The efficacy of Schroth s 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey.
Otman S, Kose N, Yakut Y.
Professor, School of Physical Therapy and Rehabilitation, Hacettepe University, Samanpazari 06100, Ankara, Turkey.
OBJECTIVE: To determine the effectiveness of 3-dimensional therapy in the treatment of adolescent idiopathic scoliosis.
METHODS: We carried out this study with 50 patients whose average age was 14.15 +/- 1.69 years at the Physical Therapy and Rehabilitation School, Hacettepe University, Ankara, Turkey, from 1999 to 2004. We treated them as outpatients, 5 days a week, in a 4-hour program for the first 6 weeks. After that, they continued with the same program at home. We evaluated the Cobb angle, vital capacity and muscle strength of the patients before treatment, and after 6 weeks, 6 months and one year, and compared all the results.
RESULTS: The average Cobb angle, which was 26.1 degrees on average before treatment, was 23.45 degrees after 6 weeks, 19.25 degrees after 6 months and 17.85 degrees after one year (p<0.01). The vital capacities, which were on average 2795 ml before treatment, reached 2956 ml after 6 weeks, 3125 ml after 6 months and 3215 ml after one year (p<0.01). Similarly, according to the results of evaluations after 6 weeks, 6 months and one year, we observed an increase in muscle strength and recovery of the postural defects in all patients (p<0.01).
CONCLUSION: Schroth s technique positively influenced the Cobb angle, vital capacity, strength and postural defects in outpatient adolescents.
PMID: 16155663 [PubMed – indexed for MEDLINE]