맞춤형 교정운동 프로그램이 편평등 증후군 환자의 척추 만곡도 및 균형능력에 미치는 영향

조한수(Cho, Han-su),김찬회(Kim, Chan-hoi) 한국웰니스학회 2020 한국웰니스학회지 Vol.15 No.1

본 연구는 12주간의 맞춤형 교정운동 프로그램이 편평등 증후군 환자의 척추 만곡도와 신체균형능력에 어떠한 영향을 미치는지 알아보는 것이다. 운동 프로그램은 12주간 주3회 교정운동을 시행하였으며, 총 60분으로 구성하였다. 교정운동의 구성은 1~6주간(Level 1)은 가동성 확보 위주의 운동으로, 7~12주간(Level 2)은 근육의 활성화와 근력 향상을 위한 운동으로 구성하였다. 연구 대상자들은 편평등 증후군 판정을 받은 30대 일반여성 16명으로 운동 프로그램 실시 전, 12주 후의 결과를 관찰하여 다음과 같은 결과를 도출하였다. 척추 만곡의 변화는 경추, 요추, 흉추 모두 시기에 있어 유의차가 나타났으나, 집단, 상호작용에 있어서는 유의차가 나타나지 않았다. 시기에 있어서 운동군에서만 유의하게 개선된 결과를 나타내었다. 균형능력의 변화는 시기, 집단, 상호작용에 있어서 모두 유의차를 나타내지 않았으나, 운동군(p=.08)이 통제군(p=.598) 보다 다소 큰 폭으로 증가한 것으로 나타났다. 결론적으로 맞춤형 교정운동 프로그램은 편평등 증후군 환자의 척추만곡 개선에 효과적인 운동방법이며, 신체균형능력 향상을 위해 장기적이고 심도있는 추가 연구가 필요 할 것으로 사료된다. This study is aimed at examining the effects of a 12-week, customized, spinal-corrective exercise program on the extent of spinal curvature and body balancing ability of patients with flat-back syndrome. This exercise program involved 3corrective exercises every week for the 12-week period, and was composed of a total of 60minutes of exercise. Corrective exercise was composed of exercises focused on securance of mobility for weeks 1~6(Level 1) and exercises aimed at improving activation of muscles and muscular strength during weeks 7~12(Level 2). Sixteen women in their 30’s diagnosed with flat back syndrome were selected as the research subjects and the following results were deduced by observing the results prior to and after execution of the 12-week exercise program. Regarding the changes in the spinal curvature, although there were significant differences in the cervical, lumbar, and thoracic vertebrae during all time periods, there was no significant difference in the group and interaction. Although there was no significant difference in the changes in balancing ability in terms of the time period, group, and interaction. In conclusion, a customized speffective exercise method to improve the rogram is an spinal curvature of patients with flat-back syndrome and additional in-depth research over a longer period is deemed necessary to improve the body balancing ability.

Comparison of Spinal Curvature Characteristics among Korean Population from 3D Body Scan Data

Se Jin Park,Seung Nam Min,Murali Subramaniyam,Heeran Lee,Yu Kyung Shin 대한인간공학회 2014 대한인간공학회 학술대회논문집 Vol.2014 No.11

