Muscle energy techniques versus myofascial release on scoliosis in adolescent girls: A randomized controlled trial

Amira. H. Mohammed, Safy. E. Abo-Ali, Sahar M. Abdelmutilibe, Sara. A. Elsamahy, Nashwa. E. Elsherif, Malak. A. Elmahdy, Samah. M. Sheha

 

Amira. H. Mohammed, Safy. E. Abo-Ali, Sahar M. Abdelmutilibe, Sara. A. Elsamahy, Nashwa. E. Elsherif, Malak. A. Elmahdy, Samah. M. Sheha – Muscle energy techniques versus myofascial release on scoliosis in adolescent girls: A randomized controlled trial –  Fizjoterapia Polska 2024; 24(1); 54-59

DOI: https://doi.org/10.56984/8ZG2EF864D

Abstract
Background. Adolescent idiopathic scoliosis (AIS) is a complicated 3D structural spine condition occurring in children aged 10 to skeletal maturity. The study aimed to examine the impact of muscle energy technique and/or myofascial release on adolescent idiopathic scoliosis for large sample. Also, it aimed to compare the muscle energy techniques versus myofascial release on idiopathic scoliosis.
Methods. A total of 50 girls with idiopathic non-bony structural scoliosis of the thoracic spine were included in this trial. They were randomly divided into two equal-sized (n = 25 for each group). For three months, group A (Muscle energy technique Group), which received Scientific Exercises Approach to Scoliosis exercises in addition to Muscle energy technique; and group B (Myofascial release Group), which received the same Scientific Exercises Approach to Scoliosis exercises conducted to group A in addition to myofascial release. The primary outcome was a standing radiological evaluation of coronal Cobb´s angle.
Results. According to this study’s findings, a highly significant difference was discovered in the mean values of Cobb´s angle between pre and post-treatment in muscle energy technique group. When the mean values of Cobb´s angle was compared before and after treatment for myofascial release group, it was reveals a significant change.
Conclusions. After treatment for three months, both groups improved significantly, with muscle energy technique group outperforming the myofascial release group by a large margin. So, muscle energy technique was more effective than myofascial release in reducing the abnormal thoracic curvature in adolescent idiopathic scoliosis.
Trial registration. The study was registered with Clinicaltrials.gov under the identifier NCT05120089.
Keywords
myofascial release, muscle energy technique, scoliosis
Pobierz/Download/下載/Cкачиваете Download the article for free in English

The direction of primary lateral spinal curvature and distribution of body mass on base of support in children with scoliosis I°

Andrzej Siwiec, Małgorzata Domagalska-Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Szopa


Andrzej Siwiec, Małgorzata Domagalska-Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Szopa – The direction of primary lateral spinal curvature and distribution of body mass on base of support in children with scoliosis I°. Fizjoterapia Polska 2022; 22(4); 112-121

DOI: https://doi.org/10.56984/8ZG1A6z2j

Abstract
Introduction. As a result of subjective functional assessment, disturbances in the symmetry of body weight distribution on the support plane are commonly observed in children and adolescents with idiopathic scoliosis. The objective of this study was to identify the relationship between the direction of the primary curvature and the body weight distribution on the ground in children with idiopathic scoliosis.
Method. Two groups (the study group and the control group) of children aged 7–11 were included in the study. The study group consisted of 96 children rehabilitated due to scoliosis in rehabilitation centres. The control group included children of the corresponding age, height and weight in comparison to the study group. The main element of the study involved measurements of the percentage body weight distribution on the support plane between the “convex” and “concave” side of the body while maintaining a standing position on both legs.
Results. Based on the value of the symmetry index and the direction of the primary curvature, the following subgroups were distinguished among the children with scoliosis: children with symmetrical body weight distribution on the support plane (21%); children with asymmetric body weight distribution on the support plane overloading the convex side (51%) and children overloading the concave side (28%).
Conclusion. The occurrence of symmetry disorders in the body weight distribution on the support plane in children with idiopathic scoliosis requires taking these features into account in the early stage of rehabilitation of these children.

Key words:
scoliosis, compensating postural patterns, distribution of body mass on the surface

Pobierz/Download/下載/Cкачиваете Download for free (only English version)

ssessment of the impact of the corrective-compensatory exercises and the elements of Vojta therapy on the angle of trunk rotation in children with idiopathic scoliosis – preliminary study

Michał Olba, Anna Mickiewicz


Michał Olba, Anna Mickiewicz – Assessment of the impact of the corrective-compensatory exercises and the elements of Vojta therapy on the angle of trunk rotation in children with idiopathic scoliosis – preliminary study. Fizjoterapia Polska 2022; 22(2); 102-110

