• 제목/요약/키워드: Schroth method

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특발성 척추 측만증(Idiopathic Scoliosis)애 대한 Schroth 운동요법에 대한 고찰 (A Study of Exercise treatment based on Schroth method of Idiopathic Scoliosis)

  • 염도성;송윤경;임형호
    • 척추신경추나의학회지
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    • 제5권2호
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    • pp.181-191
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    • 2010
  • Current treatment for adolescent idiopathic scoliosis(AIS) consists of three phases: observation, bracing, and surgery. Although there are many nonsurgical treatment(bracing, electrical stimulation, exercise, manipulation, acupuncture, etc), their effect is still controversial. In many paper, Schroth method was reported good immediate response to conservative care, which could be considered a sign of good prognosis. Schroth method became effective thai specialists in physiotherapy for spinal deformities teach the patient how to perform a routine of 'curve pattern' specific exercises with the purpose to facilitate the correction of the asymmetric posture and to teach the patient to maintain the corrected posture in dally activities. This Principles of correction exercise treatment are based on those developed by the German physiotherepist K. Schroth.

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근에너지기법(Muscle Energy Technique)과 Schroth Method를 이용한 특발성 척추 측만증 호전 1례 (A Clinical Case of Muscle Energy Technique and Schroth Method for Idiopathic Scoliosis)

  • 이성준;박재현;남수현;강준혁
    • 한방재활의학과학회지
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    • 제24권3호
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    • pp.173-179
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    • 2014
  • The purpose of this study is to report the effect of muscle energy technique (MET) and Schroth method on idiopathic scoliosis. A patient with idiopathic scoliosis was treated by MET and Schroth method. To investigate the outcome of the patient's improvement, we observed the X-ray of cervical, thoracic, lumbar spine. And Cobb's angle, correctability, visual analog scale (VAS) were used to measure changes during treatment. After treatment, Cobb's angle and correctability, VAS were improved significantly. MET and Schroth method are proved to be helpful to improve idiopathic scoliosis. And, further studies will be needed.

Psychological and Physical Effects of Schroth and Pilates Exercise on Female High School Students with Idiopathic Scoliosis

  • HwangBo, Pil-Neo
    • The Journal of Korean Physical Therapy
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    • 제28권6호
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    • pp.364-368
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    • 2016
  • Purpose: The purpose of this study is to investigate effects of psychological factors on Schroth exercise and Pilates exercise to female high school students with idiopathic scoliosis. Methods: Sixteen subjects with over 20 of Cobb's angle were randomly divided into Schroth exercise group (SEG, n=8) and Pilates exercise group (PEG, n=8). Both training programs were carried out 3 day a week for 12 weeks. Psychological factors were measured using depression scale, self esteem scale and body esteem scale. Results: Both groups showed significant differences in depression scale, self esteem scale and body esteem scale. Schroth exercise group showed greater improvement than Pilates group. Conclusion: Having correct body image affects psychological factors to growing students. Schroth exercise is more effective method to physical and psychological approach of idiopathic scoliosis.

슈로스(Schroth)운동치료와 슬링운동치료가 척추측만증 환자의 유연성, 균형능력, 척추각 및 흉곽 확장에 미치는 효과 비교 (Comparative Effectiveness of Schroth Therapeutic Exercise Versus Sling Therapeutic Exercise in Flexibility, Balance, Spine Angle and Chest Expansion in Patient with Scoliosis)

