4만곡 형태의 특발성 척추옆굽음증 환자의 슈로스 운동효과: 증례보고

Effects of Schroth Exercise on Idiopathic Scoliosis in Patients with 4-Curve Type : Case Report

[PURPOSE] The purpose of this case report was to investigate the effects of the Schroth exercise on Cobb s angle, thoracic and lumbar hump tilt, hip joint internal rotation and external rotation in idiopathic sco-liosis patients with 4-curve type. [METHODS] The subjects included 15-year-old female patients (n = 3) who had diagnosed with idiopathic scoliosis according to radiographic findings in Cobb s angle of 10 degrees or more. They performed the Schroth exercise for 140 minutes per day and 3 times per week, for 12 weeks. [RESULTS] Cobb s angle of thoracic spine was decreased by 17.9% (case 1), 10.0% (case 2) and 17.7% (case 3) after the Schroth exercise compared with before exercise. Cobb s angle of the lumbar spine was also decreased by 22.3% (case 1), 19.2% (case 2) and 24.2% (case 3) after the Schroth exercise respectively. Thoracic hump tilt was changed by 0% (case 1), 27.3% (case 2) and 18.2% (case 3) after Schroth exercise. Lumbar hump tilt was not changed or improved to 66.7% (case 1), 40.0% (case 2) and 33.4% (case 3) after the Schroth exercise respectively. ROM of hip joint internal rota-tion was increased by 7.1% (left of case 1), 5.4% and 29.0% (left and right case 2), and 10.5% and 2.5% (left and right case 3) after the Schroth exercise respectively. ROM of hip joint external rotation was also increased by 5.4% and 5.7% (left and right case 1), 15.0% (left case 2), and 40.7 % and 33.3% (left and right case 3) after the Schroth exercise respectively. [CONCLUSIONS] These results suggest that the Schroth exercise improves Cobb‘s angle, thoracic and lumbar hump tilt and hip joint ROM in idiopathic scoliosis patients with 4-Curve type, but there were large individual differences. Therefore, it is suggestive that the individual dif-ference should be considered for the Schroth exercise in scoliosis patients.