Effects of Schroth exercises combined with orthotic treatment on balance control in adolescent idiopathic scoliosis

Yıl 2018, Cilt: 5 Sayı: 3, 125 - 134, 25.12.2018

Burçin Akçay Bayraktar , Ata Elvan Metin Selmani Alphan Çakıroğlu İ Safa Satoğlu Ömer Akçalı Salih Angın İ Engin Şimşek

Öz

Purpose: We aimed to investigate the possible effects of three dimensional Schroth exercises combined with brace treatment on balance control in patients with adolescent idiopathic scoliosis (AIS).

Methods: Total of 20 volunteers participated in the study. Participants divided equally into two groups as a study group (patients with AIS) and an age-matched healthy control group that comprised of 10 participants each. Conservative treatment protocol consisted of brace treatment and Schroth exercises. The individuals in the study group wore full time rigid braces (Modified-Cheneau) 23 hours per day and performed individually designed Schroth exercises. The exercise treatment comprised 3 sessions per week with duration of 90 minutes each and a total of 18 sessions. Postural control parameters were assessed in four conditions which described as eyes opened firm, eyes opened foam, eyes closed firm and eyes closed foam, using a computerized force platform at baseline, 6th and 18th weeks.

Results: There were significant differences between groups in centre of gravity sway velocity in eyes closed foam condition and composite centre of gravity sway velocity values at baseline (p<0.05). Additionally study group demonstrated significant improvement in eyes open foam condition between 6th – 18th weeks and 1st – 18th week assessments (p<0.05). Moreover, changes in percentage of limit of stability (LOS) values indicated significant difference only between 6th – 18th week assessments (p<0.05).

Conclusion: Our results emphasized that Schroth exercises combined with brace treatment may provide significant improvement in certain components of postural control.

Anahtar Kelimeler

Scoliosis, adolescent idiopathic, Schroth exercises, Orthosis, postural balance

Adölesan idyopatik skolyozda ortez tedavisi ile birlikte Schroth egzersizlerinin denge kontrolüne etkileri

Öz

Amaç: Çalışmamızda adölesan idyopatik skolyozu (AİS) olan hastalarda üç boyutlu Schroth egzersizlerinin ortez tedavisi ile birlikte denge kontrolüne olan muhtemel etkilerinin araştırılması amaçladı.

Yöntem: Çalışmaya toplam 20 gönüllü katıldı. Gönüllüler her grupta 10 katılımcı olmak üzere çalışma grubu (AİS'li hastalar) ve aynı yaştaki sağlıklı kontrol grubu olarak iki gruba ayrıldı. Konservatif tedavi protokolü ortez tedavisi ve Schroth egzersizlerinden oluşmaktaydı. Çalışma grubundaki katılımcılara kişiye özel tasarlanmış Schroth egzersizleri ve aynı zamanda tam zamanlı rijit ortez (Modifiye-Cheneau) verildi. Egzersiz tedavisi haftada 3 seans ve her seans 90 dakika olmak üzere toplam 18 seans olarak dizayn edildi. Postüral kontrol parametreleri başlangıçta, 6. ve 18. haftalarda gözler açık sert zemin, gözler açık yumuşak zemin, gözler kapalı sert zemin ve gözler kapalı yumuşak zemin olarak tanımlanan dört durumda bilgisayarlı bir kuvvet platformu kullanılarak değerlendirildi.

Bulgular: Gözler kapalı yumuşak zemin koşulunda ve toplam değerlerde vücut ağırlık merkezi salınım hızı tedavi öncesi başlangıç değerlerinde gruplar arasında fark bulundu (p<0.05). Buna ek olarak çalışma grubu, 6-18. haftalar ve 1-18. haftalar arası değerlendirmelerde gözler açık yumuşak zemin üzerinde anlamlı gelişim gösterdi (p<0.05). Ayrıca, LOS (Limit of Stability) değerlerinin yüzdesindeki değişiklikler sadece 6-18. haftalar arasında fark gösterdi (p<0.05).

Sonuç: Sonuçlarımız ortez tedavisi ile yapılan Schroth egzersizlerinin postüral kontrolün bazı bileşenlerinde anlamlı gelişme sağlayabileceğini vurgulamaktadır.

Anahtar Kelimeler

Skolyoz; adölesan idyopatik, Schroth egzersizleri, Ortez, Postüral denge

Kaynakça

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