondylitis is very important, particularly in spontaneous cases. As the prevalence of tuberculosis in Korea has decreased in recent years, updated clinical research about spondylitis is warranted. Methods : From April 2010 to March 2016, data from spondylitis patients were collected retrospectively. In total, 69 patients (51 with pyogenic spondylitis and 18 with tuberculous spondylitis) were included. Clinical data, laboratory findings including erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) level, measurements of Cobb angles at the initial and final follow-up, and radiologic features on magnetic resonance imaging (MRI) scans were evaluated. To test differences between the pyogenic and tuberculous groups, numerical data were compared using the student's t-test and Mann-Whitney U test, and categorical data were compared using the chi-square test and Fisher's exact test. Results : The patients' mean age was 60.0 years. Male sex was slightly predominant (56.5%). There was no difference in mean age and sex between the two groups. The pyogenic group had a relatively higher proportion of immunocompromised patients. The peak CRP value was higher in the pyogenic group than in the tuberculous group (14.08 mg/dL and 8.50 mg/dL, respectively, p=0.009), whereas the ESR was not significantly different between the groups (81.5 mm/h and 75.6 mm/h, respectively, p=0.442). Radiologically, the presence of disc space sparing and vertebral body collapse differed between the groups. In the tuberculous group, the disc was more commonly preserved on contrast-enhanced MRI (50% and 23.5%, respectively, p=0.044), and vertebral body collapse was more common (66.6% and 15.7%, respectively, p<0.001). The mean length of hospitalization was longer in the pyogenic group (56.5 days and 41.2 days, respectively, p=0.001). Four mortality cases were observed only in the pyogenic group. The most commonly isolated microorganism in the pyogenic group was Staphylococcus aureus(S. aureus) (methicillin susceptible S. aureus and methicillin resistant S. aureus [MRSA] in 8 and 4 cases, respectively). Conclusion : The clinical and radiological manifestations of spontaneous spondylitis differ based on the causative organism. Pyogenic spondylitis patients tend to have a higher CRP level and a more severe clinical course, whereas tuberculous spondylitis patients present with destruction of the vertebral body with disc sparing more frequently. The presence of MRSA is increasing in community-acquired spondylitis cases.

Effect of Production Phase on Growth, Enzyme Activities and Feed Selection of Broilers Raised on Vegetable Protein Diet

  • Hossain, M.A.;Islam, A.F.;Iji, P.A.
    • Asian-Australasian Journal of Animal Sciences
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    • v.27 no.11
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    • pp.1593-1599
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    • 2014
  • This study consisted of two experiments, conducted to assess the impact of phase at which vegetable protein (VP) diets are introduced to broiler chicks, and preference of birds for diets based on soybean or canola meal (CM). Two hundred and ten day-old Cobb 500 chicks were randomly distributed into five dietary groups in the main experiment. One group was fed on animal protein (AP) diet all through to 21 days of age; two other groups were started on AP diet for 7 days and then switched to diets containing soybean meal (AP-SBM) or AP-CM, while two other diets (SBM-AP and CM-AP) were started on one of the VP diets for 7 days and then switched to AP diet. A sub-experiment on thirty birds raised on a commercial diet to 7 days was used in a feed selection test to quantify the preference of birds for the diets containing mainly CM or SBM. Chicks were reared under similar care and management conditions and the diets were iso-caloric and iso-nitrogenous. Results of the main experiment showed that chicks on CM-AP diet ate more (p<0.05) than those on the other diets up to day 7. Body weight gain was highest (p<0.001) on the AP-SBM diet while birds on the CM-AP diet weighed the least at 7 d. Feed intake, body weight gain, feed conversion ratio, mortality, bone growth, visceral organ development, and activities of digestive enzymes were similar between the groups from hatch to 21 days of age. Results of the second sub-experiment showed that chicks preferred the CM-based diets to the SBM-based diets at 8 to 14 d (p<0.001) and 15 to 21 d (p<0.01) when given a choice. Overall, the birds were not affected by the nature of the starter diet although they tended to prefer the canola to soybean diets.

