Volume 9 Supplement 1

11th International Conference on Conservative Management of Spinal Deformities - SOSORT 2014 Annual Meeting

Open Access

The direct impact of derotation techniques (omt-kalternborn-evjenth) on the trunk morphology and the possibility of the autocorrection in girls with AIS – pilot studies

  • Jacek Durmala1,
  • Bartosz Wnuk1 and
  • Irmina Blicharska1
Scoliosis20149(Suppl 1):O67

https://doi.org/10.1186/1748-7161-9-S1-O67

Published: 4 December 2014

Background

Conservative treatment of idiopathic scoliosis is a difficult and complex therapeutic process, witch not always is finished successfully. It seems that manual therapy may be used as an element in the preparatory phase for active 3D specific exercises. A systematic review of the literature (which is rather poor) performed by Romano and Negrini show, that manual therapy is not support in the treatment of the idiopathic scoliosis.

Aim

The aim of this study was to assess the direct impact of derotation techniques (Orthopedic Manual Therapy-Kalternborn-Evjenth) on the trunk morphology and on the possibility of the autocorrection in active exercises in girls with adolescent idiopathic scoliosis.

Design

Prospective, randomized and double blind studies.

Methods

16 girls (15±2y.) with AIS (DM – mean Cobb Th=26±7° and L=23±6°). The trunk morphology was examined in two standing positions – habitual and corrected in front of mirror (surface topography – position of pelvis in three planes and clinic examination - kyphosis and lordosis by plurimeter) in the morning before and after 10 minutes mobilizations. Active and passive derotational mobilization techniques were used only in the area of lumbar curvature. Derotational mobilization techniques were implemented in according with the concept of OMT Kalternborn-Evjenth in a sitting position. Nonparametric tests were used for statistical analysis.

Results

Increasing the possibility of the autocorrection of patient’s trunk in visually biofeedback was observed after once performed mobilization technique. Significant differences among the level of the autocorrection of waist were observed. Statistically significant changes were reported only for two parameters (symmetrical level (p<0.04) and depth (p<0.03) of waist).

Conclusions

The derotational mobilization techniques by Orthopedic Manual Therapy - Kalternborn-Evjenth may be useful in a preparatory phase of the specific active exercises. The topic needs the further investigation.

Authors’ Affiliations

(1)
Department of Rehabilitation, Medical University of Silesia

References

  1. Kaltenborn FM, Evjenth O, Kaltenborn TB, Morgan D, Vollowitz E: Manual mobilization of the joint. The Spine. 2009, Oslo: Norli, 2:Google Scholar
  2. Fusco C, Zaina F, Atanasio S, Romano M, Negrini A, Negrini S: Physical exercises in the treatment of adolescent idiopathic scoliosis: An updated systematic review. Physiotherapy Theory and Practice. 2011, 27 (1): 80-114. 10.3109/09593985.2010.533342.View ArticlePubMedGoogle Scholar

Copyright

© Durmala et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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