The preliminary results of physiotherapy scoliosis-specific exercises on spine joint position sense in adolescent idiopathic scoliosis: A randomized controlled trial

Abstract

Background:It has been observed that there are difficulties in maintaining spinal harmony in the absence of proprioceptive information, which has an important role in achieving postural control in scoliosis. One of the tests used to evaluate proprioceptive mechanisms is joint position reproduction.Objective(s):The main aim of our study was to investigate the effect of physiotherapy scoliosis-specific exercise (PSSE) on spine joint reposition (JR) sense. The second aim was to determine the effects of PSSE on the angle of trunk rotation (ATR), posture, and deformity perception in adolescent idiopathic scoliosis.Methods:Twenty-nine patients with adolescent idiopathic scoliosis (mean age 13.79 ± 1.82 years) were randomly allocated to two groups. “Schroth” exercises were applied to the PSSE group for 8 weeks (16 sessions). The control group was placed on the waiting list. Patients' JR error (dual inclinometer), ATR (scoliometer), posture parameters (PostureScreen Mobile, Posterior Trunk Asymmetry Index, and Anterior Trunk Asymmetry Index), and deformity perception (Walter Reed Visual Assessment Scale [WRVAS]) were assessed at the first session and at the end of 8 weeks.Results:The initial demographic characteristics, Cobb (thoracal: 19.41 ± 7.03 degrees; lumbar: 20.76 ± 7.24 degrees) and ATR (thoracal: 5.86 ± 3.98 degrees; lumbar: 5.66 ± 3.33 degrees) and clinical test parameters of the groups (JR, posture parameters, and WRVAS) were similar (P > .05). According to the findings, thoracal and lumbar JR error values (P < .05), ATR (P ≤ .001), posture parameters (P ≤ .001), and WRVAS (P = .048) were significantly improved in the PSSE group. Besides, when the groups were compared, a significant difference was found in favor of PSSE except for the deformity perception (P < .05).Conclusions:Schroth exercises have a positive contribution for improving JR sense of the spine, vertebral rotation, and posture.

Observation on the therapeutic effect of laser acupuncture combined with Schroth therapy on adolescent idiopathic scoliosis

“…Cobb angle and ATR angle are important predictive factors for good prognosis in AIS patients. 20 The results of this study showed that the total efficacy of the experimental group was higher than that of the control group at six and 12 months after treatment. It shows that the combination of laser acupuncture therapy and Schroth therapy can quickly correct scoliosis, significantly enhance the clinical effect, and make AIS patients recover quickly.…”

Therapeutic Effectiveness of Postural Treatment on Youth Swimmers’ Anterior Shoulder Pain—An Interventional Study

“…The assessment of swimmers' posture through the use of a mobile application represents a pioneering and practical approach that can accurately detect deviations from optimal posture using objective data. PostureScreen, an evidence-based software for postural analysis, is applicable in both clinical settings [40] and sports research [25,33,41] . In our study, the implementation of PostureScreen proved to be a reliable method for objectively identifying alterations in body posture and monitoring changes in young swimmers' postural alignment.…”