Objective: The purpose of this paper is to investigate the difference in the horizontal distance between C7 (cervical vertebra prominens or seventh cervical vertebra) to posterior waist based on body mass index (BMI). Background: The analysis of the changes of spinal curvature and anthropometrical properties is very important, especially in young age. The research on human spinal shape and its characteristics are continuously increasing. Assessment of spinal curvature is generally evaluated in radiography using the Cobb method. Although radiography is the golden standard in orthopaedic practice, it carries health risk for exposure to ionizing radiation. With the technological advancement in Photonics, it is now possible to make fast and contact-free measurement by using a 3D body scanner. Method: 85 normal high school students (male) were participated from Gyeongi-do and Seoul in South Korea. The participants were grouped based on BMI as: underweight, normal, obese, overweight, and clinically obese. 3D whole-body scanner (Artec L™ 3D) was used to capture 3D body shapes and analyzed for the spinal curvature. From the 3D whole body scanned data, the spinal curvature measurements were extracted using the Rapidform (3D Systems Korea Corporation) software. Results: ANOVA on the data revealed that there were significant (p < 0.05) difference in the horizontal distance between C7 to posterior waist distance based on BMI. The horizontal distance between C7 to posterior waist decreased significantly (p<0.05) with increased BMI. Conclusion and Application: The decreased C7 to posterior waist distance represents increased lumbar lordosis i.e., lumbar hyperlordosis, which lead to low back pain and related disorders. The data collected from this study can provide a great help to: industries (mattress, chair, and car seat), traction therapist, researchers, digital human model construction, and so on. Also using this study’s methodology it is possible to extract many human spinal characteristics which could be used for the different applications.

척추만곡 이상에 대한 문헌 고찰

한정석 ( Jeong Seok Han ),금동호 ( Dong Ho Keum ) 한방재활의학과학회 2003 한방재활의학과학회지 Vol.13 No.4

Objectives : It is recently reported that Myofascia Pain Syndrome(MPS) is a major cause of musculoskeletal pain. Abnormal spinal curvature, such as hyperlordosis, scoliosis, is the most important perpetuating factor of MPS but its pathology is complicated with variable interpretation. We reviewed on the definition, incidence, classification and clinical correlation of the abnormal spinal curvature. Methods : We referred to internet libraries providing full texts of medical articles and studied the medical documents about abnormal spinal curve. Results and conclusions : Posture is build up with dynamic reaction of gravity and individual strength. Abnormal spinal curvature is the result of postural compensation disorder caused by muscular imbalance, personal habit, mental condition, shape of body, leg length insufficiency, inadequate motions in babyhood. Classifications of sagittal plane disorder are Upper/Lower Crossed Syndrome, Kendall`s classification. Coronal plane classifications are handedness patterns, 4 body type of GCM, fascial compensation patterns. Correlation between abnormal spinal curvature and pain syndrome is denied by several clinical studies. It is suggested that more comprehensive interpretation method, such as fascial network, Sa-Sang(四象) constitution.

사격 자세에 따른 잠재적 척추 만곡 변형에 관한 연구

문곤성(Gon Sung Moon),김승재(Seung Jae Kim) 한국사회체육학회 2012 한국사회체육학회지 Vol.0 No.50

The purpose of this study was to show the potential deformation of spinal curvature on the shooting position. The subjects were 3 of Air Rifle shooter and 2 of Pistol shooter. A three-dimensional motion analysis system (VICON) was used to analyze the movements of spinal curvature during the shooting position. Three point method and ratio method were used to evaluate the thoracic kyphosis, lumbar lordosis and scoliosis. The results were as follows: The thoracic and lumbar scoliosis were showed the pattern of degeneration during the shooting position comparing with the anatomical position in all subjects. The thoracic kyphosis and lumbar lordosis were showed the different pattern along the subjects. The anterior tilt angle of pelvic was smaller during shooting position than during the anatomical position in all subjects. The obliquity angle of pelvic was showed the downward pattern during the shooting position in the air rifle shooter but, upward pattern in the pistol shooter. The rotation angle of pelvic was showed the pattern of internal rotation during the shooting position in the air rifle shooter but, external rotation in the pistol shooter. Finally, if the shooting position were performed repetitively, it would be potential deformation of spinal curvature.

