닫힌사슬운동 기반의 3차원 척추 교정 운동이 척추옆굽음증 환자의 콥스 각도, 자세 정렬 및 삶의 질에 미치는 영향

Abstract

Purpose : To investigate the effects of a combined treatment of spinal curvature support, closed kinetic chain exercise (CKC), and 3D spinal correction exercises on Cobb angle, postural alignment, and scoliosis research society-22r (SRS-22r) scores in patients with scoliosis. Methods : Twenty-four patients with scoliosis, aged between 10 and 40 years, participated in the study. After screening, participants were randomly assigned to the experimental group (n= 12) or the control group (n= 12) using Microsoft Excel. Participants in both groups underwent applied 3D spinal correction exercises, combined with CKC in the experimental group, and open kinetic chain exercise (OCK) in the control group. Both interventions consisted of two 40-minute sessions per week for 10 weeks, including 10 minutes of static stretching before and after the intervention. To compare the effect of the CKC intervention in the spinal curvature support state, Cobb angle, postural alignment, and SRS-22r were measured. Results : Both groups showed significant improvements in Cobb angle, pelvic angle, and SRS-22r before and after the intervention (p<.05), with additional improvements in shoulder angle observed only in the experimental group (p<.05). The experimental group demonstrated significantly greater improvements than the control group in Cobb angle, shoulder angle, and pelvic angle (p<.05). However, no significant between-group difference was observed in SRS-22r score improvements (p>.05). Conclusion : The results of this study suggest that, although both treatments spinal curvature support and 3D spinal correction exercises combined with either closed or open kinetic chain exercises were effective for patients with scoliosis, the combination including CKC may be more effective in improving Cobb angle and postural alignment. Therefore, this approach may serve as an effective treatment protocol for rehabilitating patients with scoliosis.