Short-term effects of simultaneous using of two physiotherapeutic methods in the treatment of adolescent idiopathic scoliosis – continuation of study?

Aim of the study

The assessment of influence short-term, intensive, joint physiotherapy (DoboMed and OMT Kaltenborn-Evjenth) to the function of the respiratory system and morphology of the trunk in the group of in-patient with Adolescent Idiopathic Scoliosis (AIS).

Material and methods

Forty girls with AIS (range of Cobb angle 15-35 degree) were examined. The group was divided into two randomized subgroups “D”(N=18) and “DK” (N=22). DoboMed was applied in group “D” (only). DoboMed and manual therapy was applied in the group “DK”. Derotational stretch mobilization techniques in selected segments of thoracic spine were used as preparation for DoboMed’s exercises. Physiotherapy has been continued for 3 weeks. The spirometry, maximal inspiration and expiratory pressures (MIP, MEP), kyphosis and the angle of trunk rotation (ATR-Bunnell) in thoracic spine have been estimated before and after therapy.

Results

MIP and MEP were increased significantly in both groups. Significantly changes were observed in the group “DK” as: increasing of forced expiratory volume in one second (FEV1), increasing of thoracic kyphosis and decreasing of ATR-Bunnell.

Conclusions

1.Physiotherapeutic methods provides to the functionally improvement of respiratory system in the group of in-patient with AIS in the short time.

2.Using of joint physiotherapeutic methods (DoboMed and OMT Kaltenborn-Evjenth) provides to the functionally improvement of respiratory system and to changes morphology of the trunk in the short time.

3.OMT Kaltenborn-Evjenth’s derotational manual stretch mobilization techniques are useful to prepare patients for DoboMed’s exercises.