Impact of the Vestibular System on the Formation and Progression to Idiopathic Scoliosis: A Review of Literature

Scheyerer Max Joseph,Rohde Axel,Stuermer Konrad Johannes,Kluenter Heinz-Dieter,Bredow Jan,Oikonomidis Stavros,Klußmann Jens Peter,Eysel Peer,Eysel-Gosepath Kathrin 대한척추외과학회 2021 Asian Spine Journal Vol.15 No.5

The physiopathogenesis of adolescent idiopathic scoliosis remains unknown. However, a multifactorial pathogenesis is being assumed. Besides biomechanical, biochemical, and genetic factors, some studies have focused on congenital or acquired abnormalities in the vestibular organ with consecutive development of scoliosis. This study aims to analyze a possible correlation between any vestibular organ congenital or acquired pathologies and scoliosis based on the current literature. Therefore, we conducted a literature search in three databases, with search terms such as “scoliosis,” “organ of balance,” “idiopathic scoliosis,” “vestibular organ,” “spine,” and “balance.” Fifteen studies were selected and used for research. The relationship between scoliosis and vestibular organ abnormalities was recorded from all included works. Seven studies demonstrated a direct correlation between vestibular organ anatomical abnormalities and the form of the scoliotic spine. Another study confirmed the influence of the pathology of the vestibular organ on scoliosis but questioned whether it had an impact on the formation or the progression of the curvature. Others demonstrated a temporal overlap of the embryonic development of the vestibular organ and the beginning of pre-scoliotic characteristics, but their relationship remained questionable. In three studies, the correlation remained unclear, and any context has been denied. It seems unlikely that an isolated vestibular disorder can trigger structural scoliosis. However, the vestibular system pathologies may certainly occur in the multifactorial genesis of idiopathic scoliosis. Whether the correlation refers to the expression or the progression of scoliosis or may even have an influence on both remains unclear. New treatment options could be derived from these findings with a positive influence on the course of the deformity.

Spinal Sagittal Imbalance is Associated with Vertebral Fracture without a Definite History of Falls: Cross-Sectional, Comparative Study of Cohort with and without a Distal Radius Fracture

Hyun Sik Gong 대한골대사학회 2023 대한골대사학회지 Vol.30 No.4

Background: Treating osteoporosis in patients with a distal radius fracture (DRF) became paramount at the Fracture Liaison Service. Spinal sagittal imbalance emerged as a risk factor for subsequent fractures. Therefore, here we investigated the spinal profile of patients with DRF to investigate its association with a history of falls and prevalent vertebral fractures. Methods: We reviewed the cases of 162 women presenting with DRF and 162 age-matched women without fracture who underwent an osteoporosis evaluation including bone mineral density (BMD) and lateral spine imaging. We compared the incidence of prevalent vertebral fracture and sagittal vertical axis (SVA) to measure spinal sagittal imbalance. We also performed a regression analysis of the risks of prevalent vertebral fracture, such as age, body mass index (BMI), BMD, and SVA. Results: The SVA was significantly smaller (indicating more stable sagittal balance) in patients with a DRF versus controls (16 mm vs. 34 mm, respectively; P<0.001). The incidence of a prevalent vertebral fracture was similar between groups (12% vs. 15%, respectively; P=0.332). In both groups, the SVA was significantly greater in those with versus without a vertebral fracture. The vertebral fracture was significantly associated with age and SVA but not BMI or spinal BMD. Conclusions: Spinal sagittal balance was superior in DRF patients, yet the frequency of prevalent vertebral fractures was similar. The identification of this unique spinal profile in patients with DRF may increase our understanding of osteoporotic fractures.

필라테스가 척추의 운동 형태에 미치는 영향

김도연,은선덕,김용운,이성철 한국운동재활학회 2011 JER Vol.7 No.3

The purpose of this study is to investigate the effect that a Pilates trained group and control group have on the spinal joint range of motion and spinal movement pattern. A group of 8 female pilates instructors with over 1 year experience and a group of 7 females that had no pilates experience participated in this study. Retro-reflective markers were placed on predetermined anatomical locations of participants and dynamic spinal segment motion and radius of curvature was observed using a motion capture system(Qualisys, Sweden). Firstly, in general the spine's intersegmental angle tended to be larger for the pilates group more than the non-pilates group but this was not a big difference. Secondly, after the observation of the motion sequence made by the angle of the three vertebrae from the distal to the proximal, for the non-pilates group there was no separate sequence motion from first to the eight thoracic but there was a sequence shown by the pilates group. In conclusion, pilates is a spinal lengthening and pelvic stabilizing exercise that uses a breathing technique which can increase thoracic and rib cage mobility while also by its spinal articulation exercises the mobility of individual spinal segments can be increased.

