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Rehabilitation in scoliosis - an overview of the most important procedures

Authors :
Jakub Husejko
Aneta Karło
Paula Piątkowska
Mateusz Porada
Marlena Kontowicz
Zuzanna Leśniak
Bogusz Olszewski
Magdalena Łabędź
Maciej Romaniuk
Kornelia Kędziora-Kornatowska
Source :
Journal of Education, Health and Sport, Vol 9, Iss 7, Pp 378-389 (2019)
Publication Year :
2019
Publisher :
Kazimierz Wielki University, 2019.

Abstract

Introduction: Scoliosis is defined as deformation of the spine and torso in three dimensions. Study show that scoliosis affects 68% of healthy individuals over 65 years of age with no low back pain. The aim of this article is to review the available scoliosis rehabilitation methods, including the newest physical rehabilitation trends. Material and methods: Articles in the Google Scholar, Pub Med database have been analysed using keywords: scoliosis, deformation of the spine and torso, modern methods of rehabilitation, older people. Results: After skeletal maturity, curves less than 30°do not progress, however most curves greater than 50°continue to progress with approximate change of 1°per year. Bracing is one of the most popular options of scoliosis treatment. Braces usage aims to slow the progression of the curve. However, complications resulting from the physical changes caused by the compression of the body and/or psychological effects due to the disturbance of the appearance while wearing the brace may occure. The Lehnert-Schroth three-plane corrective breath method principles are: a proper breathing technique where the ribs are used as levers and the breath is directed to the unstretched parts of lungs allowing correction of the curvature of the spine, and secondly activation of non-working muscles on the side of the concave curvature. Nevertheless, surgical procedure is advised for curves greater than 45° in immature patients and greater than 50° in mature patients. Conclusions: Scoliosis, defined as spinal and torso deformity in three planes. 80% of all cases of this postural defect are juvenile idiopathic scoliosis (AIS). However, degenerative scoliosis developed during the patient’s life due to the degeneration of the discs of the spine is frequent in people over the age of 65. It often limits daily functioning and can cause severe pain that requires medical intervention. It has been proven that properly selected systematic rehabilitation may lead to significant improvement in the spinal alignment. Nevertheless, in severe cases surgical treatment may be necessary.

Details

Language :
English, Spanish; Castilian, Polish, Russian, Ukrainian
ISSN :
23918306
Volume :
9
Issue :
7
Database :
Directory of Open Access Journals
Journal :
Journal of Education, Health and Sport
Publication Type :
Academic Journal
Accession number :
edsdoj.25c198e6ae914d788f809b229b161e37
Document Type :
article
Full Text :
https://doi.org/10.5281/zenodo.3346197