[논문]12주간의 3D패브릭 보조기 착용에 따른 청소년 특발성 척추측만증 환자의 Cobb's Angle, Angle of Trunk Rotation (ATR), 신장 변화의 단일사례 연구

Sang-Gil Lee; Eun-Taek Oh; Ji-Eun Kang

doi:10.5103/kjab.2023.33.2.73

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 원문보기

Korean journal of applied biomechanics, v.33 no.2, 2023년, pp.73 - 83

Sang-Gil Lee (K Schroth Center) , Eun-Taek Oh (K Schroth Center) , Ji-Eun Kang (Kang Ji- Eun Pilates)

Abstract ▼ AI-Helper

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.

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표/그림 (17)

그림 Figure 1. (A) Curvature, (B) Cervical kyphosis, Lumbar kyphosis, (C) Rib hump
표 Table 1. Non idiopathic scoliosis
표 Table 2. The Nash and Moe method of determining vertebral rotation clinically (Ng & Bettany-Saltikov, 2017)
표 Table 3. Scoliosis brace examples (Moramarco & Borysov, 2017)
그림 Figure 2. (A) 3C, (B) 4C, (C) 3CL
표 Table 4. Physical Characteristics of subject
그림 Figure 4. Angle of Trunk Rotation (ATR) Measurements
그림 Figure 3. (A) Measurement of Cobb's Angle, (B) Height measurement, (C) Scoliotester
그림 Figure 5. Landmarks and ranges of measurement (A) Width of axilla, (B) Axilla-ASIS length of left side, (C) Axilla-ASIS length of right side, (D) Chest circumference, (E) C7-Trochanterion length, (F) Tape measure, (G) Caliper
그림 Figure 6. The patient's scan has to be scaled, which is a semi-automated process using the ScoliCAD^® Scaler (Weiss et al., 2017).
그림 Figure 7. Design of participant's 3D Fabric Brace
표 Table 5. Details of 3D Fabric Brace's strap
그림 Figure 8. Participant's 3CL Fabric Brace (A) Strap 1: Purple, Left axillar, Right thoracic, Left lumbar (B) Strap 2: Red, Right thoracic, Left Lumbar (C) Strap 3: Blue, right thoracic - Left lumbar from thoracic convex (D) Strap 4: Green, Right pelvis, Left lumbar
그림 Figure 9. 3CL's Pressure points, (B) Polyethylene (PE) (C) Sensor device
표 Table 6. Result of Cobb's angle after wearing 3D Fabric Brace (unit: °)
표 Table 7. Result of angle of trunk rotation after wearing 3D Fabric Brace (unit: °)
표 Table 8. Result of height after wearing 3D Fabric Brace (unit: cm)

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