PNF in the treatment of scoliosis: clinical practice

Marianna Białek

Marianna Białek – PNF in the treatment of scoliosis: clinical practice. Fizjoterapia Polska 2001; 1(3); 331-333

Abstract

This article presents possible applications of the PNF method In the treatment of scoliosis. Improvement was obtained after six months of treatment in the angle of curvature, averaging 7° in second- and third-degree structural scoliosis. This proper choice of movement patterns is a necessary precondition in order to obtain such effects. Proper compensation is an important element in therapy, significantly decreasing the degree of primary curvature. The basic principles governing work with scoliosis using the PNF method are mobilization, stabilization, and coordination. In the event of pain symptoms neuromobilization and cranio-sacral therapy constitute effective therapeutic techniques supplementing PNF.

Key words:
motion patterns, closed chains, neuromobilization, cranio-sacral therapy
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Variation in bioelectric activity of trunk extensors during loading with symmetric gravity torques in children with idiopathic scoliosis

Wiesław Chwała, Marianna Białek, Maciej Płaszewski

Wiesław Chwała, Marianna Białek, Maciej Płaszewski – Variation in bioelectric activity of trunk extensors during loading with symmetric gravity torques in children with idiopathic scoliosis. Fizjoterapia Polska 2008; 8(4); 393-400

Abstract
Background. Conflicting evidence is available on trunk erectors’ bioelectrical activity patterns during loading with symmetrical gravity torques in subjects with idiopathic scoliosis. This represents a significant hindrance to utilizing such information in scoliosis therapy. To identify the pattern of bioelectrical activity of trunk extensors during static contractions against symmetrical loading with body mass in subjects with idiopathic single- and double-curve scolioses of different Cobb angles. Material and methods. Biopotential activity was measured in 192 subjects aged 10-16 years with Cobb angles of 12-62°, of whom 59 had double-curve and 133 had single-curve thoracic scoliosis. Results. Biopotentials from dominant and non-dominant sides differed significantly in both tasks in patients with single-curve scoliosis (p<0.001). Muscle contraction patterns in double-curve scoliosis at the level of the primary curvature differed significantly in both tasks (p<0.001). Differences in contraction patterns at the level of the secondary curve were not significant (p<0.05). Conclusions. Significant differences were found in activity patterns of the muscles investigated between patients with singleand double-curve scolioses. The pattern of asymmetry is not directly connected with either severity or location of the curve (p<0.05, non-significant).
Key words:
electromyography, scoliosis, trunk extensors
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