척추측만증보조기 착용에 따른 만곡각도와 체질량지수의 관계 = Relationship between curvature angle and BMI according to wearing a scoliosis brace

다국어 초록 (Multilingual Abstract)

Purpose : This study aims to check the relationship between the size of curvature in scoliosis patients and the reduction rate of curvature after wearing a brace and the relationships of the size of curvature and correction angle with Body Mass Index (BMI).
Methods : With 30 adolescent girls who had never worn a brace, their Cobb angle and BMI were measured before manufacturing braces, and their corrected Cobb angle was measured after wearing the manufactured scoliosis braces.
Result : The size of the major curvature before wearing the brace and the reduction rate of the curvature after putting it on had a negative correlation in both the major curvature (r=-.465, p<0.01) and the minor curvature (r=-.516, p<0.01). The size of the minor curvature and the reduction rate of the minor curvature before and after putting it on also had a negative correlation (r=-.429, p<0.05). As for the relationship between the size of curvature and BMI, they had a negative correlation in both the major curvature (r=-.141) and the minor curvature (r=-.123), and as for the relationship between the reduction rate of curvature and BMI after wearing the brace, they had a positive correlation in both the major curvature (r=.251) and the minor curvature (r=.136); however, it was not statistically significant (p>0.05).
Conclusion : In conclusion, the larger the size of curvature, the lower the reduction rate of curvature after wearing the brace became. The larger the size of curvature, the lower the BMI became. The higher the BMI, the higher the correction ratio of the brace became. Therefore, it is judged that it is necessary to provide early treatment and manage body composition before scoliosis progresses.

국문 초록 (Abstract)

Purpose : 본 연구의 목적은 측만증 환자의 만곡의 크기와 보조기 착용 후 만곡의 감소율이 서로 관련이 있는지, 그리고 만곡의 크기 및 교정각도가 체질량지수와 어떠한 관계가 있는지 확인하고자 하였다.
Methods : 보조기 착용 경험이 없는 30명의 청소년 여학생을 대상으로 보조기 제작 전 대상자의 Cobb각과 Body Mass Index(BMI)를 측정하였고 척추측만증 보조기 제작하여 착용한 후 교정된 Cobb각을 측정하였다.
Result : 보조기 착용 전 주 만곡 크기와 착용 후 만곡 감소율은 주 만곡(r=-.465, p<0.01) 부만곡(r=-.516, p<0.01) 모두 부적상관관계를 나타냈다. 착용 전 후 부만곡 크기와 부 만곡 감소율 역시 부적상관을 보였다(r=-.429, p<0.05). 만곡의 크기와 BMI의 관계는 주 만곡(r=-.141)과 부만곡(r=-.123) 모두 부적상관관계를, 보조기 착용 후 만곡 감소율과 BMI의 관계는 주 만곡(r=.251)과 부 만곡(r=.136) 모두 정적상관관계를 나타냈지만 통계적으로 유의하지 않았다(p>0.05).
Conclusion: 결론적으로 만곡의 크기가 클수록 보조기 착용 후 만곡 감소율이 떨어지며, 만곡 크기가 클수록 BMI가 낮고 보조기 교정률은 BMI가 높을수록 올라갔다. 따라서 측만증이 진행되기 전 조기치료와 신체조성관리가 필요할 것으로 생각된다.

참고문헌 (Reference)