Effect of Acupuncture Combined with Wooden Neck Pillow Self-exercise Program on Cervical Curvature Measurement Methods and Deep Flexor Muscle Strength (경침 자가 운동 프로그램을 병행한 침 치료가 경추 만곡도와 심부 굴곡근 근력 변화에 미치는 영향)

  • Kwon, Jeonggook;Keum, Dongho
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.1
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    • pp.37-51
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    • 2017
  • Objectives This study was designed to identify the effect of acupuncture combined with wooden neck pillow self-exercise program (WSP). Methods 25 eligible subjects with chronic neck pain were recruited from September 2015 to August 2016. Subjects were treated by acupuncture twice a week for 4 weeks, also were educated WSP and exercised every day for 4 weeks. They were assessed using PI-NRS, NDI and the maximum muscle strength of deep cervical flexor muscles (DCF) before and after treatment. Also the Cobb's angle (C1-C7), Ishihara index, Park method were assessed for evaluating the radiographical changes. Variables were compared using paired t-test. And correlates analysis was used for analyzing relationship between differentials in the maximum muscle strength of DCF and differentials in cervical spine curvature measurement methods. Results Among the 25 subjects, 4 subjects were lost to follow-up or excluded in accordance with the criteria. Significant differences on NRS, NDI and the maximum muscle strength of DCF were seen after treatment (p<0.001). In radiological finding, cervical spine curvature measurement methods were significantly increased (p<0.001, p<0.05, p<0.05). Differentials in the maximum muscle strength of DCF significantly correlates to differentials in Ishihara index (R=0.479, p<0.05). Conclusions Acupuncture combined with WSP may decrease neck pain intensity and associated disability, and also increase the muscle strength of DCF and cervical lordosis, in patients with chronic neck pain. Especially, Improving the muscle strength of DCF has a relationship with improving Ishihara index. However, due to the design of this study, this treatment can not be compared with other treatments. Future randomized project should be needed.

Fructans from Renga Renga Lily (Arthropodium cirratum) Extract and Frutafit as Prebiotics for Broilers: Their Effects on Growth Performance and Nutrient Digestibility

  • Vidanarachchi, J.K.;Iji, P.A.;Mikkelsen, L.L.;Choct, M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.23 no.5
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    • pp.580-587
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    • 2010
  • An experiment was conducted to evaluate the effect of dietary water-soluble carbohydrate extract from Renga renga lily (Arthropodium cirratum) and a commercial product, $Frutafit^{{\circledR}}$ (both fructans) on the performance, organ weights, ileal digestibility and gut morphology of male Cobb broiler chickens. There were six treatment groups: a negative control with no supplements, a positive control supplemented with 45 ppm Zn-bacitracin, and four test diets each supplemented with Renga renga lily extract or Frutafit at 5 or 10 g/kg diet. Supplementation with low levels of Renga renga lily extract and Frutafit in the diet did not affect productive parameters, whereas the inclusion of a high level of Frutafit had a negative effect on BWG and FI compared with birds fed the negative control diet. The addition of an antibiotic to the diet significantly improved (p<0.05) the BWG and FCR of broilers. Apparent ileal digestibility of dry matter, starch, protein and fat was not affected (p>0.05) by supplementation with both levels of lily extract and the low level of Frutafit. The apparent ileal digestibility of dry matter, protein and fat was decreased (p<0.05) by the high level of Frutafit. The apparent metabolisable energy (AME) of the diets fed the high level of Frutafit was approximately 0.2 MJ/kg DM lower than that of the negative control group. The addition of Zn-bacitracin increased (p<0.05) the apparent ileal digestibility of fat. The relative weight of the liver was higher (p<0.05) in broilers supplemented with the high level of Frutafit than for negative control birds at 14 and 35 d of age. Feeding Renga renga lily extract or Frutafit had no effect on the gut morphology of birds on d 14 and 35. It can be concluded that dietary inclusion of fructans from the two sources used in this study affected broiler performance differently and in a dose-dependent manner.