  • 이준호;김선엽
    • 대한물리의학회지
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    • 제9권1호
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    • pp.11-23
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    • 2014
  • PURPOSE: The purpose of this study suggests the exercise programs for improving the function and structure by applying the Schroth exercise method and sling exercise method to the scoliosis patient. METHODS: The subjects were 16 patients who were diagnosed with scoliosis. They were randomly assigned either to a Schroth exercise group (n=8) that received Schroth exercise program or to a sling exercise group (n=8) that received sling exercise program. Flexibility, static balance, dynamic balance, and spinal angles were measured by using the modified sit and reach test, one leg standing with closed eyes, functional reach test, and Cobb's angle, respectively. The chest expansion were calculated using differences of chest circumference between maximum inspiration and maximum expiration measured under armpits, at the junction between the sternum and xiphoid process, and at the waist. RESULT: Schroth group before and after the intervention there was a difference in the static balance, spine angle, chest expansion (p<.05). sling group before and after the intervention there was a difference in the flexibility, static balance, spine angle, chest expansion (p<.05). There were significantly differences between the both groups for chest expansion thoracic level inspiratory variables at post-exercise. CONCLUSION: These results revealed that two exercise program improved flexibility, static standing balance, spine angle, chest expansion level and ability used as scoliosis management and intervention. Therefore, it is expected to be used as a method for the treatment and prevention in the process of rehabilitation of patients with scoliosis.

Effects of the Instrument Pilates Exercise Based on the Schroth Exercise on the Cobb's Angle, Angle of Trunk Rotation and Low Back Pain in Patients with Idiopathic Scoliosis: A Single Subject Study

  • Song, Ki Yeon;Baek, Ki Hyun;Lim, Mi Soo;Lim, Hyoung-won
    • The Journal of Korean Physical Therapy
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    • 제33권2호
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    • pp.97-105
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    • 2021
  • Purpose: This study examined the effects of the application of Schroth exercise-based instrument Pilates exercise on the Cobb's angle, angle of trunk rotation, and low back pain of female patients with idiopathic scoliosis. Methods: Three patients with idiopathic scoliosis at a Cobb's angle of 20° or more participated in this study. Among the single-subject experimental research designs, a reversal (ABA) design was performed. In particular, Schroth exercise-based instrument, Pilates exercise, was performed for 10 weeks, consisting of five weeks between the baseline and intervention one period and five weeks between the intervention 1 and intervention 2 periods, and then followed up for five weeks. Results: After the Schroth exercise-based instrument, Pilates exercise, was applied, the Cobb's angle and the angle of trunk rotation decreased compared to the baseline in all subjects, and the follow-up period also showed a continuous decline. After Pilates exercise was performed, low back pain in subjects 1 and 2 was decreased in the intervention 1 period compared to the baseline. The level of low back pain in the intervention 2 period increased compared to the intervention 1 period, but a reduction was noted in the follow-up period. The low back pain in the subject was decreased in all intervention periods and the follow-up period. Conclusion: Schroth exercise-based Pilates exercise improves the Cobb's angle and the angle of trunk rotation for female patients with idiopathic scoliosis in their teens and 20s, and an effective intervention method is proposed for low back pain.

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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    • 제9권4호
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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.

선천성 내반슬에 대한 추나요법 및 내반슬 교정장치 사용 증례보고 (Case Report of Genu Varum by Chuna Therapy and Schroth Excercise)

  • 권민구;김성태;이은지;신현권;고용준;강수우;나재일;설재욱;조현정;정필선;이상영;정지원
    • 한방재활의학과학회지
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    • 제25권4호
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    • pp.169-173
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    • 2015
  • Objectives The purpose of this study was to assess the efficacy of Chuna and Stylex device treatment in patients with genu varum. Methods 2 patients (21/male, 40/female) with genu varum were recruited in this study. Chuna treatment at pelvic, and stylex device treatment at both legs were applied to all participants. Outcomes were assessed using Q-angle (Quadriceos angle), TFA (Tibiovemoral angle), Distance of both sides patella. Results 1. Distance of both sides patella were decrease in all case. 2. Q-angel and TFA were decrease in case 1. but slight invrease in case 2. Conclusions This study showed that Chuna and Stlyex divice treatments could be used as an effective method for decrease distance of both sides patella. but Q-angle and TFA need more research on whether proper assessment as a measure of genu varum.

