• Title, Summary, Keyword: Cobb's angle

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The effect of Schroth's three-dimensional exercises in combination with respiratory muscle exercise on Cobb's angle and pulmonary function in patients with idiopathic scoliosis

  • Kim, Min-Jae;Park, Dae-Sung
    • Physical Therapy Rehabilitation Science
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    • v.6 no.3
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    • pp.113-119
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    • 2017
  • Objective: The objective of this study was to investigate the effects of Schroth's three-dimensional exercises in combination with respiratory muscle exercise (SERME) on Cobb's angle and functional movement screen (FMS). Design: Randomized controlled trial. Methods: Fifteen subjects with scoliosis were randomly assigned to two groups. Eight subjects were assigned to the experimental group and seven subjects were assigned to the control group. The experimental group underwent SERME using SpiroTiger (Idiag, Switzerland), while the control group performed only the Schroth's three-dimensional exercises (SE). Both groups performed exercises for one hour per day, three times a week for eight weeks. Cobb's angle, pulmonary function (forced vital capacity, forced expiratory volume at one second, and peak expiratory flow) and FMS were measured before and after the experiment. Results: After intervention, the SERME group showed a significant difference in Cobb's angle, FMS scores, and pulmonary function as compared to before intervention (p<0.05). In the SE group, there was a statistically significant difference in Cobb's angle, pulmonary function, and FMS scores compared to before intervention (p<0.05). The SERME group showed a significant difference in Cobb's angle and peak expiratory flow in pulmonary function compared to the SE group (p<0.05). Conclusions: The results suggest that SERME could be a more effective intervention for improvement of the Cobb's angle and pulmonary function for scoliosis patients.

A Clinical Study on Correlation between Cervical, Lumbar Lordosis and Low Back Pain (요통과 경추, 요추전만의 관계에 대한 임상적 연구)

  • Jeong, Da-Un;Yeo, Kyeong-Chan;Yoon, In-Ae;Kang, Hyun-Sun;Moon, Sung-Il
    • Journal of Acupuncture Research
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    • v.26 no.2
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    • pp.15-29
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    • 2009
  • Objectives: This study was designed to investigate the correlation between cervical, lumbar lordosis and low back pain(LBP), sex, age and duration of LBP. Methods : Cervical, lumbar lordosis(by Cobb's Method) and Ferguson's angle were measured and evaluated in LBP group and control. Radiograph was taken in lateral direction, erect position. Cobb's angle between C1-C7, C2-C7, L1-L5, L1-S1 and Ferguson's angle were measured and investigated with statistical program. Results: 1. Cervical lordosis have no relation to LBP, sex and age. 2. Lumbar lordosis and Ferguson's angle have no relation to LBP and sex. 3. Cobb's angle L1-L5 have no relation to age. Lumbar lordosis from L1 to S1(Cobb's angle L1-S1) increased in old group(Age>40) compared to young group(Age${\leq}$40). 4. In LBP group, Cobb's angle L1-S1 have no relation to duration of LBP. Lumbar lordosis from L1 to L5(Cobb's angle L1-L5) decreased in acute LBP group compared to Chronic group. Conclusions : Cervical, lumbar lordosis and Ferguson's angle have no relation to LBP and sex. As far as age is concerned, old group have larger lumbosacral lordosis than young group. Acute LBP group have smaller lumbar lordosis(Cobb's angle L1-L5) than chronic group.

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A Study on Correlation Coefficients between Lumbosacral Balance and Low Back Pain (요천추부의 정렬과 설문을 통한 요통 자각도의 상호 연관성에 관한 연구)

