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Effects of Schroth exercise therapy on curvature and body appearance of patients with lumbar idiopathic scoliosis

Physical Therapy Rehabilitation Science 2020년 9권 4호 p.230 ~ 237
이형주, 이석민,
소속 상세정보
이형주 ( Lee Hyung-Joo ) - Sahmyook University Graduate School Department of Physical Therapy
이석민 ( Lee Suk-Min ) - Sahmyook University College of Health and Welfare Department of Physical Therapy

Abstract


Objective: To investigate the physical appearance and therapeutic changes that occur with the performance of Schroth exercise in patients with scoliosis.

Design: Randomized controlled trial.

Methods: Fifteen subjects with maximum curvature of the lumbar who were diagnosed with idiopathic scoliosis had volunteered to participate in the study. Eight subjects were included in the experimental group where they performed the Schroth Therapeutic Exercise and the other seven were included in the control group. The experimental group underwent 2 hours of weekly treatment for 12 weeks, while the control group did not during the same period based on the decisions of patients or guardians. The Mann-Whitney rank test was carried out to compare the treatment results of the two groups, and the comparison within the group was done by Wilcoxon signed-rank test. The vertebral rotation angle (VRA) was by Scoliometer, and difference of rotated and curved portion volume (DV) between both sides on the major curvature portion measured by 3D human body scanning system.

Results: In the experimental group, 12 weeks of Schroth exercise therapy has significant improved in correction rate (CR) in Cobb’s angle (CA), VRA, and DV between both sides on the major curvature portion (p<0.05), while significant differences were not found between the groups regarding weight bearing difference in both feet (WD) and DV (p<0.05).

Conclusions: Schroth exercise performance showed significant changes in the patient’s therapeutic changes (CA, VRA), but the physical appearance (DV, WD) was not significant, indicating that external changes in the treatment goal setting are more difficult goals to achieve.

키워드

Exercise therapy; Physical appearance; Physical therapy; Schroth method; Scoliosis

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