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The short-term effects of simultaneous treatment using two different methods of physiotherapy in the treatment of Adolescent Idiopathic Scoliosis: a pilot study

Goal

The assessment of the influence of joint physiotherapy (DoboMed and OTM Kaltenboru - Evjenth) on the function of the respiratory system and the morphology of the ribcage in short-term intensive physiotherapy within the Department of Rehabilitation.

Materials and methods

Thirty girls with AIS (mean age = 14.5 y.; Cobb angle = range 12-40 degrees) were examined. The group was divided into two randomized subgroups. DoboMed alone was applied in group "D". DoboMed and manual therapy was applied in the group "DK".

The physiotherapy was continued for 3 weeks. Using spirometry, the strength of respiratory muscles (maximal inspiratory and expiratory pressures- MIP, MEP) was measured. Kyphosis (plurimeter-V) and the angle of trunk rotation (ATR) in thoracic spine (Bunnell scoliometer) were measured twice: once before and once after therapy.

Results

The values of MIP and MEP (p < 0.01) were significantly increased in both groups (before and after therapy). The group "DK", compared to the group "D", showed significant improvement in forced expiratory volume in one second - FEV1(p < 0.05), an increase in kyphosis (p < 0.01) and a decrease in ATR (p < 0.05).

Conclusion

The use of joint physiotherapeutic methods in the treatment of AIS adds to the functional improvement of the respiratory system and the morphology of the ribcage in a short time.

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Correspondence to J Durmala.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Wnuk, B., Durmala, J., Dzierzega, J. et al. The short-term effects of simultaneous treatment using two different methods of physiotherapy in the treatment of Adolescent Idiopathic Scoliosis: a pilot study. Scoliosis 4 (Suppl 2), O30 (2009). https://doi.org/10.1186/1748-7161-4-S2-O30

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  • DOI: https://doi.org/10.1186/1748-7161-4-S2-O30

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