scholarly journals Effectiveness of the FED Method in the Treatment of Idiopathic Scoliosis of Girls Aged 11–15 Years

2021 ◽  
Vol 19 (1) ◽  
pp. 65
Author(s):  
Sandra Trzcińska ◽  
Kamil Koszela ◽  
Michał Kuszewski
Keyword(s):  
Conservative Treatment ◽  
Idiopathic Scoliosis ◽  
Three Dimensional ◽  
Unknown Etiology ◽  
Type I ◽  
Trunk Rotation ◽  
New Methods ◽  
Scoliosis Treatment ◽  
Double Curve ◽  
Grade Ii

(1) Background: The unknown etiology of idiopathic scoliosis and its three-dimensional nature make the cause-and-effect therapeutic management difficult. A tendency to progression of scoliosis and the failure of many methods of conservative treatment have prompted the search for new methods that would stop and correct deformations. One of them is the FED method, used in the conservative treatment of idiopathic scolioses, in which all scoliotic curves are corrected. The aim of this study was a comparative analysis of the effectiveness of idiopathic scoliosis treatment with the FED and FITS methods. (2) Methods: The study included 60 randomly selected girls, aged 11 to 15 years, treated with the FED and FITS methods. They were diagnosed with idiopathic scoliosis grade II according to Cobb and double-curve scoliosis type I and II according to King–Moe classification. The results of the therapy were assessed with the use of the Bunnell scoliometer. The examinations were performed before the start of the therapy—on the first day of the child’s stay—and 3 weeks after the therapy. The angle of trunk rotation and the sum of two rotations were assessed using a scoliometer. (3) Results: The performed statistical analysis demonstrated significant changes in the examined parameters in both therapeutic groups. (4) Conclusions: 1. The obtained results indicate that the FED therapy may prove to be an effective method of treating idiopathic scoliosis; however, it requires further research in a larger group of patients; 2. both methods significantly improved trunk rotation in primary and secondary scoliosis, but after using summing parameters (SDR parameter), the FED method appeared to be statistically more effective.

scholarly journals Association Study between Idiopathic Scoliosis and Polymorphic Variants of VDR, IGF-1, and AMPD1 Genes

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Svetla Nikolova ◽  
Vasil Yablanski ◽  
Evgeni Vlaev ◽  
Luben Stokov ◽  
Alexey Slavkov Savov ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Early Stage ◽  
Genetic Disorder ◽  
Three Dimensional ◽  
Restriction Enzymes ◽  
Case Control ◽  
Unknown Etiology ◽  
Rapid Progression ◽  
Nucleotide Polymorphisms ◽  
Case Control Studies

Idiopathic scoliosis (IS) is a complex genetic disorder of the musculoskeletal system, characterized by three-dimensional rotation of the spine with unknown etiology. For the aims of the current study we selected 3 single nucleotide polymorphisms with a low incidence of the polymorphic allele in Bulgarian population, AMPD1 (rs17602729), VDR (rs2228670), and IGF-1 (rs5742612), trying to investigate the association between these genetic polymorphisms and susceptibility to and progression of IS. The polymorphic regions of the genes were amplified by polymerase chain reaction (PCR). The PCR products were cleaved with the appropriate restriction enzymes. The statistical analysis was performed by Pearson’s chi-squared test. A value of p<0.05 was considered to be statistically significant. In conclusion, this case-control study revealed no statistically significant association between the VDR, IGF-1, and AMPD1 polymorphisms and the susceptibility to IS or curve severity in Bulgarian patients. Replication case-control studies will be needed to examine the association between these candidate-genes and IS in different populations. The identification of molecular markers for IS could be useful for early detection and prognosis of the risk for a rapid progression of the curve. That would permit early stage treatment of the patient with the least invasive procedures.

