Review on Conservative Treatment of Spinal Scoliosis Moon-kyu Lee, O.M.D., Gil-jae Lee, O.M.D., Yun-kyung Song, O.M.D., Hyung-ho Lim, O.M.D. Dept. of Oriental Rehabilitation Medicine College of Oriental Medicine, Kyungwon University Objective : The purpose of this study is to research the trend of the theses related to conservative treatment of spinal scoliosis and to establish the direction of futher studies into the spinal scoliosis Methods : We reviewed and analyzed all theses published by Korean research institution. And these theses were classified by field of study, theses type, symptoms and illnesses, evaluation methods, treatment type, clinical outcome. Result and conclusion : 1. Classified by the major field of study, oriental rehabilitation medicine and physical education accounted for 9 papers, followed by 6 in orthopedics medicine. 2. Upon classifying theses according to research method type, clinical trial theses were more than casuistic theses. 3. Upon classifying theses according to symptoms and illnesses in scoliosis, the most was idiopathic scoliosis. 4. Theses used mostly Cobb s angle for evaluating in scoliosis. 5. Some few of theses used chuna therapy for treating in scoliosis. 6. Chuna therapies side by side with correction exercises were the most efficient for treating in scoliosis. Keywords : Spinal Scoliosis, Conservative Treatment 103
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Table. The Number of Annually Published Theses by Relevant Study Fields Field Major Field No.(%) Acupuncture and moxibustion 5(13.5%) Oriental Medicine Oriental rehabilitation medicine 9(24.3%) Oriental pediatric medicine 1(2.7%) Medicine Orthopedics medicine 6(16.3%) Rehabilitation medicine 2(5.4%) Juvenile education 1(2.7%) The Others Physical education 9(24.3%) Physical therapy education 4(10.8%) Total 37(100%) No. : Number of theses Table. The Number of Theses by Research Methods in Relevant Study Fields Research Methods Patients Number Oriental Medicine Medicine The Others No.(%) - 24 2(5.4%) 1(2.7%) 7(18.9%) 10(27%) Clinical Trial 25-49 4(10.8%) 2(5.4%) 4(10.8%) 10(27%) 50-0(0%) 3(8.1%) 2(5.4%) 5(13.5%) one case 5(13.5%) 0(0%) 0(0%) 5(13.5%) Casuistic two cases 0(0%) 1(2.7%) 0(0%) 1(2.7%) three cases 4(10.8%) 1(2.7%) 1(2.7%) 6(16.3%) No.(%) 15(40.5%) 8(21.6%) 14(37.8%) 37(100%) 107
Table. The Number of Theses by Symptoms and Illnesses in Scoliosis Type Classification Symptoms and Illnesses No.(%) Structural Scoliosis Idiopathic 30(81.1%) Neurofibromatosis 1(2.7%) singleness Congenital 1(2.7%) Extraspinal contractures 1(2.7%) Nonstructural Scoliosis Nerve root irritation 1(2.7%) Leg length inequality 2(5.4%) compositeness 1(2.7%) Total 37(100%) Table. The Number of Evaluation Methods for Scoliosis Evaluation Method No.(%) Cobb s angle 36(61.1%) Adams forward bending test 7(11.8%) Nash-Moe 7(11.8%) Risser sign 5(8.5%) Moire 3(5.1%) MRI 1(1.7%) Total 59(100%) 108
Table. The Number of Treatment Methods for Scoliosis Treatment Specific Treatment No.(%) CTLSO (Milwaukee) 2(4.2%) Brace TLSO (Boston) 3(6.2%) SpineCor system 1(2.1%) Traction Traction 1(2.1%) Traction TLSO 1(2.1%) Exercises Correction exercises 13(27.1%) Oriental Medicine Chuna treatment 17(35.4%) Acupuncture treatment 8(16.6%) The Others Biomechanical foot orthosis 2(4.2%) Total 48(100%) Table. Comparision of Clinical Outcome Between Treatment Method in Clinical Trial Theses which operated more than 25 patients No. Treatment Method Cobb s Angle Correctability(%) 1 Chuna treatment + Correction exercises 63.9% 2 Traction TLSO 54.2% 3 Correction exercises ( ) 49.5% 4 Correction exercises ( ) 44.1% 5 Chuna treatment + Acupuncture treatment 37.4% 6 Chuna treatment ( ) 40.1% 7 Chuna treatment ( ) 31.5% 8 Chuna treatment ( ) 26.3% 9 Biomechanical foot orthosis 26.1% 10 Traction 23.1% 11 CTLSO (Milwaukee) ( ) 15.8% 12 CTLSO (Milwaukee) ( ) 14.6% 13 1TLSO (Boston) 8.7% 109
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