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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

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.

Kaynakça

  • 1. Grivas TB, de Mauroy JC, Negrini S, et al. Terminology-glossary including acronyms and quotations in use for the conservative spinal deformities treatment: 8 th SOSORT consensus paper. Scoliosis. 2010;5:23.
  • 2. Altaf F, Gibson A, Dannawi Z, et al. Adolescent idiopathic scoliosis. BMJ. 2013;346:f2508.
  • 3. Negrini S, Aulisa AG, Aulisa L, et al. 2011 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis. 2012;7:3.
  • 4. James J. Idiopathic scoliosis; the prognosis, diagnosis, and operative indications related to curve patterns and the age at onset. J Bone Joint Surg Br. 1954;36-B:36-49.
  • 5. Massion J. Postural control systems in developmental perspective. Neurosci Biobehav Rev. 1998;22:465-472.
  • 6. Haumont T, Gauchard GC, Lascombes P, et al. Postural instability in early-stage idiopathic scoliosis in adolescent girls. Spine. 2011;36:E847-E854.
  • 7. Lion A, Haumont T, Gauchard GC, et al. Visuooculomotor deficiency at early-stage idiopathic scoliosis in adolescent girls. Spine. 2013;38:238-244.
  • 8. Simoneau M, Lamothe V, Hutin E, et al. Evidence for cognitive vestibular integration impairment in idiopathic scoliosis patients. BMC Neurosci. 2009;10:102.
  • 9. Rousie DL, Deroubaix JP, Joly O, et al. Abnormal connection between lateral and posterior semicircular canal revealed by a new modeling process. Ann N Y Acad Sci. 2009;1164:455-457.
  • 10. Catanzariti JF, Agnani O, Guyot MA, et al. Does adolescent idiopathic scoliosis relate to vestibular disorders? A systematic review. Ann Phys Rehabil Med. 2014;57:465-479.
  • 11. Wang D, Shi L, Chu WC, et al. Abnormal cerebral cortical thinning pattern in adolescent girls with idiopathic scoliosis. Neuroimage. 2012;59:935-42.
  • 12. Domenech J, Tormos JM, Barrios C, et al. Motor cortical hyperexcitability in idiopathic scoliosis: could focal dystonia be a subclinical etiological factor? Eur Spine J. 2010;19:223-230.
  • 13. Liu T, Chu WC, Young G, et al. MR analysis of regional brain volume in adolescent idiopathic scoliosis: neurological manifestation of a systemic disease. J Magn Reson Imaging. 2008;27:732-736.
  • 14. Guo X, Chau WW, Hui-Chan CW, et al. Balance control in adolescents with idiopathic scoliosis and disturbed somatosensory function. Spine. 2006;31:E437-E440.
  • 15. Kuo F-C, Wang N-H, Hong C-Z. Impact of visual and somatosensory deprivation on dynamic balance in adolescent idiopathic scoliosis. Spine. 2010;35:2084-2090.
  • 16. Chu WC, Man GC, Lam WW, et al. A detailed morphologic and functional magnetic resonance imaging study of the craniocervical junction in adolescent idiopathic scoliosis. Spine. 2007;32:1667-1674.
  • 17. Hawes MC. The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature. Pediatr Rehabil. 2003;6:171-182.
  • 18. de Abreu DCC, Gomes MM, de Santiago HAR, et al. What is the influence of surgical treatment of adolescent idiopathic scoliosis on postural control? Gait Posture. 2012;36:586-590.
  • 19. de Santiago HA, Reis JG, Gomes MM, et al. The influence of vision and support base on balance during quiet standing in patients with adolescent idiopathic scoliosis before and after posterior spinal fusion. Spine J. 2013;13:1470-1476.
  • 20. Gür G, Dilek B, Ayhan C, et al. Effect of a spinal brace on postural control in different sensory conditions in adolescent idiopathic scoliosis: a preliminary analysis. Gait Posture. 2015;41:93-99.
  • 21. Paolucci T, Morone G, Di Cesare A, et al. Effect of Chêneau brace on postural balance in adolescent idiopathic scoliosis: a pilot study. Eur J Phys Rehabil Med. 2013;49:649-657.
  • 22. Khanal M, Arazpour M, Bahramizadeh M, et al. The influence of thermoplastic thoraco lumbo sacral orthoses on standing balance in subjects with idiopathic scoliosis. Prosthet Orthot Int. 2016;40:460-466.
  • 23. Gür G, Yakut Y. Does conservative treatment affect postural stablity in adolescent idiopathic scoliosis? SOSORT 2017 Book of Abstracts. 2017(031.27):64-65.
  • 24. Weiss H-R. The method of Katharina Schrothhistory, principles and current development. Scoliosis. 2011;6:17.
  • 25. Morrissy R, Goldsmith G, Hall E, et al. Measurement of the Cobb angle on radiographs of patients who have. J Bone Joint Surg Am. 1990;72:320-327.
  • 26. Reem J, Carney J, Stanley M, et al. Risser sign inter-rater and intra-rater agreement: is the Risser sign reliable? Skeletal Radiol. 2009;38:371-375.
  • 27. Amendt LE, Ause-Ellias KL, Eybers JL, et al. Validity and reliability testing of the Scoliometer®. Phys Ther. 1990;70:108-117.
  • 28. Simoneau M, Richer N, Mercier P, et al. Sensory deprivation and balance control in idiopathic scoliosis adolescent. Exp Brain Res. 2006;170:576-582.
  • 29. Chen PQ, Wang JL, Tsuang YH, et al. The postural stability control and gait pattern of idiopathic scoliotic adolescents. Clin Biomech. 1998;13:S52-S58.
  • 30. Pickerill ML, Harter RA. Validity and reliability of limits-of-stability testing: a comparison of 2 postural stability evaluation devices. J Athl Train. 2011;46:600-606.
  • 31. Pollock AS, Durward BR, Rowe PJ, et al. What is balance? Clin Rehabil. 2000;14:402-406.
  • 32. Palmieri RM, Ingersoll CD, Stone MB, et al. Center-of-pressure parameters used in the assessment of postural control. J Sport Rehabil. 2002;11:51-66.
  • 33. Romano M, Minozzi S, Zaina F, et al. Exercises for adolescent idiopathic scoliosis: a Cochrane systematic review. Spine. 2013;38:E883-E893.