Occlusal deviations in adolescents with idiopathic and congenital scoliosis

  • Zhang, Hao;Ma, Jingbo;Zhang, Zhicheng;Feng, Yafei;Cai, Chuan;Wang, Chao
    • The korean journal of orthodontics
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    • v.52 no.3
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    • pp.165-171
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    • 2022
  • Objective: This cross-sectional study aimed to investigate the characteristics of malocclusions in scoliotic patients through clinical examinations. Methods: Fifty-eight patients with idiopathic scoliosis (IS) and 48 patients with congenital scoliosis (CS) participated in the study. A randomly selected group of 152 orthopedically healthy children served as the control group. Standardized orthodontic and orthopedic examination protocols were used to record the occlusal patterns and type of scoliosis. Assessments were made by three experienced orthodontists and a spinal surgery team. The differences in the frequency distribution of occlusal patterns were evaluated by the chi-squared test. Results: In comparison with patients showing IS, patients with CS showed a higher incidence of Cobb angle ≥ 45° (p = 0.020) and included a higher proportion of patients receiving surgical treatments (p < 0.001). The distribution of the Angle Class II subgroup was significantly higher in the IS (p < 0.001) and CS (p = 0.031) groups than in the control group. In comparison with the healthy controls, the CS and IS groups showed significantly higher (p < 0.05) frequencies of asymmetric molar and asymmetric canine relationships, upper and lower middle line deviations, anterior deep overbite, unilateral posterior crossbite, and canted occlusal plane, with the frequencies being especially higher in CS patients and to a lesser extent in IS patients. Conclusions: Patients with scoliosis showed a high frequency of malocclusions, which were most obvious in patients with CS.

Effects of pine Bark Spent Liquor Prepared by Alkaline Sulfite-Anthraquinone Cooking as a Pellet Binder on Pellet Durability and Performance of Broiler Chicks or Laying Hens (소나무 수피 알칼리성 아황산염-안트라퀴논 증해폐액이 사료결착제로서 펠렛 내구성과 가금의 생산성에 미치는 영향)

  • K. S. Ryu;H. L. Li;S. P. Mun;H. J. Song
    • Korean Journal of Poultry Science
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    • v.28 no.2
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    • pp.91-98
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    • 2001
  • Three experiments were conducted to investigate the Pine Bark Spent Liquor (PBSL) inclusion, prepared by alkaline sulfite-anthraquinone cooking, on Pellet durability index (PDI) of practical diets and performance of broiler chicks and laying hens. Fourteen treatments with four replications were assigned for PDI test in Experiment 1. Control, 10% Wheat(W10), 20% Wheat(W20), 0.25, 0.50, 1.00, 2.00 and 3.00% PBSL, 0.1, 0.2% commercial pellet binder A(CPB A) or B(CPB B), W10 plus 0.1% CPB A or B were used for PDI test. PDI was measured by PDI tester (Oriental Motors, Japan). The control diet was based on corn and soybean meal with no wheat or pellet binders inclusion. The PDI of the PBSL or other commercial pellet binder treatments were significantly higher than control groups(P<0.05). It was shown 95.9, 95.9, 95.8, and 95.7 in W10, 0.5% PBSL, 0.2% CPB A or B treatments, respectively. Thus, those treatments were applied to Experiments 2 and 3. In experiment 2, 200 male broiler chicks (Cobb$\times$Cobb) were allocated to the control, W10, PBSL 0.5%, 0.2% CPB A and B with four replications. Starter diets contained 3,169, 3,149 kcal/kg ME and 21% CP, and finisher diets were fed at the level of 3,192, 3,172 kcal/kg ME and 19W% CP. Weight gain, feed intake, feed conversion ratio (FCR) were weekly measured for 5 wk and the number of intestinal anaerobes were examined at the end of experiment. The weight gain of chicks fed PBSL was not significantly greater than control groups, but was significant different compared to that of W10 or 0.2% CPB A treatments (P<0.05). FCR of chicks treated with PBSL or other pellet binders tended to improve compared to that of control.

