EFFECTIVENESS OF PHYSICAL REHABILITATION IN THE PREVENTION OF SCOLIOSIS PROGRESS IN ADOLESCENTS
DOI:
https://doi.org/10.11603/2411-1597.2024.4.15044Keywords:
scoliosis, adolescent idiopathic scoliosis, Schroth method, physical rehabilitation, physiotherapyAbstract
Introduction. Improper treatment of idiopathic scoliosis in adolescents can lead to serious health issues. Conservative intervention methods are considered the best for managing this condition, as they help stabilize spinal deformities and improve appearance. While the primary method remains the use of braces, new research indicates that specialized physiotherapeutic exercises may be more effective in treating idiopathic scoliosis during adolescence. The diversity of available techniques raises questions about evaluating their overall effectiveness and the advantages of specific methods.
The aim of the study – to determine the effectiveness of physical rehabilitation in preventing the progression of scoliosis in adolescents.
The main part. An analysis of the scientific literature indicates that the effectiveness of PSSE (Physiotherapeutic Scoliosis Specific Exercises) can be assessed using various indicators, such as changes in the Cobb angle, spinal rotation angle, improvement in quality of life (SRS-22), functional capabilities, and pain reduction. The Schroth method is considered the most researched and effective. It demonstrates a statistically significant reduction in the Cobb angle and improvement in patients' functional capabilities. Other methods, such as SEAS and BSPTS, also show positive results in stabilizing the progression of deformities. Studies indicate that, despite the lack of evidence for some methods, specific physiotherapeutic exercises can significantly improve the condition of patients.
Conclusions. Research confirms that conservative treatment methods, particularly physiotherapeutic exercises, are prioritized as they can prevent or postpone the need for surgical intervention. The Schroth, SEAS and BSPTS methods have proven to be effective in reducing the Cobb angle and stabilizing deformities. This highlights the importance of diverse approaches in treating idiopathic scoliosis. Despite these positive outcomes, there is a lack of high-quality scientific research validating the effectiveness of all utilized techniques. Further studies are necessary for a detailed assessment of the efficacy of alternative physiotherapeutic approaches.
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