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There has been much effort in recent years to better understand the causes of idiopathic scoliosis (IS). Some studies suggested muscle imbalance as a cause of scoliosis based on asymmetric muscular activation. Surface electromyography can evaluate asymmetrical muscular weakness. Therefore, the peak amplitude values can be used to compare the side to side differences in paraspinal muscles. From these findings the investigators improve the exercise method of IS according to muscle weakness and curve pattern.
Design: Prospective study Setting: hospital rehabilitation department the investigators will check the muscular activation at bilateral paraspinal muscles with surface electromyography and curve type with simple radiography.
Intervention: After that the investigators educate asymmetrical stabilization exercise according to muscle weakness and curve pattern.
Main outcome measures: Cobb angle
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| asymmetrical stabilization exercise group | Experimental | 'asymmetrical stabilization exercise' patient learn asymmetrical stabilization exercise according to the asymmetrical paraspinal muscles weakness and curve type |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| asymmetrical stabilization exercise | Behavioral | Exercise is combined to form an appropriate combination of motion (Side-lying, Bird-dog, Prone arm lift, Prone leg lift) according to the curve pattern and muscle weakness of each patient's. |
| Measure | Description | Time Frame |
|---|---|---|
| Cobb angle | the angle of curvature be measured by drawing lines parallel to the upper border of the upper vertebral body and the lower border of the lowest vertebra of the structural curve on plain radiography | through study completion, an average of 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Scoliosis Research Society-22(SRS-22) | questionnaire for evaluating quality of life in patients with idiopathic scoliosis | through study completion, an average of 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Bundang Hospital | Seongnam-si | Kyungji-do | 13620 | South Korea |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D013121 | Spinal Curvatures |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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Annual evaluation after educating asymmetrical stabilization exercise. Cohort study.
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