Abstract
Introduction. Scoliosis is a term encompassing a group of heterogeneous diseases in which changes in the shape and position of the spine, chest and torso occur. The term idiopathic scoliosis refers to the patients with structural scoliosis with an undetermined cause. Scoliosis, which is defined as idiopathic, must fulfil the following criteria: to be characterized by a three-dimensional spinal deformity and a Cobb angle of 10 degrees or more.
The measurement of angle of trunk rotation (ATR) is one of the basic parameters used in the assessment of the effectiveness of treatment in patients with idiopathic scoliosis.
In the conservative treatment of idiopathic scoliosis, which is characterized by a Cobb angle of less than 25º, Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) recommends mainly scoliosis-specific exercises (SSE). Some authors show in their scientific reports that also by using the corrective and stabilizing exercises, not only SSE exercises, the asymmetry of the torso is diminished, the angular values of the curvature are reduced and the functioning of patients with idiopathic scoliosis improves.
The International Vojta Society indicates idiopathic scoliosis as one of the areas of application of this therapy. Nevertheless, there is a limited number of scientific reports on the applicability and effectiveness of Vojta therapy in the treatment of idiopathic scoliosis.
Aim of the study. The aim of this study was to evaluate the impact of applied corrective-compensatory and corrective-compensatory exercises in the combination with the elements of Vojta therapy on the value of ATR in the group of children aged 10-12 years, diagnosed with idiopathic scoliosis with a low Cobb angle value (10-19º).
Material and methods. A total number of 30 children aged 10-12 years, diagnosed with idiopathic scoliosis with a low Cobb angle (10-19º), who were patients of the rehabilitation clinic, participated in the study. Children were randomly assigned to two experimental groups. The first group (group K), consisting of 15 persons, took part in a 3-week rehabilitation programme and participated daily only in corrective-compensatory exercises. The second group (group KV), also consisting of 15 persons, joined daily the corrective-compensatory exercises for 3 weeks and additionally received Vojta therapy 3 times per week. In all children the ATR was measured before and after therapy.
Results. The results of the statistical analysis did not show any significant differences in the ATR values measured in group K (children who received only corrective-compensatory exercises) before and after the rehabilitation programme (p = 0.306). There were statistically significant differences observed in the ATR measured in the KV group (children who received corrective-compensatory exercises and the elements of Vojta therapy) before and after the rehabilitation programme (p = 0.005). There were no statistically significant differences observed between the two studied groups in the values of the ATR measured before (p = 0.069) or after the rehabilitation programme (p = 0.774).
Conclusions. 1. A significant reduction in the value of the ATR was observed in the group of children with idiopathic scoliosis with a low Cobb angle who received corrective-compensatory exercises in combination with the elements of Vojta therapy.
2. No significant changes in the value of the ATR were observed in the group of children with idiopathic scoliosis with a low Cobb angle who received only corrective-compensatory exercises.
Key words:
scoliosis, angle of trunk rotation, Vojta therapy
Pobierz/Download/下載/Cкачиваете Download for free (only English version)

Collaboration of specialists in the rehabilitation of spine pathology

Oleg Panchenko, Zbigniew Śliwiński, Anastasiia Kabantseva, Nataliia Tsapro

O. Panchenko, Z. Śliwiński, A. Kabantseva, N. Tsapro – Collaboration of specialists in the rehabilitation of spine pathology. Fizjoterapia Polska 2021; 21(4); 96-102

Abstract
To study the influence of the negative psychological state of children and adolescents living on the territory of hostilities, on the formation and course of spinal pathology. The sample consisted of 1467 people aged 5–18-year-old, whose parents had no complaints of the child’s spinal pathology, i.e. “relatively healthy children in respect of spinal pathology.” The growth of pathology of the spine during periods of intensive growth of the child was confirmed: in the 5–7-year-old age group for 3.49% of children, in the 8-10-year-old age group for 13.78%, in the 10-14-year-old age group for 17.89%, in the 15–17-year-old age group for 25.15% respectively. An increase in the prevalence of scoliosis in the Donetsk oblast (excluding the temporarily occupied territories) at the level of 28.26 cases per 1,000 schoolchildren, which is more than in other regions of Ukraine. The similarity of the pathogenesis of scoliosis, stress, and hypercalciuria was determined, which explains the data obtained by us on the prevalence of scoliosis in the ATO area, actually 95.89 cases per 1000 children, and 251.53 cases per 1000 adolescents aged 15-18-year-old. The manifestations of autonomic disturbances (rs = 0.34, p ≤ 0.01), sleep disturbances (rs = 0.43, p ≤ 0.01), anxiety (rs = 0.43, p ≤ 0.01) is increased among children with significant fear of war. There is a need to consider scoliosis as a stressor, and therefore children with scoliosis should get psychological rehabilitation and expert advice.
Key words:
scoliosis, stress, hypercalciuria, children, adolescents, rehabilitation
Pobierz/Download/下載/Cкачиваете Download for free (only English version)