MUSP 운동치료와 전기치료가 척추측만증환자의 Cobb's angle, 유연성, 균형능력 및 흉곽확장에 미치는 효과 비교 (Comparative Effectiveness of MUSP Therapeutic Exercise Versus Electrical Therapeutic in Flexibility, Balance, Cobb's Angle and Chest Expansion in Patient with Scoliosis)

  • 정기훈;김은영
    • 대한통합의학회지
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    • 제4권1호
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    • pp.73-83
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    • 2016
  • PURPOSE : The purpose of this study to suggest the exercise programs for improving the function and structure by applying the Masan university scoliosis program exercise method and electrical therapy method to the scoliosis patient. METHODS : The subjects were 18 patients who were diagnosed with scoliosis. They were randomly assigned either to a Masan university scoliosis program exercise group (n=11) that received Masan university scoliosis program exercise program or to a electrical therapy group (n=7). Flexibility, static balance, dynamic balance, and spinal angles were measured by using one leg standing with closed eyes, functional reach test, and Cobb's angle, respectively. The chest expansion were calculated using differences of chest circumference between maximum inspiration and maximum expiration. RESULT : Masan university scoliosis program group before and after the intervention there was a difference in the static balance, spine angle(p<.05). Masan university scoliosis program group before and after the intervention there was a difference in the flexibility, static balance, spine angle, chest expansion (p<.05). CONCLUSION : These results revealed that Masan university scoliosis program exercise program improved flexibility, static standing balance, spine angle, used as scoliosis management and intervention. Therefore, it is expected to be used as a method for the treatment and prevention in the process of rehabilitation of patients with scoliosis.

한국산 고감염 Agrobacterium spp의 분리 및 연초의 형질전환에 이용 (Isolation of Hypervirulent Agrobacterium spp from Korea and Application for Transformation of Tobacco)

  • 양덕춘;정재훈;이정명
    • 식물조직배양학회지
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    • 제25권3호
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    • pp.207-217
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    • 1998
  • 한국에서 자생한 자연산 tumor 조직과 근권토양으로부터 형질전환율이 높은 hypervirulent Agrobacterium spp를 분리하기 위해서 Salix, Diospyros, Populus 및 Malus에서 형성된 tumor 조직과 근권토양을 채취하괴 Schroth 선택배지와 New and Kerr 배지를 이용하여 78 균주의 colony를 특성에 따라 분리하였다. 이중에서 48 균주가 당근 disc에서 tumor를 형성하였으며 tumor를 형성한 균주중 형성시기가 빠르며 크기가 커 hypervirulent 균주로 생각되는 A. tumefaciens SP101을 biotype 1, 그리고 A. tumefaciens SM042를 biotype 2로 동정하였다. 토양중에서 선발한 A. tumefaciens SM042와 disarmed A. tumefaciens PC2760에 kanamycin 저항성 유전자를 함유하고 있는 binary vector pGA643을 도입하여 conjugant인 A. tumefaciens SM643과 A. tumefaciens PC643을 kanamycin과 tetracycline이 함유된 최소배지에서 획득하였다. 연초의 형질전환을 위해서 conjugant Agrobacterium과 연초조직을 동시배양 후 2,4-D와 kanamycin이 함유된 선발배지에 치상하여 형질전환을 유도한 결과 A. tumefaciens SM643이 A. tumefaciens PC643보다 더 많은 캘러스가 형성되었다. 그러나 A. tumefaciens PC643을 사용한 형질전환 캘러스는 대부분 friable한 캘러스로 유도되었으며 정상적으로 식물체로 생장하였으나 A. tumefaciens SM643을 사용한 캘러스는 매우 딱딱하며 둥그런 형태의 캘러스와 friable한 캘러스가 혼재한 상태로 생장하였으며, 이중에서 friable한 캘러스는 정상적인 shoot가 형성되었으나 딱딱한 캘러스로 유도된 형질전환체는 식물체로 형성되지 않고 반구형 미색의 전형적인 tumor 캘러스로 생장하였다. 한편 형질전환시 캘러스를 유도하지 않고 직접 shoot를 형성시킨 결과 disarmed Ti-plasmid를 사용하지 않고 wild-type Ti-plasmid를 사용해도 정상적인 형질전환체를 획득할 수 있었다.

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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.