| 제목 |
The changes of spinal angle at the sitting system in non-ambulatory cerebral palsy patients |
| 소속 |
The Catholic University of Korea Daejeon St. Mary`s Hospital , Department of Rehabilitation Medicine1 |
| 저자 |
Sangjee Lee1*†, Sook Joung Lee1, Eunseok Chio1, Ho Young Jeong1 |
This study is intended to observe the change of spinal angle at the sitting system (modular or molding) immediately after sitting at the newly prescribed sitting system of non-ambulatory cerebral palsy patients.
There are few if any report for checking up a sitting system of neuromuscular scoliosis. Because it is very hard to get a reliable parameter or take an x-ray film of patients with the sitting system. We took an x-ray during pre-check up of the sitting system before finishing up the sitting module at the out patient clinic.
32 cases (19.3 ± 10.2 years) were enrolled for retrospective x-ray review during the 3- year-old period at one university hospital. Baseline whole spine AP & lateral view was a mandatory process of prescribing a sitting system for pre-approval of the Korean national health insurance system. And follow up whole body spine ap & lateral were taken for a check-up of the sitting system at the out-patient clinic. We compared the cobb’s angles of major scoliosis curve and kyphosis angle at the supine position and at the sitting system view. Sitting system x-ray was taken at a 15-20 tilted comfortable sitting angle.
Mean cobb’s angle of baseline supine view was 38.4 ± 31.8 degrees and the mean kyphosis angle was 37.7 ± 17.6 degrees. The scoliosis angle after sitting showed a linear correlation (correlation coefficient 0.91), and the Kyphosis angle after sitting showed a linear correlation, also (correlation coefficient 0.77). This means the overall tendency to decrement of cobb’s angle at the prescribed sitting system, especially at the sagittal plane (kyphosis angle). We compared the correlation coefficient with a large angle of the curve more than 40 degrees and less than 40 degrees of kyphosis and scoliosis, but there was no significant difference between supine and sitting view correlation efficiency.
This study is a limited number of observations comparing sitting and supine views. Anyway, this result signified that overall even decrement tendency of scoliosis and kyphosis angle immediately after sitting at the prescribed sitting system. But Further study of a large number of cases is needed
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