• 1 임여진, "청소년의 비만도에 따른 건강행태" 한국아동간호학회 23 (23): 1-9, 2017
• 2 서근택, "청소년기형 척추측만증 환자의 체질량지수 및 골밀도" 대한정형외과학회 42 (42): 125-130, 2007
• 3 이강옥, "청소년기 여학생들의 척추측만에 대한 재활운동프로그램이 척추운동기능 및 형태에 미치는 영향" 한국체육학회 44 (44): 527-535, 2005
• 4 이찬희, "척추측만증 학생과 정상 학생의 체격, 체력 및 정신건강 비교" 한국발육발달학회 14 (14): 87-94, 2006
• 5 이소은, "척추측만증 여자 중학생의 Cobb's 각이 신체구성 및 체력에 미치는 영향" 한국체육과학회 25 (25): 1329-1335, 2016
• 6 최승욱, "여자 중학생의 비만지수와 척추측만증의 상관관계" 한국체육과학회 20 (20): 1039-1044, 2011
• 7 박수호, "대학생의 척추측만각 및 체질량지수의 관계" 한국산학기술학회 18 (18): 157-164, 2017
• 8 임용택, "교정체조의 실시에 따른 여중생의 척추측만증 개선에 관한 연구" 한국사회체육학회 20 (20): 1341-1347, 2003
• 9 Cook SD, "Trabecular bone mineral density in idiopathic scoliosis" 7 (7): 168-174, 1987
• 10 Deurenberg-Yap M, "The paradox of low body mass index and high body fat percentage among chinese, malays and indians in singapore" 24 (24): 1011-1017, 2000
• 11 Song JC, "The comparison of correcting effects according to type of thoracolumbosacral brace on idiopathic scoliosis patients in adolescent period" Graduate school of Daegu University 2009
• 12 Park YJ, "Scoliosis and the functional status of the lower extremities in elementary school students in seoul" Graduate school of Hanyang University 2008
• 13 Rogala EJ, "Scoliosis : incidence and natural history. A prospective epidemiological study" 60 (60): 173-176, 1978
• 14 Park WW, "Result of traction thoracolumbosacral orthosis in idiopathic scoliosis" 10 (10): 248-254, 2003
• 15 Revicki DA, "Relationship between body mass indices and measures of body adiposity" 76 (76): 992-994, 1986
• 16 Sapountzi-Krepia DS, "Perceptions of body image, happiness and satisfaction in adolescents wearing a Boston brace for scoliosis treatment" 35 (35): 683-690, 2000
• 17 Cheng JC, "Osteopenia in adolescent idiopathic scoliosis : a histomorphometric study" 26 (26): 19-23, 2001
• 18 Thomas KA, "Lumbar spine and femoral neck bone mineral density in idiopathic scoliosis : a follow-up study" 12 (12): 235-240, 1992
• 19 Deacon P, "Idiopathic scoliosis in three dimensions. a radiographic and morphometric analysis" 66 (66): 509-512, 1984
• 20 Akazawa T, "Health-related quality of life and low back pain of patients surgically treated for scoliosis after 21 years or more of follow-up : comparison among nonidiopathic scoliosis, idiopathic scoliosis, and healthy subjects" 37 (37): 1899-1903, 2012
• 21 HIRA, "Growing youth, spinal health watch"
• 22 Lowe TG, "Etiology of idiopathic scoliosis : current trend in research" 82 (82): 1157-1169, 2000
• 23 Weinstein SL, "Effects of bracing in adolescents with idiopathic scoliosis" 369 (369): 1512-1521, 2013
• 24 Snyder BD, "Does bracing affect bone density in adolescent scoliosis?" 20 (20): 1554-1560, 1995
• 25 Bak JI, "Development of auxiliary rehabilitation device for scoliosis patient using finite element analysis" Graduate school of Kunsan National University 2010
• 26 Bray GA, "Clinical evaluation of the obese patient" 13 (13): 71-92, 1999
• 27 Bulthuis GJ, "Clinical effect of continuous corrective force delivery in the non-operative treatment of idiopathic scoliosis : a prospective cohort study of the triac-brace" 17 (17): 231-239, 2008
• 28 Jiang Y, "Associations between health-related quality of life and demographics and health risks. Results from Rhode Island's 2002 behavioral risk factor survey" 4 (4): 14-23, 2006
• 29 Ardran GM, "Assessment of scoliosis in children : low dose radiographic technique" 53 (53): 146-147, 1980
• 30 Bassani E, "Assessment of neuromuscular activation in individuals with scoliosis using surface electromyography" 12 (12): 13-19, 2008
• 31 Sohn GM, "Analysis of the results of thoracolumbosacral orthosis in idiopathic scoliosis and the factors affecting the results" Graduate school of Gyeongsang National University 2010
• 32 Shaughnessy WJ, "Advances in scoliosis brace treatment for adolescent idiopathic scoliosis" 38 (38): 469-475, 2007
• 33 Weinstein SL, "Adolescent idiopathic scoliosis" 371 (371): 1527-1537, 2008
• 34 Kim YH, "A study on physique, physical fitness, and body composition in spinal scoliotic students and normal stdents for girls' middle school" Graduate school of Mokpo National University 2009
• 35 Lee SM, "A comparison trunk muscle performance and muscle fatigue with young adult scoliosis subjects and without subjects" Graduate school of Kangwon National University 2016
• 36 소위영, "12주간의 탄력저항운동이 비만중년여성의 신체적 자기효능감,우울증 및 건강관련 삶의 질(SF-36)에 미치는 영향" 대한임상건강증진학회 9 (9): 161-167, 2009