Immediate Effects of a Postural Correction Garment Designed for Postural Kyphosis on Adolescents With Thoracic Hyperkyphosis: A Pilot Study
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The purpose of this study was to investigate the changes in the flexicurve kyphosis index (KI), the flexicurve lordosis index (LI) and the distance from the inferior angle of the scapula to the nearest vertebral spinous process (DS), as a dependent variable of scapular protraction, after applying of adolescents with thoracic hyperkyphosis using three different garments. A repeated measures design was used. Ten adolescents (15.8±1.0 years) with thoracic hyperkyphosis (40.1±3.7 Cobb angle) were recruited from a university hospital. A flexicurve ruler was used to measure KI and LI and a scoliometer was used to measure DS under three different conditions: wearing-a hospital garment (HG), wearing-a sham garment (SG), and wearing-an experimental garment (EG). KI under EG condition was significantly decreased compared with that wearing the HG. However, there was no significant difference between wearing the SG and HG. LI when wearing the EG was significantly increased compared with that when wearing HG. However, there was no significant difference under SG and HG conditions. DS when wearing the EG was significantly decreased compared with wearing HG. However, there was no significant difference between the SG and HG. The results of this study show that the EG was effective in decreasing KI, but not effective in decreasing LI. Hence, the effect of the EG for correcting sagittal spine angle in adolescents with thoracic hyperkyphosis is still debatable. However, since we showed that DS decreases in the EG, this method could be applied in correcting the scapular protraction.
Abstract
The purpose of this study was to investigate the changes in the flexicurve kyphosis index (KI), the flexicurve lordosis index (LI) and the distance from the inferior angle of the scapula to the nearest vertebral spinous process (DS), as a dependent variable of scapular protraction, after applying of adolescents with thoracic hyperkyphosis using three different garments. A repeated measures design was used. Ten adolescents (15.8±1.0 years) with thoracic hyperkyphosis (40.1±3.7 Cobb angle) were recruited from a university hospital. A flexicurve ruler was used to measure KI and LI and a scoliometer was used to measure DS under three different conditions: wearing-a hospital garment (HG), wearing-a sham garment (SG), and wearing-an experimental garment (EG). KI under EG condition was significantly decreased compared with that wearing the HG. However, there was no significant difference between wearing the SG and HG. LI when wearing the EG was significantly increased compared with that when wearing HG. However, there was no significant difference under SG and HG conditions. DS when wearing the EG was significantly decreased compared with wearing HG. However, there was no significant difference between the SG and HG. The results of this study show that the EG was effective in decreasing KI, but not effective in decreasing LI. Hence, the effect of the EG for correcting sagittal spine angle in adolescents with thoracic hyperkyphosis is still debatable. However, since we showed that DS decreases in the EG, this method could be applied in correcting the scapular protraction.
참고문헌 (31)
- Balzini L, "Clinical characteristics of flexed posture in elderly women", J Am Geriatr Soc, 51(10), pp.1419~1426 (2003)
- Blouin JS, "Self-initiating a seated perturbation modifies the neck postural responses in humans", Neurosci Lett, 347(1), pp.1~4 (2003)
- Burkhart SS, "The disabled throwing shoulder: Spectrum of pathology Part III: The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation", Arthroscopy, 19(6), pp.641~661 (2003)
- Coillard C, "SpineCor-a non-rigid brace for the treatment of idiopathic scoliosis: Post-treatment results", Eur Spine J, 12(2), pp.141~148 (2003)
