Effects of Schroth and Pilates exercises on the Cobb angle and weight distribution of patients with scoliosis

Abstract

[Purpose] The purpose of this study was to compare the effect of Schroth and Pilates exercises on the Cobb angle and body weight distribution of patients with idiopathic scoliosis. [Subjects] Twenty-four scoliosis patients with a Cobb angle of ≥20° were divided into the Schroth exercise group (SEG, n = 12) and the Pilates exercise group (PEG, n = 12). [Methods] The SEG and PEG performed Schroth and Pilates exercises, respectively, three times a week for 12 weeks. The Cobb angle was measured in the standing position with a radiography apparatus, and weight load was measured with Gait View Pro 1.0. [Results] In the intragroup comparison, both groups showed significant changes in the Cobb angle. For weight distribution, the SEG showed significant differences in the total weight between the concave and convex sides, but the PEG did not show significant differences. Furthermore, in the intragroup comparison, the SEG showed significant differences in the changes in the Cobb angle and weight distribution compared with the PEG. [Conclusion] Both Schroth and Pilates exercises were effective in changing the Cobb angle and weight distribution of scoliosis patients; however, the intergroup comparison showed that the Schroth exercise was more effective than the Pilates exercise.

The Analysis of Selected Posturogram Parameters in Children with Scoliotic Changes

“…At the beginning each spontaneously growing scoliosis is a gradual low curvature -scoliotic posture (Myers, 2016). After time it reveals the actual development trends (Byun & Han, 2016;Kim & Hwang, 2016). In a pathobiomechanical term, scoliosis is compensated when the original deflection (a) goes smoothly into compensatory, proximal and distal deflection (Porte et al 2016).…”

Effects of corrective, therapeutic exercise techniques on adolescent idiopathic scoliosis. A systematic review

“…[27][28][29][30][31][32][33][34][35] AIS symptoms are frequently associated with tumors, inflammation or visceral dysfunction; this would exclude solely conservative management. The studies encompassed by this review did not include that type of patients and, after the intervention, they showed a reduction in symptoms.…”

“…All included studies had corrective, therapeutic exercise as the independent outcome measure; 4 referred to it as Schroth exercises, [27][28][29][30] and the other 5 used different terms that covered therapeutic exercise based on self-correction and spinal stabilization. [31][32][33][34][35] The intervention period varied greatly: 3 studies included an intervention that lasted 8-12 weeks, 30,32,35 while 4 conducted interventions for 6 months, 27-29-33 and 2, for 1 year.…”

“…[31][32][33][34][35] The intervention period varied greatly: 3 studies included an intervention that lasted 8-12 weeks, 30,32,35 while 4 conducted interventions for 6 months, 27-29-33 and 2, for 1 year. 31,34 In relation to dependent outcome measures, 6 studies assessed symptoms using the following questionnaires: Scoliosis Research Society 22 (SRS-22), 28,34 Scoliosis Research Society 23 (SRS-23), 27 Numeric Pain Rating Scale (NPRS), 32,33 and Functional Rating Index (FRI).…”

“…31,34 In relation to dependent outcome measures, 6 studies assessed symptoms using the following questionnaires: Scoliosis Research Society 22 (SRS-22), 28,34 Scoliosis Research Society 23 (SRS-23), 27 Numeric Pain Rating Scale (NPRS), 32,33 and Functional Rating Index (FRI). 35 Six studies assessed postural parameters, such as Cobb's angle, measured using anteriorposterior X-rays of the trunk with the patient standing, 27,[29][30][31]34 neck slope angle, measured using a sagittal photogrammetry with the patient sitting down, 35 angle of trunk rotation, measured using an inclinometry 27,34 and/or body asymmetries, measured using stereographic projections 35 Six studies assessed the functional capacity of included subjects using the following questionnaires: SRS-22, 28,34 SRS-23, 27 Oswestry Low Back Pain Disability Questionnaire (OSW), Patient-Specific Functional Scale (PSFS), 32,33 and FRI. 35 In relation to muscle endurance, 2 studies assessed back extensor muscle endurance using the Prone-Double-Leg-Raise Test (PDLRT) 32 and the Biering-Sorensen test (BME, back muscle endurance). 28 Two studies assessed the overall perception following the intervention using the Global Rating of Change (GROC).…”