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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(6):941-945.
The Investigation of the Pain after the Orthotic Treatment in Adolescent Idiopathic Scoliosis.
Kim, Ki hyun , Moon, Jae Ho , Kim, Yoon Jin , Lim, Sang Hee
1Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. intrus@hanmail.net
2Yonsei Rehabilitation Medical Clinic, Korea.
청소년기의 특발성 척추 측만증에서 보조기 착용 후 발생한 통증의 고찰
김기현, 문재호, 김윤진1, 임상희
연세대학교 의과대학 재활의학교실 및 1연세재활의학과의원
Abstract
Objective
The purpose of this study was to investigate the pain after the orthotic management in adolescent idiopathic scoliosis patients.


Method
We retrospectively reviewed the medical records and radiographs of all patients with idiopathic scoliosis seen in our institution from March, 1997 to February, 2002. Inclusion criteria in this study included a diagnosis of adolescent idopathic scoliosis, with no history of back pain before brace prescription, with Cobb's angle 15-degree or more. All subjects were educated to do scoliosis correction exercise, educated for correct posture, and to wear the orthosis over 22 hours per day, even during sleeping.


Results
Forty-nine subjects were reviewed, treated with the orthosis. We found that pain regions occurring after institution of modified Boston orthosis were chest wall (contacting with pad), lower back, neck and pelvis orderly. We also found that aggravation of Cobb's angle in patients with pain more than without pain, but any disease was not found in the former.


Conclusion
There were no serious conditions with the patients who had the pain after institution of the modified Boston orthosis, but the pain was often associated with curve progression in adolescent idiopathic scoliosis patients. (J Korean Acad Rehab Med 2003; 27: 941-945)

Key Words: Idiopathic scoliosis, Pain, Modified Boston orthosis, Cobb's angle


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