Kinesitherapeutic procedure in the treatment of scoliosis

Piotr Kwiatkowski, Magdalena Sobiech, Marek Fatyga, Andrzej Skwarcz

Piotr Kwiatkowski, Magdalena Sobiech, Marek Fatyga, Andrzej Skwarcz – Kinesitherapeutic procedure in the treatment of scoliosis. Fizjoterapia Polska 2001; 1(3); 298-302

Abstract

Varying kinesitherapeutic procedures are used In children with scoliosis, depending on whether the child is begin only by exercises, or by exercises and brace, or is begin prepared for surgery due to progressing deformation. In the case of children treated conservatively, primary emphasis is given to asymmetrical strengthening exercises for the dorsal muscles and peripheral joints, preceded by stretching exercises for antagonistic muscle groups. Simultaneously, exercises are performed to increase the range movement in the spine (kypholization of the thoracic spine, derotation of the thoraco-lumbar spine) and peripheral joints. In scoliosis exceeding 25-30° with documented progression, orthopedic braces are also used to prevent further progression of the curvature. In such cases it is a separate problem, when the child should exercise in the brace, and when without.Kinesitherapy in children being prepared for surgery differs significantly from that suitable for children in conservative treatment. Here the primary focus is on relaxing, elongating, and the spine. This is achieved by applying an autotraction bed for several hours, along with autocorrection of posture and passive chin-ups. By means of stretching, relaxing, and swimming poolexercises, along with the application of physical agents, the maximum relaxation of the spine’s active and passive apparatus is achieved, so that during surgery the maximum correction of curvature can be obtained while maintaining neurological safety.

Key words:
Scoliosis, kinesitherapeutic procedure, progressing deformation
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

The social consequences of spinal pain in adult scoliosis patients treated surgically and conservatively

Hanna M. Tomczak

Hanna M. Tomczak – The social consequences of spinal pain in adult scoliosis patients treated surgically and conservatively. Fizjoterapia Polska 2001; 1(3); 280-282

Abstract

Curvature of the spine when diagnosed and treated in youth (surgically or conservatively) is subject to progression in adults and frequently causes pain symptoms. The present article evaluates the current clinical status of adult scoliosis patients who were treated surgically or conservatively in childhood. The parameters evaluated include the frequency of occurrence of intensified spinal pain and its impact on the professional and social situation of the persons tested.

Key words:
spinal pain, Scoliosis, social consequences
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

The effectiveness of selected mobilization techniques in the treatment of the secondary effects of scoliosis

Edward Saulicz, Elżbieta Juszczak, Ger P. Plaatsman

Edward Saulicz, Elżbieta Juszczak, Ger P. Plaatsman – The effectiveness of selected mobilization techniques in the treatment of the secondary effects of scoliosis. Fizjoterapia Polska 2001; 1(3); 243-247

Abstract

Three groups of children and youth with clinical signs of first-degree scoliosis were studied. The range of active movements in the shoulder and hip joints and in the lumbar and thoracic segments of the evaluated twice – once before rehabilitation was commenced (baseline examination) and again after the predetermined rehabilitation period was completed (outcome examination). During the period that elapsed between the baseline and outcome examinations, all the girls and boys from both groups received a three-week cycle of rehabilitation, three 45-minute sessions per week. The entire procedure was supplemented by an individually realized program of home rehabilitation. In experimental group A, some active mobilization exercises (automobilization) were added to this rehabilitation program. In experimental group B, however, corrective procedures were supplemented by passive mobilization of particular spinal segments from Th1 to L5. The three-week rehabilitation cycle made as essential contribution to significant improvement in the mobility of the majority of the analyzed movements in all the observation groups. Better outcomes were observed in groups where passive or active spinal mobilization was performed.

Key words:
Scoliosis, active mobilization, passive mobilization
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

The impact of musical performance on the occurence of selected disorders of body posture in children from a music school

Mirosław Janiszewski, Anna Kluszczyńska, Ireneusz Pieszyński

Mirosław Janiszewski, Anna Kluszczyńska, Ireneusz Pieszyński – The impact of musical performance on the occurence of selected disorders of body posture in children from a music school. Fizjoterapia Polska 2002; 2(1); 46-56

Abstract
Background. The aim of our study was to investigate the effects of long-term musical training on the genesis of defective posture. Material and methods. The study involved a group of 92 children who were tested twice, once in 1992 again in 1998, used a specially developed screening test. Results. A greater rate of occurrence of posture defects, including especially scoliosis, was found in children who were heavily involved in playing musical instruments. This type played was found to correlate with type and frequency of particular posture defects. Conclusion. Systematic long term of musical instruments may cause more frequent in posturogenesis and a higher rate of scoliosis.

Key words:
posture defects, scoliosis, music, screening test

Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim
1 2 3 4