  • Lee, Dong-Eun;Kim, Hyung-Kil;Cho, Woong-Hee;Park, Won-Hyung;Cha, Yun-Yeop
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.1
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    • pp.115-123
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    • 2011
  • Objectives : This study was designed to investigate the correlation coefficients among Oswestry low-back pain disability index(ODI), Roland-Morris disability questionnaire (RMD), visual analogue scale(VAS), lumbar lordosis angle(LLA), Cobb's angle and Ferguson's angle(FA). Methods : We measured LLA, Cobb's angle, and FA of 42 students. Then we researched ODI, RMD and VAS of all students, and analyzed correlations coefficient among all of them. Results : 1. There was significant correlation among VAS, RMD, ODI. 2. There was significant correlation between ODI and Cobb's angle. 3. There was no significant correlation between LLA, FA, Cobb's angle and VAS. 4. There was no significant correlation among LLA, FA, Cobb's angle and RMD. Conclusions : According to above results, there was no significant correlation between lumbosacral balance and low back pain except between ODI and Cobb's angle. On the other hand, there was significant correlation among RMD, ODI and VAS.

Immediate Effects of Maitland Transverse Movement on Pain, Trunk Flexion Movement and Cobb's Angle in Patient with Upper Thoracic Scoliosis

  • Moon, Ok Kon;Choi, Wan Suk;Kim, Nyeon Jun
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.2
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    • pp.1066-1070
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    • 2016
  • The purpose of this article was to investigate the effects of Maitland's transverse movement on change of pain, trunk flexion movement and Cobb's angle in patient with upper thoracic scoliosis. The subject are 37 years old with chronic low back pain participated in this study and has no experience surgery within the last six months due to back pain. 10 set was applied 10 times on the T3-T5 applied the transverse movement with grade IV to each segment by skilled physical therapist. Transverse movement was applied convex toward the concave side. Pressure pain threshold was reduced from 4/10 to 2/10. Trunk flexion range that is the distance between the middle finger and floor was increase from 7.3cm to 2cm. Cobb's angle was decreased from degree 18 to 16. This result demonstrated that the Maitland's transverse movement was benefit to reduce the pain and Cobb's angle, and to increase the trunk flexion movement.

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;Shim, Jae-Hun
    • Journal of the Korea Convergence Society
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    • v.5 no.4
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    • pp.61-68
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    • 2014
  • 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.

Effect of Fascial Distortion Model on the Cobb's Angle in Adolescents with Idiopathic Scoliosis

  • Lee, Woo-Jin
    • The Journal of Korean Physical Therapy
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    • v.31 no.1
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    • pp.31-34
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    • 2019
  • Purpose: This study examined the effects of the fascial distortion model (FDM) method on Cobb's angle. Methods: Fourteen subjects participated in this study. The idiopathic scoliosis group performed FDM treatments eight times in four weeks. A Shapiro-Wilks test was used to verify the normality of a group of idiopathic scoliosis patients. A paired t-test was performed to determine the satisfaction with the normality. Results: The difference in Cobb's angle was reduced significantly (p<0.05) by an average of $5.72^{\circ}{\pm}2.24$ from $15.51^{\circ}{\pm}1.81$ before the experiment. Conclusion: This study found that the use of the FDM method was effective in improving the Cobb's angle. The application of a FDM treatment appears to stabilize the fascia with decreased ability to adapt physiologically. The application of the CD and TB method of FDM treatment improved the asymmetry spine by dispersing moisture in fascia and improving the contraction and relaxation ability. The results suggest that the Cobb's angle is reduced when FDM is applied, thereby preventing the progression of curvature and avoiding psychological and physical problems that can arise from improving patients with scoliosis.

Scoliosis Progression according to the Growth of Middle School Students (성장에 따른 중학생 척추측만증 이행양상)

  • Kim, Juk-Hyang;Kim, Eun-Ju
    • Journal of Korean Academy of Community Health Nursing
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    • v.14 no.3
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    • pp.479-487
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    • 2003
  • Purpose: This study was conducted to investigate the progression of Cobb's angle of middle school students according to the Risser grade changes during a one-year follow up period, and to identify the prevalence rate and related factors regarding scoliosis. Method: A total of 2,124 middle school students were preliminarily screened by the Adam's forward bending test. Among them, 21 adolescents diagnosed with scoliosis (above 5Cobb's angle) by X-Raying were the subjects and followed up for checking Cobb's angle and the Risser grade for one year. Results: The overall prevalence of scoliosis in middle school students was 2.13% and the prevalence in girls was higher than in boys. The Cobb's angle was significantly high in seniors and girls. The cases in low angle and low Risser grade demonstrated significant changes in progressive Cobb's angle compared to the cases in high angle and high Risser grade after one-year. But gender and pattern of curvature were not significantly different from the changes scoliosis angle after one-year. Conclusion: Based on these study results, juniors in low Risser grade were inclined to aggravate scoliosis despite the low degree of curvature at the first measurement.