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

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

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.

Kaynakça

  • 1. Grivas TB, de Mauroy JC, Negrini S, et al. Terminology-glossary including acronyms and quotations in use for the conservative spinal deformities treatment: 8 th SOSORT consensus paper. Scoliosis. 2010;5:23.
  • 2. Altaf F, Gibson A, Dannawi Z, et al. Adolescent idiopathic scoliosis. BMJ. 2013;346:f2508.
  • 3. Negrini S, Aulisa AG, Aulisa L, et al. 2011 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis. 2012;7:3.
  • 4. James J. Idiopathic scoliosis; the prognosis, diagnosis, and operative indications related to curve patterns and the age at onset. J Bone Joint Surg Br. 1954;36-B:36-49.
  • 5. Massion J. Postural control systems in developmental perspective. Neurosci Biobehav Rev. 1998;22:465-472.
  • 6. Haumont T, Gauchard GC, Lascombes P, et al. Postural instability in early-stage idiopathic scoliosis in adolescent girls. Spine. 2011;36:E847-E854.
  • 7. Lion A, Haumont T, Gauchard GC, et al. Visuooculomotor deficiency at early-stage idiopathic scoliosis in adolescent girls. Spine. 2013;38:238-244.
  • 8. Simoneau M, Lamothe V, Hutin E, et al. Evidence for cognitive vestibular integration impairment in idiopathic scoliosis patients. BMC Neurosci. 2009;10:102.
  • 9. Rousie DL, Deroubaix JP, Joly O, et al. Abnormal connection between lateral and posterior semicircular canal revealed by a new modeling process. Ann N Y Acad Sci. 2009;1164:455-457.
  • 10. Catanzariti JF, Agnani O, Guyot MA, et al. Does adolescent idiopathic scoliosis relate to vestibular disorders? A systematic review. Ann Phys Rehabil Med. 2014;57:465-479.
  • 11. Wang D, Shi L, Chu WC, et al. Abnormal cerebral cortical thinning pattern in adolescent girls with idiopathic scoliosis. Neuroimage. 2012;59:935-42.
  • 12. Domenech J, Tormos JM, Barrios C, et al. Motor cortical hyperexcitability in idiopathic scoliosis: could focal dystonia be a subclinical etiological factor? Eur Spine J. 2010;19:223-230.
  • 13. Liu T, Chu WC, Young G, et al. MR analysis of regional brain volume in adolescent idiopathic scoliosis: neurological manifestation of a systemic disease. J Magn Reson Imaging. 2008;27:732-736.
  • 14. Guo X, Chau WW, Hui-Chan CW, et al. Balance control in adolescents with idiopathic scoliosis and disturbed somatosensory function. Spine. 2006;31:E437-E440.
  • 15. Kuo F-C, Wang N-H, Hong C-Z. Impact of visual and somatosensory deprivation on dynamic balance in adolescent idiopathic scoliosis. Spine. 2010;35:2084-2090.
  • 16. Chu WC, Man GC, Lam WW, et al. A detailed morphologic and functional magnetic resonance imaging study of the craniocervical junction in adolescent idiopathic scoliosis. Spine. 2007;32:1667-1674.
  • 17. Hawes MC. The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature. Pediatr Rehabil. 2003;6:171-182.
  • 18. de Abreu DCC, Gomes MM, de Santiago HAR, et al. What is the influence of surgical treatment of adolescent idiopathic scoliosis on postural control? Gait Posture. 2012;36:586-590.
