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Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Europa Medicophysica 1998 March;34(1):25-31

lingua: Inglese

Effect of exer­cise ther­a­py on mild idiopath­ic sco­li­o­sis. Preliminary ­results

Ferraro C., Masiero S., Venturin A., Pigatto M., Migliorino N.

Orthopaedic Rehabilitation Unit, Institute of Orthopaedics, University of Padua, Italy


OBJECTIVE:. The aim of ­this ­paper was to ­test the effi­ca­cy of exer­cise ther­a­py in mod­i­fy­ing the evo­lu­tion of the defor­mity in chil­dren ­with ­mild idiopath­ic sco­li­o­sis.
METHODS: We recruit­ed 34 con­sec­u­tive scol­i­ot­ic sub­jects (­mean age 11.6 ­years, ­range 8.7-14.1 ­years) ­with an ­initial ­mean Cobb ­angle of 14.9° and a ­mean hump ­height of 7.3 mm. They ­were ­assigned to one of two phys­i­cal ther­a­pists who ­used dif­fer­ent tech­niques ­with the ­same ther­a­peu­tic ­goals (­active pos­tu­ral cor­rec­tion of sco­li­o­sis). Subjects ­were ­asked to con­tin­ue ­their exer­cis­es at ­home for at ­least 30 min­utes a day. Thus, ­most of the exer­cise pro­gramme was car­ried out in the ­home. After a ­mean of 2 ­years of a) treat­ment, we per­formed a mul­ti­ple linear regres­sion anal­y­sis for the chang­es in Cobb ­angle as a func­tion of a) the actu­al involve­ment in the ­home pro­gramme (min­utes per day), b) the phys­i­cal ther­a­pist var­i­able, and c) the poten­tial­ly con­found­ing var­i­ables (such as initial Cobb ­angle and age, Risser ­sign and dura­tion of the treat­ment). A sim­ple linear regres­sion anal­y­sis was per­formed for the changes in hump height as a func­tion of the lev­el of par­tic­i­pa­tion.
RESULTS: Results ­showed ­that max­i­mal par­tic­i­pa­tion in exer­cise ther­a­py (≥30 min day) for the ­mean dura­tion of 2 ­years, as com­pared to min­i­mal par­tic­i­pa­tion (<10 min/ day), ­slowed ­down and ­even halt­ed the pro­gres­sion of the defor­mity (­curve and hump). Results did not dif­fer sig­nif­i­cant­ly ­between the 2 ­therapists’ ­groups.
CONCLUSION: If fol­lowed rig­or­ous­ly, an accu­rate exer­cise pro­gramme ­appears to effec­tive­ly lim­it the wors­en­ing of defor­mity in ­mild sco­li­o­sis.

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