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The Effect of Home Exercise Program on Pelvic Alignment and Lumbar Scoliosis of Chronic Low Back Pain (가정 운동 프로그램이 만성요통환자의 요추측만과 골반정렬에 미치는 영향)

  • Jung, Young-Dae;Lee, Hyun-Ok;Song, Min-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.3
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    • pp.133-140
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    • 2009
  • Purpose:To investigate the effect of the home exercise program on pain, scoliosis, pelvic alignment of low back in chronic back pain patients, and suggest optimal method for home exercise program. Methods:I divided into two groups who has chronic back pain; one is control group who was given a treatment at the hospital only and the other is experimental group who did another exercise after treatment at the hospital, and there were 10 people in each group. The manual therapy were given to all the patients in each group after applying a stupe and an electric treatment, but the experimental group conducted another exercise program at homes. All the exercise programs were applied to patients 12 times for 4 weeks totally. Results:SPSS for win version 12 was used for statistic analysis and independent t-test was used to find changes between two groups. VAS scale was used to show changes in pain between each group. The grade of pain was decreased between pre&post test to -5.60 in control group and -4.80 in experimental group but there wasn't significant difference between each group. Cobb's degree was used to compare the changes of scoliosis in lumbar and it was improved in each group but there wasn't significant difference between each group. The measurement of pelvic misalignment was decreased between pre&post test to -1.00 in control group and -2.00 in experimental group but it wasn't enough to show significant difference between each group. Conclusion:As you read the results above, for a chronic low back pain patient, application of the manual therapy showed that it has effect on decrease of low back pain, improvement of scoliosis in lumbar and pelvic misalignment. However, the effect of home exercise treatment was not sure about improvements for chronic low back pain patient. So I think there should need further study about the effect of home exercise treatment except the treatments at hospital and the thorough education for the exercise of lumbar should be done before the study for the accurate experiment.

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The Relationship between Family Support and Ego Identity of Young People (청소년이 지각한 가족지지와 자아정체감과의 관계)

  • Kim, Chung-Nam;Kwon, Yun-Hee
    • Research in Community and Public Health Nursing
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    • v.13 no.1
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    • pp.124-136
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    • 2002
  • In the present study we have attempted to explore the relationship between family support that young people receive and the level of Ego Identity that they develop. We started the present study with the purpose of providing parish nurses with some basic data for nursing intervention for family and school nursing, as well as for community health care. We conducted the present study during the period of October 15, 2001 through November 5, 2001. The objects of this study were Inmunge High School students chosen from a school in Daejon. The subject students were selected randomly from each grade in that school. The numbers of subjects selected were 120 boys and 113 girls (total: 233). The research tool that we used to measure perceived family support received by students was one that Ga Eon Lee revised for high school students on the basis of Cobb's theory. To measure the subject students' Ego Identity level we used Bong Yon Sho's 'Ego Identity Scale', that he revised from Dignan's 'Ego Identity Scale' for Korean high school students. Data were analyzed with SPSS Win 10.0 program using statistics of frequencies, percentage, t-test, ANOVA, and Pearson correlation coefficient. The findings of the present study indicate that: 1) The mean of family support that the subject students feel that they received was 39.99 on the family support scale, and the mean of the students on the Ego Identity scale was 186.16. 2) The support that the subjects received from their own family had a statistically significant correlation with their Ego Identity (r=.93, p=.00). 3) Various factors had a significant correlation with the level of family support perceived by the subjects: the subject's grade (F=3.35, p=.04), the subject's religion (t=6.39, p=.00), the family's economic situation (F=9.14, p=.00), the birth order (F=27.61. p=.00), the father's education (F=23.17, p=.00), the mother's education (F=28.70, p=.00), parental relationship (F=2657.03, p=.00), and the structure of the family (F=-9.65. p=.00). 4) Various factors had a significant correlation with the level of the subject's Ego Identity: the subjects religion (t=6.20, p=.00), the family's economic situation (F=12.56, p=.00), the birth order (F=22.85, p=.00), the father's education (F=10.37, p=.00), the mother's education (F=20.69, p=.00), parental relationship (F=938.73. p=.00), and the structure of the family (F=-8.74, p=.00). 5) Analyzing sources of support within the family, family members whom the subjects trust most (F=3.08, p=.03) and family members to whom they talk most (F=5.85, p=.00) showed the most significant differences. Analyzing sources of support within the family that affect the level of the subjects' Ego Identity, family members whom the subjects trust most (F=3.30. p=.02) and family members to whom they talk most also showed the most significant differences.

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