척추 측만증의 보존적 치료에 관한 최신 지견 - PubMed 검색을 위주로 2008년 이후 -
Current Trends in Research on Conservative Treatment of Scoliosis
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목적 : 측만증은 척추가 휘는 병이다. 주로 소아기때부터 발견되며 최근에는 더욱 증가하는 추세이다. 측만증의 원인은 다양하다. 그러나 대개의 경우 특발성으로 생각된다. 치료는 보존적 치료와 수술적 치료로 나뉠수 있는데, 조기발견시 보존적 치료가 권장된다. 따라서 보존적 치료의 효과 등 최신 경향에 대해 알아보고자 한다. 방법 : PubMed를 검색하여 조건에 맞는 47편의 논문을 찾았다. 결과 : 측만증의 보존적 요법에 관한 연구는 활발하였다. 수술적요법 이전에 보존적 요법을 시행하며 이에 대한 가이드라인을 정하며, 보존적 요법의 효과 및 정신적영향 등 다각도의 연구가 진행되고 있었다. 보존적 요법의 종류에 관한 연구도 있었다. 보조기의 효과 및 사례발표, 새로운 보조기의 소개 등 보조기에 관한 연구도 활발히 진행되고 있었다. 결론 : 보존적 요법은 측만증 환자에게 있어 수술적 요법 이전에 선택할 수 있는 매우 효과적인 치료법이다.
Abstract
Objectives Scoliosis is that spine's arrangement was changed to be curved. Mostly scoliosis was found at childhood and recently rate of scoliosis is increasing. Causes of scoliosis were very various, but the patients are due to idiopathic reasons. Scoliosis was treated by conservative treatment or surgery treatment. If scoliosis is diagnosed early enough,it can be treated with conservative treatment. Methods We are searching PubMed by keywords and found 47 theses complied with requirements. Results Studies of conservative treatment of Scoliosis were active. Conservative treatments are considered before surgery treatment and there was a set guideline of conservative treatment. Also, there were several studies about effectiveness of conservative treatment and quality of life, mental stress. Studies about various kinds of conservative treatment were found as well. There were brief studies about introduction of new brace, effectiveness of several braces, and case studies. Conclusions Conservative treatment is very effective choice before surgery treatment at Scoliosis patient.
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