Annals of Rehabilitation Medicine

Korean Academy of Rehabilitation Medicine (대한재활의학회)
권호 표지

The Investigation of Spinal Deformity in Korean Elementary School Students

한국 초등학생의 척추 변형 실태

Lee, Eui-Jin;Kang, Yeoun-Seung;Kim, Ki-Hyun;Kim, Han-Seung;Moo, Jae-Ho
이의진;강연승;김기현;김한승;문재호

  • Published : 20040200
⟨ Previous Next ⟩

Abstract

Objective: The aim of this study was to investigate the prevalence of spinal deformities such as scoliosis, thoracic kyphosis and lumbar lordosis in Korean elementary school students. Method: Five hundred forty Korean elementary school students were preliminary screened for spinal deformities by physical examinations and the three dimensional skeletal analysis system. The study time and pain regions were investigated in sitting on chairs that commonly used in Korean elementary school. Results: The prevalence of scoliosis, thoracic kyphosis and lumbar lordosis were 9.8%, 18.7% and 23.1%. There was a significant difference in study time between spinal deformity group and control group (p＜0.01). In spinal deformity group, pain regions were low back (45%), posterior neck (23%), buttock (21%) and shoulder and elbow joints (11%). Conclusion: The spinal deformities showed high prevalence in elementary school students assessed by the three dimensional skeletal system analyser. The long term follow-up evaluation and confirmative radiographic study will be necessary to assess curve progression in spinal deformity group.

Keywords

References

  1. 김복용, 박정한, 김풍택: 부산 시내 남자 초중고등학생의 척추측만증 유병률 측정을 위한 단면 조사. 예방의학회지 1988;21: 217-223.
  2. 문재호, 강민정, 강종권, 강성웅, 김건흠: 한국 여고생의 척추 변형에 대한 조사. 대한재활의학회지 1995; 19: 846-852.
  3. 문재호, 강성웅, 이지선, 강민정, 강종권, 서혜정, 김건흠: 한국 남녀 청소년의 척추변형에 대한 조사. 대한재활의학회지 1996; 20: 921-928.
  4. 문재호, 이지선, 강민정, 강성웅, 김현정: 청소년 척추 측만증의 포괄적 재활치료에 대한 고찰. 대한재활의학회지 1996; 20:424-432.
  5. 서승우, 이석현, 허창룡, 유재철, 강창석, 왕준호: 한국 중학생에서의 척추 측만증 유병률. 대한정형외과학회지 2001; 36:33-37.
  6. 석세일, 조형오, 최인호, 임웅생: 한국인에서의 척추 측만증 발생 빈도에 관한 연구. 대한정형외과학회지 1977; 12: 693-698.
  7. 조정현, 최장석, 조현오, 이여구, 석세일: 한국 중 고등학생에서의 척추측만증 발생 빈도에 관한 연구 및 비교. 대한정형외과학회지 1984; 19: 431-435.
  8. Brooks HL, Azone SP, Gerberg E, Brooks R, Crian L: A prospective epidemiological study. J Bone Joint Surg 1975;57A: 968-976.
  9. Farfan HF, Huberdeau RM, Dubow HI: Lumbar intervertebral disc degeneration. J Bone Joint Surg 1972; 54A: 492-509.
  10. Juskeliene V, Magnus P, Bakketeig LS, Dailidiene N, Jurkuvenas V: Prevalence and risk factors for asymmetric posture in preschool children aged 6-7 years. Int J Epidemiol 1996; 25: 1053-1059. https://doi.org/10.1093/ije/25.5.1053
  11. Kane WJ, Moe JH: A scoliosis-prevalence survey in Minesota. Clin Orthop 1970; 69: 216-218.
  12. Lonstein JE, Bjorkland S, Wanninger MH: Voluntary school screening for scoliosis in Minnesota. J Bone Joint Surg 1982; 64A: 481-488.
  13. Mehta MH, Murray RO: Scoliosis provoked by painful vertebral lesions. Skel Radiol 1977; 1: 223-230. https://doi.org/10.1007/BF00365788
  14. Nilsonne U, Lundgren KD: Long-term prognosis in idiopathic scoliosis. Acta Orthop Scand 1968; 39: 466-476. https://doi.org/10.3109/17453676808989664
  15. Nissinen M, Heliovaara M, Ylikoski M, Poussa M: Trunk asymmetry and screening for scoliosis: a longitudinal cohort study of pubertal school children. Acta Paediatr 1993; 82: 77-82.
  16. Ramirez N, Johnston CE, Browne RH: The prevalence of back pain in children who have idiopathic scoliosis. J Bone Joint Surg 1997; 79A: 364-368.
  17. Roach JW: Adolescent idiopathic scoliosis. Orthop Clin North Am 1999; 30: 353-365. https://doi.org/10.1016/S0030-5898(05)70092-4
  18. Roaf R: Vertebral growth and its mechanical control. J Bone Joint Surg 1960; 42B: 40-59.
  19. Robert F, Daniel EF: Evaluation of lumbar lordosis-A prospective and retrospective study. Spine 1985; 10: 799-803 https://doi.org/10.1097/00007632-198511000-00003
  20. Rocher YR, Perez-Casas A: Anatomia functional del aparaton locomotor de la inervacion periferica, Madrid, ca sa editorial Bailly-Bailliere, 1965.
  21. Schultz AB, Galante JO: A mathematical model for the study of the mechanics of the human vertebral column. J Biomech 1972; 3: 405-416. https://doi.org/10.1016/0021-9290(70)90013-8
  22. Segil CM: The incidence of idiopathic scoliosis in the Bantu and white population groups in Johannesburg. J Bone Joint Surg 1974; 56B: 393.
  23. Shands AR, Eisberg HB: The incidence of scoliosis in the state of Delaware. J Bone Joint Surg 1962; 37A: 1243-1249.
  24. Torell G, Nordwal A: The change pattern of scoliosis treatment due to effective screeninng. J Bone Joint Surg 1981; 63A: 337-341.
  25. Weinstein SL: Idiopathic scoliosis: natural history. Spine 1986; 11: 780-783. https://doi.org/10.1097/00007632-198610000-00006
  26. William PB, Wilmington D: An objective criterion for scoliosis screening. J Bone Joint Surg 1984; 66A: 1381-1387.
  27. Worthington V, Shambaugh DC: Nutrition as an environmental factor in the etiology of idiopathic scoliosis. J Manipulative Physiol Ther 1993; 16: 169-173.