Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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The Effect of 3-Dimensional Posture Correction Exercise Program Incorporating PNF Respiratory Muscle Strengthening Exercise on the Spinal Alignment and the Trunk Expansion in Patients with Idiopathic Scoliosis

  • Yoon, Sungyoung (Department of Physical Therapy, Dongju College) ;
  • Seok, Him (Department of Physical Therapy, Kyungsung University Graduate School Busan) ;
  • Heo, Jaeseok (Department of Physical Therapy, Kyungsung University Graduate School Busan) ;
  • Lee, Sangyeol (Department of Physical Therapy, Kyungsung University)
  • Received : 2021.10.27
  • Accepted : 2021.12.08
  • Published : 2021.12.31
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Abstract

Objective: The purpose of this study was to investigate the effect of 3-dimensional posture correction(3DPC) exercise program incorporating PNF respiratory muscle strengthening(RMS) exercise on spinal alignment and trunk expansion in patients with idiopathic scoliosis and the difference in intervention effect by type of idiopathic scoliosis. Design: Comparative study using paired t-test and analysis of variance measures. Methods: The subjects of this study were 5 men and 24 women diagnosed with idiopathic scoliosis with a Cobb angle greater than 10 degrees and less than 45 degrees. A 3DPC exercise program incorporating PNF RMS exercise was conducted twice a week for 1 hour per session for 6 weeks, and Cobb angle, Angle of trunk rotation, and trunk expansion were measured before and after the intervention. Results: After the intervention, Cobb angle and trunk rotation angle showed a statistically significant decrease, and trunk expansion showed a statistically significant increase. In the effect difference by type, there was a statistically significant difference in the angle of trunk rotation of the thoracic in 3C and Single Lumbar. Conclusions: In conclusion, it is thought that a 3DPC exercise program incorporating PNF RMS exercise can be effectively used in clinical practice to improve spinal alignment and trunk expansion in patients with idiopathic scoliosis.