Self-evaluation of Trunk Aesthetics in Conservatively Treated Children and Adolescents with Idiopathic Scoliosis

2018 ◽  
Vol 20 (5) ◽  
pp. 371-382
Author(s):  
Maciej Lendzion ◽  
Ewa Łukaszewicz ◽  
Jakub Waś ◽  
Dariusz Czaprowski
Keyword(s):  
Quality Of Life ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Trunk Rotation ◽  
Self Evaluation ◽  
Trunk Deformity ◽  
Polish Version ◽  
Scoliosis Treatment ◽  
The Impact

Background. Trunk deformity is an important manifestation of idiopathic scoliosis (IS). Patients’ perception of spinal deformity and its impact on their quality of life (QoL) are important aspects of scoliosis treatment. The aim of this study was to determine the correlation between radiographic parameters (Cobb angle), clinical parameters (angle of trunk rotation, ATR), and the type of conservative treatment used vs the perception of trunk aesthetics as well as QoL in IS patients. Material and methods. The study enrolled 90 subjects (68 females, 22 males) diagnosed with IS (age: 9-18 years, 14.3± 2.1; Cobb angle 10-66°, 22.2°±12.2; ATR 2-20°, 7.6°±3.9). The study group was divided into (1) patients treated with bracing and physiotherapy (n=35) and (2) subjects undergoing physiotherapy alone (n=55). The perception of trunk deformity was analysed with the TAPS visual scale. QoL was measured with the Polish version of the SRS-22 questionnaire. Results. The study showed that the patients’ perception of their trunk aesthetics significantly worsened with increasing Cobb angle (TAPS, rS= -0.327, p<0.01) and ATR (TAPS, rS= -0.228, p<0.05) values. Moreover, higher ATR values sig­ni­ficantly decreased the patients’ QoL (SRS-22, rS= -0.232, p<0.05). Bracing significantly worsened the patients’ perception of aesthetics and QoL (TAPS, 3.2±0.8 vs 3.8±0.6, p<0.05; SRS-22, 3.9±0.4 vs 4.0±0.4, p<0.05 for patients treated with bracing and physiotherapy alone, respectively). Conclusions. 1. The magnitude of scoliosis, angle of trunk rotation, and bracing leads to worsen perception of trunk aesthetics and quality of life. 2. The curvature angle, angle of trunk rotation, brac­ing, female sex, and age are all associated with a worse perception of trunk aesthetics and quality of life. Self-evaluation of trunk aesthetics and qua­lity of life do not depend on the type of scoliosis. 3. In planning the management of idiopathic sco­lio­sis, one should take into account the impact of spi­nal deformity on worse patient-rated body aes­thetics.

scholarly journals Case Report: Conservative Treatment of Adolescent Idiopathic Scoliosis Can Alter the Perception of Verticality. A Preliminary Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Noelia Zagalaz-Anula ◽  
Felipe León-Morillas ◽  
Juan Alfonso Andradre-Ortega ◽  
Alfonso Javier Ibáñez-Vera ◽  
Silvana Loana de Oliveira-Sousa ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Conservative Treatment ◽  
Idiopathic Scoliosis ◽  
Statistical Significance ◽  
Absolute Error ◽  
Unknown Etiology ◽  
Treatment Groups ◽  
Lateral Curvature ◽  
Visual Vertical ◽  
Perception Of Verticality

Adolescent idiopathic scoliosis (AIS) is a lateral curvature of the spine of at least 10° Cobb's angle of unknown etiology. Some studies have found that patients with AIS have a Visual Verticality (VV) perception similar to healthy controls. This study aimed to analyze VV perception and postural balance differences in patients with AIS depending on the management, either based on observation or conservative treatment. Eighteen patients with AIS were included in this study. Nine patients were managed based on observation. The other nine underwent conservative treatment, such as bracing or exercise. Subjective Visual Vertical (SVV) and posturographic parameters were measured and analyzed. In the SVV test, patients who underwent treatment showed poor constant error in absolute values and mean absolute error, with statistically significant differences (p &lt; 0.05). Only the Romberg Quotient for sway area was within the limits of statistical significance for posturographic parameters, with a lower value for patients under observation. This study found worse perception of verticality in patients receiving some type of conservative treatment than patients receiving only observation; whereas posturography showed similar values in both observation and treatment groups. Our results can be interpreted as the effect of treatment on the previous verticality perception adapted to the curvature.