DEVELOPMENT SYSTEM TO SELECT A SUITABLE MATTRESS FOR BODY TYPES

Hyun-Ja Lee(이현자) 대한인간공학회 2007 대한인간공학회 학술대회논문집 Vol.- No.-

The purpose of this study is to develop a system of suitable mattress selection for body types and to investigate the relations between spinal curvature, body pressure distribution and body type on suitable and unsuitable mattresses. In this study eighteen mattresses were tested with 214 subjects including teenagers. Spinal curvature and contact pressure in a lying position were measured along with subjective ratings of the experimental mattresses. The individually favored mattresses were found by figuring out the spinal curvature most similar to that when standing and comparing this with the spinal curvature on a bed with different levels of firmness. In the teenager group there was a wide difference between the distribution of back pressure and the distribution of hip pressure in comparison to the adult group. Finally it was found that suitable mattresses could be found using the relations between spinal curvature, body pressure distribution and body type.

경항통과 척추 시상균형 및 만곡의 상관관계에 대한 임상적 연구

이원일,고필성,권신애,이정우,서병관,우현수,조병진,송지연,백용현,박동석,남상수 대한침구의학회 2010 대한침구의학회지 Vol.27 No.2

Objectives : The authors aimed to determine the presence of relationships between cervical pain and cervical curvature, lumbar curvature, sacral slope and sagittal spinal balance. Methods : Medical records of outpatients who made their first visits to the Department of Acupuncture and Moxibustion in the Spine center at Kyung Hee East-West Neo Medical Center between September 1, 2008 and October 31, 2009 were evaluated. A total of 50 patients visiting within the time period had visited with a chief complaint of cervical pain, and had lateral entire spine X-rays taken. After excluding patients with previous spine operations, 46 patients were selected for the final analysis. The cervical lordotic angle(CLA), lumbar lordotic angle(LLA), Ferguson’s angle(FA), and sagittal vertical axis(SVA) were measured on the lateral entire spine X-ray cuts, and the relationships between these values and patient gender, age, chief complaint, and duration of symptoms were assessed. Results : No significant difference was found in relationships between gender and measured values. SVA showed statistically significant correlation between age, but CLA, LLA, and FA was not. There was a significant difference in SVA between patients with only cervical pain and those with both cervical pain and low back pain. Patients with a duration of symptoms longer than 6 months showed a statistically significant difference in SVA with those who had shorter symptoms. Correlation analysis between measured values was statistically significant only between LLA and FA. Conclusions : Evaluation and treatment of sagittal imbalance should be considered in patients presenting with cervical pain if symptoms have persisted for over 6 months or have accompanying low back pain.

태권도 선수들의 척추만곡에 관한 연구

강명학(Kang Myung-Hak) 한국체육과학회 2003 한국체육과학회지 Vol.12 No.2

The purpose of this study was to analyze spinal curvation of Taekwondo players. For this study, the Metrecom which is analyze a frame of human body was used. The subjects were 20 high-school Taekwondo players and 20 normal high-school students. The conclusions are as follows: 1. The results of the thoracic vertebrae between the group of Taekwondo players and the group of normal students showed that there was not significant difference. 2. The results of the lumbar vertebra. between the group of Taekwondo players and the group of normal students showed that there was not significant difference. 3. The results of the scoliosis between the group of Taekwondo players and the group of normal students showed that there was significant difference(p<.05). 4. The results of the sacral base angle between the group of Taekwondo players and the group of normal students showed that there was significant difference(p<.05).