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References

  1. Weinstein SL, Dolan LA, Cheng JC, Danielsson A, Morcuende JA. Adolescent idiopathic scoliosis. The lancet. 2008;371:1527-37. https://doi.org/10.1016/S0140-6736(08)60658-3
  2. Negrini S, Hresko TM, O'brien JP, Price N, Committee SN-O. Recommendations for research studies on treatment of idiopathic scoliosis: Consensus 2014 between SOSORT and SRS non-operative management committee. Scoliosis. 2015;10:8. https://doi.org/10.1186/s13013-014-0025-4
  3. Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018;13:3. https://doi.org/10.1186/s13013-017-0145-8
  4. Trobisch P, Suess O, Schwab F. Idiopathic scoliosis. Dtsch. Arztebl. int. 2010;107:875.
  5. Lee J-H, Kim S-Y. Comparative effectiveness of Schroth therapeutic exercise versus sling therapeutic exercise in flexibility, balance, spine angle and chest expansion in patient with scoliosis. Korean Soc phys med. 2014;9:11-23. https://doi.org/10.13066/kspm.2014.9.1.11
  6. Marti CL, Glassman SD, Knott PT, Carreon LY, Hresko MT. Scoliosis Research Society members attitudes towards physical therapy and physiotherapeutic scoliosis specific exercises for adolescent idiopathic scoliosis. Scoliosis. 2015;10:1-7. https://doi.org/10.1186/s13013-014-0026-3
  7. Bettany-Saltikov J, Cook T, Rigo M, De Mauroy J, Romano M, Negrini S, et al. Physical therapy for adolescents with idiopathic scoliosis: IntechOpen; 2012.
  8. Dubousset J, Importance of the three-dimensional concept in the treatment of scoliotic deformities. International Symposium on 3D Scoliotic deformities joined with the VIIth International Symposium on Spinal Deformity and Surface Topography; 1992.
  9. Lehnert-Schroth C. Introduction to the three-dimensional scoliosis treatment according to Schroth. Physiotherapy. 1992;78:810-5. https://doi.org/10.1016/s0031-9406(10)60451-8
  10. Negrini S, Atanasio S, Zaina F, Romano M. Rehabilitation of adolescent idiopathic scoliosis: results of exercises and bracing from a series of clinical studies: Europa Medicophysica-SIMFER 2007 Award Winner. 2008.
  11. Otman S, Kose N, Yakut Y. The efficacy of Schroth's 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey. Neurosci. J. 2005;10:277-83.
  12. Kofotolis N, Vrabas I, Vamvakoudis E, Papanikolaou A, Mandroukas K. Proprioceptive neuromuscular facilitation training induced alterations in muscle fibre type and cross sectional area. Br. J. Sports Med. 2005;39:e11-e. https://doi.org/10.1136/bjsm.2004.010124
  13. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide: Springer; 2007.
  14. Na E-J, Shin S-S. The Effects of PNF on Active Lumbar Flexion ROM and Activity of Daily Living for Adult Scoliosis with Low Back Pain. PNF and Movement. 2012;10:33-40.
  15. Stepien A, Fabian K, Graff K, Podgurniak M, Wit A. An immediate effect of PNF specific mobilization on the angle of trunk rotation and the Trunk-Pelvis-Hip Angle range of motion in adolescent girls with double idiopathic scoliosis-a pilot study. Scoliosis Spinal Disord. 2017;12:1-10. https://doi.org/10.1186/s13013-016-0108-5
  16. Cobb J. Outline for the study of scoliosis. Instr Course Lect AAOS. 1948;5:261-75.
  17. Rigo MD, Villagrasa M, Gallo D. A specific scoliosis classification correlating with brace treatment: description and reliability. Scoliosis. 2010;5:1. https://doi.org/10.1186/1748-7161-5-1
  18. Tanure MC, Pinheiro AP, Oliveira AS. Reliability assessment of Cobb angle measurements using manual and digital methods. Spine J. 2010;10:769-74. https://doi.org/10.1016/j.spinee.2010.02.020
  19. Maizlin ZV, Vos PM. How to measure scapholunate and Cobb's angles on MRI and CT. J. Digit. Imaging. 2012;25:558-61. https://doi.org/10.1007/s10278-011-9438-2
  20. Bunnell WP. Outcome of spinal screening. Spine. 1993;18:1572-80. https://doi.org/10.1097/00007632-199309000-00001
  21. Bonagamba GH, Coelho DM, Oliveira ASd. Inter and intra-rater reliability of the scoliometer. Braz. J. Phys. Ther. 2010;14:432-8. https://doi.org/10.1590/S1413-35552010005000025
  22. Bunnell WP. An objective criterion for scoliosis screening. J. Bone Jt. SurgAm. vol. 1984;66:1381-7. https://doi.org/10.2106/00004623-198466090-00010
  23. Shim J-H, Oh D-W, Lee G-W. The effects of thoracic flexibility exercise on vital capacity and chest expansion in patients with idiopathic scoliosis. Phys. Ther. Korea. 2002;9:145-56.
  24. Kim J. Comparison of effects of ball.sling exercise and Schroth treatments in adolescents with idiopathic scoliosis. The Graduate School of Sports Science. Dankook University: Master's thesis; 2010.
  25. Rigo MD, Grivas TB. " Rehabilitation schools for scoliosis" thematic series: describing the methods and results. Springer; 2010.
  26. Berdishevsky H, Lebel VA, Bettany-Saltikov J, Rigo M, Lebel A, Hennes A, et al. Physiotherapy scoliosis-specific exercises-a comprehensive review of seven major schools. Scoliosis Spinal Disord. 2016;11:20. https://doi.org/10.1186/s13013-016-0076-9
  27. Pehrsson K, Bake B, Larsson S, Nachemson A. Lung function in adult idiopathic scoliosis: a 20 year follow up. Thorax. 1991;46:474-8. https://doi.org/10.1136/thx.46.7.474
  28. Asher MA, Burton DC. Adolescent idiopathic scoliosis: natural history and long term treatment effects. Scoliosis. 2006;1:2. https://doi.org/10.1186/1748-7161-1-2
  29. Lehnert-Schroth C. Three-dimensional treatment for scoliosis: physiotherapeutic method for deformities of the spine: Martindale Press; 2007.
  30. Rigo M, Quera-Salva G, Villagrasa M, Ferrer M, Casas A, Corbella C, et al. Scoliosis intensive out-patient rehabilitation based on Schroth method. Stud Health Technol Inform. 2008;135:208.
  31. Herling O. Clinical measurements, radiological and cosmetic improvements in a girl with adolescent idiopathic scoliosis treated with a Schroth rehabilitation program: a single case study. Scoliosis. 2009;4:1-2. https://doi.org/10.1186/1748-7161-4-1
  32. Hermann R, Mixon J, Fisher A, Maulucci R, Stuyck J. Idiopathic scoliosis and the central nervous system: a motor control problem. Spine. 1985;10:1-4. https://doi.org/10.1097/00007632-198501000-00001
  33. Focarile FA, Bonaldi A, Giarolo M-A, Ferrari U, Zilioli E, Ottaviani C. Effectiveness of nonsurgical treatment for idiopathic scoliosis. Overview of available evidence. Spine. 1991;16:395-401. https://doi.org/10.1097/00007632-199104000-00001
  34. Weiss HR. The effect of an exercise program on vital capacity and rib mobility in patients with idiopathic scoliosis. Spine. 1991;16:88-93. https://doi.org/10.1097/00007632-199101000-00016
  35. Wong MS, Mak A, Luk K, Evans J, Brown B. Effectiveness of audio-biofeedback in postural training for adolescent idiopathic scoliosis patients. Prosthet Orthot Int. 2001;25:60-70. https://doi.org/10.1080/03093640108726570