  • 19. de Santiago HA, Reis JG, Gomes MM, et al. The influence of vision and support base on balance during quiet standing in patients with adolescent idiopathic scoliosis before and after posterior spinal fusion. Spine J. 2013;13:1470-1476.
  • 20. Gür G, Dilek B, Ayhan C, et al. Effect of a spinal brace on postural control in different sensory conditions in adolescent idiopathic scoliosis: a preliminary analysis. Gait Posture. 2015;41:93-99.
  • 21. Paolucci T, Morone G, Di Cesare A, et al. Effect of Chêneau brace on postural balance in adolescent idiopathic scoliosis: a pilot study. Eur J Phys Rehabil Med. 2013;49:649-657.
  • 22. Khanal M, Arazpour M, Bahramizadeh M, et al. The influence of thermoplastic thoraco lumbo sacral orthoses on standing balance in subjects with idiopathic scoliosis. Prosthet Orthot Int. 2016;40:460-466.
  • 23. Gür G, Yakut Y. Does conservative treatment affect postural stablity in adolescent idiopathic scoliosis? SOSORT 2017 Book of Abstracts. 2017(031.27):64-65.
  • 24. Weiss H-R. The method of Katharina Schrothhistory, principles and current development. Scoliosis. 2011;6:17.
  • 25. Morrissy R, Goldsmith G, Hall E, et al. Measurement of the Cobb angle on radiographs of patients who have. J Bone Joint Surg Am. 1990;72:320-327.
  • 26. Reem J, Carney J, Stanley M, et al. Risser sign inter-rater and intra-rater agreement: is the Risser sign reliable? Skeletal Radiol. 2009;38:371-375.
  • 27. Amendt LE, Ause-Ellias KL, Eybers JL, et al. Validity and reliability testing of the Scoliometer®. Phys Ther. 1990;70:108-117.
  • 28. Simoneau M, Richer N, Mercier P, et al. Sensory deprivation and balance control in idiopathic scoliosis adolescent. Exp Brain Res. 2006;170:576-582.
  • 29. Chen PQ, Wang JL, Tsuang YH, et al. The postural stability control and gait pattern of idiopathic scoliotic adolescents. Clin Biomech. 1998;13:S52-S58.
  • 30. Pickerill ML, Harter RA. Validity and reliability of limits-of-stability testing: a comparison of 2 postural stability evaluation devices. J Athl Train. 2011;46:600-606.
  • 31. Pollock AS, Durward BR, Rowe PJ, et al. What is balance? Clin Rehabil. 2000;14:402-406.
  • 32. Palmieri RM, Ingersoll CD, Stone MB, et al. Center-of-pressure parameters used in the assessment of postural control. J Sport Rehabil. 2002;11:51-66.
  • 33. Romano M, Minozzi S, Zaina F, et al. Exercises for adolescent idiopathic scoliosis: a Cochrane systematic review. Spine. 2013;38:E883-E893.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Burçin Akçay Bayraktar

Ata Elvan Bu kişi benim

Metin Selmani Bu kişi benim

Alphan Çakıroğlu Bu kişi benim

İ Safa Satoğlu Bu kişi benim

Ömer Akçalı Bu kişi benim

Salih Angın Bu kişi benim

İ Engin Şimşek Bu kişi benim

Yayımlanma Tarihi 25 Aralık 2018
Gönderilme Tarihi 29 Eylül 2017
Yayımlandığı Sayı Yıl 2018 Cilt: 5 Sayı: 3

Kaynak Göster

Vancouver Bayraktar BA, Elvan A, Selmani M, Çakıroğlu A, Satoğlu İS, Akçalı Ö, Angın S, Şimşek İE. Effects of Schroth exercises combined with orthotic treatment on balance control in adolescent idiopathic scoliosis. JETR. 2018;5(3):125-34.