Background and Objective: Adolescent idiopathic scoliosis is one of the complex and common deformities of the spine. It is a condition that can cause a lot of pain and discomfort for individuals and has consequences and complications. There are different exercises and approaches for correction of this deformity, such as Schroth exercise. In this regard, the purpose of this study was to investigate the effect of corrective exercises on Cobb angle, flexibility, functional capacity, and quality of life of adolescents with idiopathic scoliosis. Materials and Methods: This controlled clinical trial with pre-test and posttest design was performed on 24 adolescents with idiopathic scoliosis who were randomly divided into control and experimental groups. Cobb angle, flexibility, and functional capacity were measured by X-ray imaging, flexibility box, and six-minute walk test, respectively. The collected data were statistically analyzed in SPSS software (version 23) using a mixeddesign analysis of variance with repeated measures. It must be noted that a p-value of 0.05 was considered statistically significant. Results: Based on the results, after 10 weeks of Schroth exercises, there was a significant difference in the exercise group regarding the reduction of Cobb angle as well as the increase of flexibility and functional capacity. However, no significant difference was observed in the control group from pre-test to post-test (P≤0.05). Conclusion: According to the results, it can be concluded that the Schroth exercise program that involves the whole motor chain can effectively decrease the lateral curvature angle of patients with idiopathic scoliosis. Therefore, this type of exercise can be useful to use to treat people with Idiopathic scoliosis deformity.
Objective Quadriceps weakness is common after Anterior Cruciate Ligament (ACL) injury and subsequent surgery. Preoperative defects affect postoperative outcomes. The purpose of this review study was to investigate whether preoperative exercises can affect the postoperative outcomes after ACL reconstruction. Methods The searching for papers was conducted in the PubMed database among the studies from 1990 to 2019 using following keywords: ACL preoperative exercise, prehabilitation ACL, and preoperative protocol. The initial search yielded 442 papers. Then, based on the inclusion and exclusion criteria, 10 papers were selected for the final review. Methodological quality of the studies was assessed by using the Physiotherapy Evidence Database (PEDro) scale and the Critical Appraisal Skills Program (CASP). Results Some preoperative exercises (traditional, strength, and neuromuscular) can significantly increase the knee extensor strength and knee function in men and women after surgery in the short and long periods. The mean PEDro score for 8 randomized controlled trials was 6, indicating their moderate methodological quality. Moreover, the CASP score for 2 cohort studies was 10 and 11 out of 12. Conclusion Preoperative rehabilitation consisting of neuromuscular and strength exercises followed by a criterion-based postoperative rehabilitation program cause greater functional outcomes and faster recovery of the knee extensor strength after ACL reconstruction. Preoperative rehabilitation should be considered as a standard treatment to maximize functional outcomes after ACL reconstruction.
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