The electrophysiological criteria for the effectiveness of the treatment of idiopathic scoliosis with the use of the Sheno corset and acupuncture

2016 ◽  
Vol 15 (6) ◽  
pp. 301-304 ◽  
Author(s):  
Valeriy Viktorovich Shmelev ◽  
O. I Vorontsova ◽  
L. A Goncharova ◽  
M. D Rasulov
Keyword(s):  
Conservative Treatment ◽  
Idiopathic Scoliosis ◽  
Motion Capture ◽  
Skeletal Muscles ◽  
Therapeutic Modality ◽  
Motion Capture System ◽  
Physical Exercises ◽  
Grade Ii

This article was designed to present the results of the evaluation of the effectiveness of the combined conservative treatment of grade II and III idiopathic scoliosis in 37 patients at the age from 12 to 16 years with the use of the Sheno corset, acupuncture, and therapeutic physical exercises. The evaluation was based on the study of dynamic and electromyographic characteristics and the data obtained before, during and after the treatment with the help of the diagnostic Vicon T40 motion capture system. The study has demonstrated the changes in the nervous-muscular apparatus of the skeletal muscles, such as a significant increase of conductivity, that developed under effect of the treatment. They confirm the effectiveness of the proposed therapeutic modality.

scholarly journals The Angle of Trunk Rotation in School Children: A Study from an Idiopathic Scoliosis Screening. Prevalence and Optimal Age Screening Value

2019 ◽  
Vol 16 (18) ◽  
pp. 3426 ◽  
Author(s):  
Katarzyna Adamczewska ◽  
Marzena Wiernicka ◽  
Ewa Malchrowicz-Mośko ◽  
Joanna Małecka ◽  
Jacek Lewandowski
Keyword(s):  
Idiopathic Scoliosis ◽  
Early Stage ◽  
Three Dimensional ◽  
Trunk Rotation ◽  
School Students ◽  
Cross Sectional ◽  
Lumbar Level ◽  
Thoracic Level ◽  
Trunk Deformity ◽  
Growing Spine

(1) Background: Idiopathic scoliosis is a deformity of the growing spine. It affects 2–3% of adolescents; yet its cause is still unknown. At the early stage of idiopathic scoliosis (IS), the signs are not very noticeable. That is why the primarily school-based screening for scoliosis is so important. (2) Methods: This was a cross-sectional analysis of 6850 respondents. Participants were elementary school students in the metropolitan area of Poland. The suspicion of IS was based on detection of three-dimensional deformity of the spine using scoliometer. (3) Results: Respondents were divided into two groups: Angle of trunk rotation (ATR) = 0–3º and ATR > 3º. Presented research using a referral criterion of 5º ATR showed that in the group of participants who had ATR > 3º the largest percentage of 5 degree values was recorded at the second and third measurement level of the spine (30.5%, 31.1%, respectively). Analyzing the differences between the two groups of girls (ATR = 0–3º, ATR > 3º), statistically significant differences were recorded between 9 and 11 years of age (p = 0.0388). Girls with ATR > 3º at all measuring levels are significantly slimmer than girls with ATR 0–3º; (4) Conclusions: Age; sex, and risk of developing angle of trunk rotation are very closely associated. The main thoracic (level 2) and thoraco-lumbar (level 3) level of measuring of the spine appears to be the most differentiating in the diagnosis of scoliosis. Girls with a lower degree of trunk deformity (4–6º trunk rotation), which can present mild scoliosis and those with a higher degree (7º trunk rotation) have lower body mass than girls within the norm.

