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The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis

KURU T; YELDAN I; DERELI EE; OZDINCLER AR; DIKICI F; COLAK I
CLIN REHABIL , 2016, vol. 30, n° 2, p. 181-190
Doc n°: 178978
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0269215515575745
Descripteurs : CB222 - SCOLIOSE IDIOPATHIQUE

OBJECTIVE: To compare the efficacy of three-dimensional (3D) Schroth exercises in
patients with adolescent idiopathic scoliosis. DESIGN:
A randomised-controlled
study. SETTING: An outpatient exercise-unit and in a home setting. SUBJECTS:
Fifty-one patients with adolescent idiopathic scoliosis. INTERVENTIONS:
Forty-five patients with adolescent idiopathic scoliosis meeting the inclusion
criteria were divided into three groups. Schroth's 3D exercises were applied to
the first group in the clinic and were given as a home program for the second
group; the third group was the control. MAIN MEASURES: Scoliosis angle (Cobb
method), angle of rotation (scoliometer), waist asymmetry (waist - elbow
distance), maximum hump height of the patients and quality of life (QoL) (SRS-23)
were assessed pre-treatment and, at the 6(th), 12(th) and 24(th) weeks. RESULTS:
The Cobb (-2.53 degrees ; P=0.003) and rotation angles (-4.23 degrees ; P=0.000)
significantly decreased, which indicated an improvement in the clinic exercise
group compared to the other groups. The gibbosity (-68.66mm; P=0.000) and waist
asymmetry improved only in the clinic exercise group, whereas the results of the
other groups worsened. QoL did not change significantly in either group.
CONCLUSION: According to the results of this study the Schroth exercise program
applied in the clinic under physiotherapist supervision was superior to the home
exercise and control groups; additionally, we observed that scoliosis progressed
in the control group, which received no treatment.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS

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