남녀 대학생의 척추만곡에 관한 연구

Abstract

This study examined the rates of spinal abnormal curvature and the correlation of theBody Mass Index (BMD, Low Back Pain (LBP) and spinal curvature by measuringscoliosis, kyphosis, and lordosis in university students. The study population included 67male, 92 female university students, making a total of 159, in Wonju City. Spinalcurvature was measured by an electrogoniometer in a computerized skeletal analysissystem. Lateral curvature of spine of more than 10 degrees was considered asnonspostural scoliosis. The correlation of BMI, LBP and the spina1 curvature wasanalysed by Pearson' s correlation coefficient and t-test. The following results wereobtained: l. The overall incidence and rate of scoliosis in cases with a greater than 10degree curve in males was an incidence of 8 and a rate of 11%. In females the incidencewas 36 and the rate 39.2%. 2. The overall incidence and rate of kyphosis of less than 20degrees in males was a rate of 9 and an incidence of 11.9%. In females, the rate was 5and the incidence 5.4%. In kyphosis cases of more than 40 degrees, the male rate was 5and the incidence 7.7%. For female the rate was 13 and the incidence 14.2%. 3. Theoverall incidence and rate of lordosis with curves of less than 20 degrees was a rate of6 for males and an incidence of 9.0%. For females, the rate was 5 and the incidence 5.4%. In cases of more than 50 degrees lordosis, the female rate was 2 and the incidence2.2%. There were no males in this category. 4. There was a negative correlationbetween kyphosis and BMI. The greater the kyphotic curve, the less the BMI in males(p<0.05). There was no significant BMI difference by gender in either scoliosis orlordosis. There was, however, a significantly decreased sacral angle in the female groupwith LBP. The results of this study cannot be generalized to the general populationbecause the subjects were all from one university. The measurements were quite reliablebecause the angles determined by the Metrocom System were highly correlated withradiologic findings. This study shows the need for a regular screening system for spinalcurvatures in university health examination procedures.