Use of modern spinal braces in the treatment of idiopathic scoliosis

2021 ◽  
Vol 27 (2) ◽  
pp. 163-174
Author(s):  
Il’ya A. Shavyrin ◽  
Sergey V. Kolesov ◽  
Vitaly Yu. Levkov ◽  
Andrey N. Lobov ◽  
Boris A. Polyaev
Keyword(s):  
Conservative Treatment ◽  
Idiopathic Scoliosis ◽  
Physiological State ◽  
Three Dimensional ◽  
Negative Attitude ◽  
Multicenter Studies ◽  
Personal Involvement ◽  
Idiopathic Adolescent Scoliosis ◽  
Scientific Papers ◽  
Daily Training

This review presents an analysis of scientific papers on the conservative treatment of idiopathic scoliosis with spinal braces. Insufficient awareness of brace treatment for spinal deformities is often the reason for the negative attitude of orthopedists toward brace therapy and the conservative treatment of scoliosis in general. In world practice, braces have been the primary and scientifically proven technique for conservative treatment of intermediate forms (grades IIIII) of scoliosis in children and adolescents for over 50 years. Modern spinal braces are active orthopedic products that provide three-dimensional correction of the existing deformity and prevent the progression of scoliosis. The main goal of using braces is to eliminate the pathological displacement of the vertebrae, ribs, and pelvis to a physiological state by applying pressure to specific body areas and actively correcting the deformity. Using a brace is the only non-surgical method to treat scoliosis with scientifically proven efficiency. The poor results of using braces to treat scoliosis are primarily due to insufficient correction in the brace, non-compliance with the wearing time, and the lack of adjunctive therapy. The efficiency of brace therapy depends on three main factors that require the personal involvement of the patient: the time of wearing the corset per day, the degree of correction in the corset, and constant (daily) training of the back muscles. The results of recent multicenter studies confirm the efficiency of using braces to treat idiopathic adolescent scoliosis.

scholarly journals The effect of physiotherapy specific exercises on the treatment of adolescent idiopathic scoliosis

2021 ◽  
Author(s):  
Andrea Medeiros De Brito Sá ◽  
Ana Luiza de Araujo Rodrigues ◽  
Ana Luiza França Crispim ◽  
Carlos Eduardo dos Santos Júnior ◽  
Patrícia Junqueira Ferraz Baracat
Keyword(s):  
Clinical Trials ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Three Dimensional ◽  
Cochrane Library ◽  
Growth Spurt ◽  
Unknown Etiology ◽  
Global Rating ◽  
Healthy Children ◽  
Aesthetic Perception

Adolescent idiopathic scoliosis (AIS), characterized by three-dimensional deviations of the spine, has an unknown etiology. It affects 2 to 4% of healthy children, mainly in the growth spurt phase, and has negative impacts on the perception of self-image, self-esteem and, later, on the quality of life and functionality of their carriers. Conservative treatment of structural changes in the spine includes specific exercises for scoliosis (PSSE), combined or not with the use of rigid orthosis, to prevent or reduce curve progression. The aim of this study was to review the most evidence-based and effective exercise protocols and methods for the treatment of adolescent idiopathic scoliosis. Only randomized and controlled clinical trials from Pubmed, Lilacs, Cochrane Library and PEDro (Physiotherapy Evidence Database) databases and published in English between 2015 and 2020 were included. The keywords used in the search were adolescent idiopathic scoliosis, spine, posture, physiotherapy, postural deviation, specific exercises for scoliosis and postural diagnosis. Eight randomized clinical trials were selected. The number of participants was three hundred and forty-five and their outcomes varied between Cobb angle, Global Rating of Change (GRC), SRS-22r questionnaire, aesthetic perception, and vertebral rotation angle. It is concluded that although more studies on the subject are still needed, a three-dimensional approach through exercises proved to be effective in the treatment of adolescent idiopathic scoliosis.

scholarly journals The Effect of an Innovative Biofeedback SKOL-AS® Treatment on the Body Posture and Trunk Rotation in Children with Idiopathic Scoliosis—Preliminary Study

Medicina ◽  
2019 ◽  
Vol 55 (6) ◽  
pp. 254 ◽  
Author(s):  
Anna M. Kamelska-Sadowska ◽  
Halina Protasiewicz-Fałdowska ◽  
Lidia Zakrzewska ◽  
Katarzyna Zaborowska-Sapeta ◽  
Jacek J. Nowakowski ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Iliac Crest ◽  
Three Dimensional ◽  
Target Population ◽  
The Body ◽  
Low Grade ◽  
Sitting Position ◽  
Trunk Rotation ◽  
Posterior View ◽  
Postural Training