- Curtis T, "The lateral scapular slide test: A reliability study of males with and without shoulder pathology", N Am J Sports Phys Ther, 1(3), pp.140~146 (2006)
- De Smet A, "Spinal compression fractures in osteoporotic women: Patterns and relationship to hyperkyphosis", Radiology, 166, pp.497~500 (1998)
- Ensrud KE, "Correlates of kyphosis in older women", J Am Geriatr Soc, 45(6), pp.682~687 (1997)
- Fon GT, "Thoracic kyphosis: Range in normal subjects", Am J Roentgenol, 134(5), pp.979~983 (1980)
- Greendale GA, "Yoga decreases in senior women and men with adult-onset hyperkyphosis: Results of a randomized controlled trial", J Am Geriatr Soc, 57(9), pp.1569~1579 (2009)
- Greendale GA, "The reliability and validity of three non-radiological measures of thoracic kyphosis and their relations to the standing radiological Cobb angle", Osteoporos Int, 22(6), pp.1897~1905 (2011)
- Harrison DE, "Reliability of centroid, cobb and harrison posterior tangent methods: Which to choose for analysis of thoracic kyphosis", Spine (Phila Pa 1976), 26(11), pp.227~234 (2001)
- Hinman MR, "Comparison of thoracic kyphosis and postural stiffness in younger and older women", Spine J, 4(4), pp.413~417 (2004)
- Jiang J, "The influence of elastic orthotic belt on sagittal profile in adolescent idiopathic thoracic scoliosis: A comparative radiographic study with Milwaukee brace", BMC Musculoskelet Disord, 11, pp.219~ (2010)
- Kado DM, "The rehabilitation of hyperkyphotic posture in the elderly", Eur J Phys Rehabil Med, 45(4), pp.583~593 (2009)
- Kado DM, "Vertebral fractures and mortality in older women: A prospective study. study of osteoporotic fractures research group", Arch Intern Med, 159(11), pp.1215~1220 (1999)
- Kado DM, "Hyperkyphotic posture and poor physical functional ability in older community-dwelling men and women: The Rancho Bernardo study", J Gerontol A Biol Sci Med Sci, 60(5), pp.633~637 (2005)
- Kado DM, "Hyperkyphosis predicts mortailty independent of vertebral osteoporosis in older women", Ann Intern Med, 150(10), pp.681~687 (2009)
- Katz DE, "A comparison between the Boston brace and the Charleston bending brace in adolescent idiopathic scoliosis", Spine, 22, pp.1302~1312 (1997)
- Katzman WB, "Age-related hyperkyphosis: Its causes, consequences, and management", Orthop Sports Phys Ther, 40(6), pp.352~360 (2010)
- Kibler WB, "The role of the scapula in athletic function", Am J Sports Med, 26(2), pp.325~337 (1998)
- Labelle H, "Three-dimensional effect of the Boston brace on the thoracic spine and rib cage", Spine, 21(1), pp.59~64 (1996)
- Lonstein JE, "The Milwaukee brace for the treatment of adolescent idiopathic scoliosis: A review of one thousand and twenty patients", J Bone Joint Surg Am, 76(8), pp.1207~1221 (1994)
- Lou E, "Smart garment to help children improve posture", Conf Proc IEEE Eng Med Biol Soc, 1, pp.5374~5377 (2006)
- Miyakoshi N, "Impact of postural deformities and spinal mobility on quality of life in postmenopausal osteoporosis", Osteoporos Int, 14(12), pp.1007~1012 (2003)
- Pfeifer M, "Effects of a new spinal orthosis on posture, trunk strength, and quality of life in women with postmenopausal osteoporosis: A randomized trial", Am J Phys Med Rehabil, 83(3), pp.177~186 (2004)
- Priftis KN, "Effects of bracing on lung function in idiopathic juvenile kyphosis", Pediatr Pulmonol, 35(2), pp.83~86 (2003)
- Puche RC, "The natural history of kyphosis in postmenopausal women", Bone, 17(3), pp.239~246 (1995)
- Sinaki M, "Stronger back muscles reduce the incidence of vertebral fractures: A prospective 10-year follow-up of postmenopausal women", Bone, 30(6), pp.836~841 (2002)
- Thomas SJ, "Internal rotation deficits affect scapular positioning in baseball players", Clin Orthop Relat Res, 468(6), pp.1551~1557 (2010)
- Vogt L, "Postural correction by osteoporosis orthosis (Osteo-med): A randomized, placebo-controlled trial", Prosthet Orthot Int, 32(1), pp.103~110 (2008)
- Zdero R, "Biomechanical measurements of torsion-tension coupling in human cadaveric femurs", J Biomech Eng, 133(1) (2011)