Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Effect of 8 Weeks of Schroth Exercise (Three-dimensional Convergence Exercise) on Pulmonary Function, Cobb's Angle, and Erector Spinae Muscle Activity in Idiopathic Scoliosis

8주간의 슈로스운동(3차원적 융합운동)이 특발성 척추 측만증 환자의 폐기능과 Cobb's angle, Scoliometer angle, 척추세움근의 근활성도에 미치는 영향

  • Park, Sang-Yong (Dept. of Physical Therapy, Division of Health Science, Baekseok University) ;
  • Shim, Jae-Hun (Dept. of Physical Therapy, Division of Health Science, Baekseok University)
  • 박상용 (백석대학교 보건학부 물리치료학과) ;
  • 심재훈 (백석대학교 보건학부 물리치료학과)
  • Received : 2014.08.23
  • Accepted : 2014.11.21
  • Published : 2014.12.31
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Abstract

In the present study, we aimed to examine the effects of Schroth exercise(three-dimensional convergence exercise) on pulmonary function(vital capacity, and chest expansion), Cobb's angle, scoliometer angle, and erector spinae muscle activity. We examined 40 students with idiopathic scoliosis(Cobb's angle $10^{\circ}$). They were divided into the Schroth and conventional exercise groups, with 20 people in each group. Statistical analysis was performed by using SPSS 18.0 with a paired t-test(pre-post difference) and an independent t-test(between-group differnence). the result of were as follows; 1) After 8 weeks of Schroth exercise, significant improvements were observed in Cobb's angle, rib hump, vital capacity, chest expansion, and right thoracic longissimus muscle activity. 2) After 8 weeks of conventional exercise, a significant improvement was observed only in chest expansion. These findings indicate that the Schroth exercise program improved the Cobb's angle, rib hump, pulmonary function, and sEMG results. Therefore, this study demonstrates the usefulness of the Schroth exercise program for idiopathic scoliosis.

본 연구는 schroth 운동(3차원적 융합운동)이 폐기능과 Cobb's angle, scoliometer angle과 척추세움근의 근활성도에 미치는 영향을 알아보기 위해 실시되었다. Cobb's angle $10^{\circ}$ 이상의 특발성 척추측만증을 가지고 있는 학생 40명을 대상으로 각각 20명의 슈로스운동군과 전통적인 치료군으로 나누어 총 8주간 주 3회, 회당 60분의 운동을 실시하였다. 8주간의 Schroth 운동을 적용한 그룹에서는 Cobb's angle과 갈비뼈 돌출부, 폐활량, 체간의 확장, 오른쪽 흉추부위의 활성도에 유의한 차이를 보였다. 8주간의 전통적인 측만증 운동을 실시한 그룹에서는 체간의 확장성에서 유의한 차이를 보였다. 본 연구의 결과를 통해 3차원적 접근법인 슈로스운동이 특발성 척추측만증 환자의 흉추측만각도의 감소와 폐기능의 향상을 목적으로 한 중재기법으로 기존의 운동방법보다 효과적이라고 할 수 있다. 따라서 차후의 연구에서는 척추측만증이 장기간의 관리와 치료가 필요한 질환임을 이해하고 이에 따라 체계적인 자세관리와 3차원적 융합운동 프로그램의 적용이 필요하다고 사료된다.

Keywords

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