본 연구는 최근 7년간 Google scholar, ProQuest에서 Adolescent Idiopathic Scoliosis(AIS), Cobb’s angle, Surgical, Conservative, In tervention을 핵심 키워드로 활용하여 청소년 특발성 척추측만증의 수술 적 중재 방법과 보존적 중재 방법이 Cobb’s angle에 미치는 영향을 조 사하였다. 중재 전ㆍ후 Cobb’s angle 차이를 JAMOVI를 이용하여 메타 회귀분석을 실시하였으며 청소년 특발성 척추측만증 환자에게 Cobb’s an gle 긍정적 변화에 효과적인 중재 방법은 수술적 중재 방법에는 Selectiv e thoracic fusion, Posterior spinal fusion, Anterior spinal fusion 이 있었으며, 보존적 중재 방법에는 Lumbar cheneau brace, Xinmiao treatment system(XTS), Cheneau brace+Schroth best practice(S BP), Core stabilization exercises가 있음을 확인하였다. 이러한 연구 결과를 통하여 청소년 특발성 척추측만증 연구 분야의 방향성 제공에 도 움을 주고 향후 어떠한 중재 방법이 효과적일지 판단할 수 있는 지표개발 을 요구하는 바이다.

Background: Incorrect postures of adolescents caused by the use of smart devices have been noted as a factor causing spinal diseases. Objectives: To examine the effect of joint mobilization and stretching on Cobb’s angle and respiratory function in adolescent idiopathic scoliosis (AIS). Design: Cluster-randomized controlled trial. Methods: A total of 22 subjects with AIS were enrolled. They were allocated to two groups: the joint mobilization (n=11) and the stretching (n=11). All interventions were conducted for 30 minutes, three times a week for six weeks. Outcome measures were the Cobb’s angle and respiratory function. The Cobb’s angle and respiratory function measured using the X-ray and Micro- Quark. Results: Joint mobilization group showed significant differences in Cobb’s angle and respiratory function, but stretching group showed significant differences Cobb’s angle. The differences in peak expiratory flow (PEF) between the two groups were significant. Conclusion: This study proved that joint mobilization is a more effective intervention for AIS to improve Cobb’s angle and respiratory function, when compared to stretching.

The purpose of this study was to compare the static balance in a sitting position between a group with adolescent idiopathic scoliosis (AIS) and a normal aged-matched group. Forty-nine subjects were included in this study. Thirty-one healthy subjects and eighteen AIS subjects were participated. Each group was tested with the Lumbar Trunk Muscle Endurance Test (LTMET) and Balance Performance Monitor (BPM). The parameters for static balance were sway area, sway path, mean balance, maximum velocity, anterior-posterior angle, and left-right angle of each group with eyes opened and closed. Results from the LTMET showed significantly more increase in the normal group than in the AIS group in the flexor and extensor endurance. The BPM tested showed significantly difference beteen the groups in parameters of sitting balance such as maximum velocity and anterior-posterior sway angle. For the AIS subjects, there were no significant differences in all parameters of sitting balance between eyes opened and eyes closed. In comparisons of the groups with eyes opened there were no significant differences in all parameters of sitting balance. In comparisons of the groups with eyes closed there were significant differences in the sway area, maximum velocity, anterior-posterior sway angle and left-right sway angle. These results suggest that the AIS group relies much more on proprioception than on vision, and develops compensatory passive postures of the spine. Further study is needed to measure many AIS patients with morphologic and electromyographic data for clinical application.

The purpose of this study was to compare the static balance of standing position between adolescent idiopathic scoliosis (AIS) and a normal group that were aged-matched. There were forty subjects included in this study. Twenty-seven healthy subjects (age, 13.9±1.2 yrs; height, 161.9±7.5 ㎝; weight, 52.2±7.7 ㎏) and thirteen AIS subjects (age, 14.2±2.2 yrs; height, 161.5±8.7 ㎝; weight, 48.1±8.1 ㎏) were participated in the study. The thirteen subjects in the AIS group had a major Cobb angle between 20.1° and 49°. Each group was tested with the Balance Performance Monitor (BPM). The parameters for static balance were sway area, sway path, max velocity, mean balance, anterior-posterior angle, and left-right angle of each group with their eyes opened and again with their eyes closed. Both sides of the forward reach test and the lateral reach test were also performed on each group. Results from the BPM tested showed significantly increases in all parameters of static balance with those patients with AIS under the conditions where eyes were opened and closed. In the right and left forward reach test, there was no significant difference between normal and AIS groups. However, in the lateral reach test with right and left direction, there were significant differences between normal and AIS groups. For the normal subjects, there were significant differences in the parameters with sway path and anterior-posterior sway angle between the eyes opened and closed. However, there were no significant differences in the all parameters between eyes opened and closed for the AIS subjects. These results suggest that, balance programs could be used in the rehabilitation setting for intervention of AIS and evaluation of AIS. Further study is needed to measure many patients with AIS and other functional balance scales for clinical application.