Background and Objectives: The deformity in idiopathic scoliosis (IS) is three dimensional and effective correction involves all three planes. Recently, the biofeedback method has been implemented in the treatment of scoliosis. The aim of this study was to evaluate the effectiveness of an innovative biofeedback SKOL-AS® postural training among children with scoliosis. Materials and Methods: The target population for this study was 28 patients (25 girls and 3 boys) aged between 5 and 16 years old diagnosed and treated with progressing low-grade scoliosis. The postural diagnosis consisted of anthropometric measurements, posterior–anterior X-ray imaging, SpinalMeter® postural assessment and the angle of trunk rotation (ATR) assessment. The SKOL-AS® treatment comprised of 24 sessions conducted in lying and sitting positions, two times a week. Results: It has been shown that the postural training resulted in the decrease in the ATR value (pre- vs. post-exercise in younger: 5.55 vs. 3.0 and older patients: 5.2 vs. 3.0). The increase in height of the subjects seemed to confirm a positive effect of SKOL-AS® elongation treatment. In the posterior view, a statistically significant decrease in shoulder asymmetry in the sitting position in younger children has been observed. In the anterior view, the changes in the head position (based on mouth and eye symmetry) have been observed. The statistically significant increase in acromion–heel, acromion–iliac crest and posterior superior iliac spine (PSIS)–heel length values has been shown in younger children on the left side of the body. After treatment, older subjects had higher acromion–iliac crest and PSIS–heel values on the left side of the body. On the right side only PSIS–heel length was higher. In a sitting position, only a small increase in acromion–iliac crest length value has been observed. Conclusions: The SKOL-AS® biofeedback method could teach good postural habits and teach patients the auto-correction of the spine.

scholarly journals Physiotherapy in the treatment of idiopathic scoliosis - current recommendations based on the recommendations of SOSORT 2011 (Society on Scoliosis Orthopaedic and Rehabilitation Treatment)

2014 ◽  
Vol 28 (1) ◽  
pp. 23-29 ◽  
Author(s):  
Dariusz Czaprowski ◽  
Tomasz Kotwicki ◽  
Jacek Durmała ◽  
Łukasz Stoliński
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Idiopathic Scoliosis ◽  
Three Dimensional ◽  
Inpatient Rehabilitation ◽  
Therapeutic Recommendations ◽  
Conservative And Surgical Treatment ◽  
Based Medicine ◽  
Corrected Posture

Abstract SOSORT is an international scientific society interested in spinal deformities, including idiopathic scoliosis (IS). One of the main tasks of the society is to provide diagnostic and therapeutic recommendations for all professionals involved in the conservative treatment of patients with IS. As a part of treatment of scoliosis we distinguished conservative and surgical treatment. The main purpose of the conservative treatment is to stop the progression of the curvature. The aim of the therapy is to improve the quality of life, improve the aesthetics and physical capacity as well. An important element of the conservative treatment is the physiotherapy, which can be used as independent part of treatment and as a support of brace and the surgical treatment. SOSORT recommends the use of physiotherapy in the form of Physiotherapeutic Specific Exercises (PSE) and the Special Inpatient Rehabilitation (SIR). PSE used in patients with SI must have confirmed efficacy according to the requirements of the Evidence Based Medicine. Moreover, the therapy should be selected individually and include: (1) three dimensional auto-correction of deformation, (2) training in activities of daily living, (3) stabilizing the corrected posture, and (4) education of the patient and her/his parents. SIR based on 3-4-week hospital or sanatorium stay is recommended especially at the beginning of the treatment process. Physiotherapists undertaking the work with children with IS should: (1) be qualified in the use of PSE, (2) have adequate experience in techniques used in pediatric orthopedics, (3) have the ability to analyze the variability of body posture during development, (4) have the ability to exercise choice depending on the stages of formation of motor skills, and (5) work in the therapeutic team led by physician supervising the treatment.

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