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The Effects of Self Sling Suspension on the Cervical Angle: Case Study (슬링현수 자가 운동이 경추각도에 미치는 영향: 사례연구)

  • Jeong, Seong-gwan;Kim, Yong-jin
    • The Journal of Korean of Orthopedic Manual Physical Therapy
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    • v.25 no.1
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    • pp.77-81
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    • 2019
  • Background: The Purpose of this study was investigated the effects of the Self Sling Suspension on the numbness, radiated pain, visual analogue scale (VAS), Cobb's angle, Jochumsen's depth, neck disabliity index (NDI). Methods: This study was carried out with a 4 forward head posture (FHP) & 4 herniated nucleus pulposus (HNP) survivors. Outcomes such as the Numbness, Radiated Pain, VAS, Cobb's angle, Jochumsen's depth and NDI were measured pre- and post-intervention for both groups. Results: 2 HNP decrease was found numbness & radiated pain. After the intervention, was decreased VAS, NDI and was increased Cobb's angle, Jochumsen's depth. Conclusions: Applying Self Sling Suspension treatment to FHP & HNP patients proved to have a positive effect.

The Pilates Effects about Scoliosis (척추 측만증에 대한 필라테스 효과)

  • Seo, JunHwan;Hong, SeongGyun
    • Journal of the Korean Society of Radiology
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    • v.8 no.7
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    • pp.397-400
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    • 2014
  • This study purpose is to know about the effect of Cobb's angle of scoliosis patient by Pilates ecercise. It was executed for prove this exercise with Pilates Postural Correct Exercise(PCE), Spine Stretching Exercis(SSE), Muscle Strengthing Exercise(MSE). PCE is useful for unbalanced muscle energy and SSE gives relax for hypertensioned muscles and MSE is correcting balance for prime mover and secondary mover and so it will be recovery for elasticity and flexibility of paraspine muscles. The method study was proved with a Cobb's angle measurement of Lumbar spine by X-ray test before and after. As a result for the test, Cobb's angle by X-ray it shows reduced about 5 degree in statistics(p=0.005). And so It shows the Pilates exercise gives reduce for Scoliosis.

Effects of Sling-Based Core Exercise Program on Cobb Angle and Core Strength of Idiopathic Scoliosis in Adolescences (슬링을 통한 코어운동프로그램이 청소년의 특발성 척추측만증의 Cobb각과 코어근력에 미치는 효과)

  • Yu, Dang-young;Yang, Young-sik;Park, Sung-doo
    • The Journal of Korean of Orthopedic Manual Physical Therapy
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    • v.25 no.2
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    • pp.47-56
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    • 2019
  • Background: The purpose of this study was compare and analyze the Cobb's angle, core muscle strengthening in adolescents with idiopathic scoliosis and provide scientific basis for effectively treating idiopathic scoliosis in the future. Methods: The subjects of this study were 20 members of adolescent girls. Measurement tools were comprised Cobb's angle test, core muscle strengthening test. After 8 weeks of program, both groups had the same measurements as before program start. Results: The results of the study are as follows. First, the experimental group was decreased statistically significantly in Cobb's angle than the control group. Second, Both groups were increased statistically significantly in core muscle strengthening. The experimental group was increased statistically significantly direction in front, back l than the control group. Conclusion: Sling exercise with core exercise was effective in the decrease of Cobb's angle and core muscle strength than general scoliosis exercise in adolescents with idiopathic scoliosis.