USE OF ELEMENTS OF MANUAL THERAPY IN PHYSICAL THERAPY OF ADOLESCENTS WITH SCOLIOSIS
DOI:
https://doi.org/10.31891/pcs.2025.2.11Keywords:
scoliosis, physical therapy, functional state, range of motionAbstract
Scoliosis is one of the most common diseases of the musculoskeletal system among adolescents, which is characterized by progressive curvature of the spine in the frontal plane, impaired body biomechanics and functions of internal organs. Physical therapy is the main direction of conservative treatment of scoliosis, which is aimed at correcting spinal curvature, strengthening the muscle corset and preventing the progression of deformities. Purpose of the study: to theoretically substantiate the features of the use of manual therapy in physical therapy of adolescents with scoliosis. Research methods. The work used methods of the theoretical level of research: analysis, comparison, induction, deduction, systematization and generalization of scientific and methodological literature. Results of the work. Elements of manual therapy, in particular mobilization and soft techniques, are gaining increasing importance in modern physical therapy as methods that allow influencing not only the spine, but also the associated muscular and fascial structures. They contribute to improving spinal mobility, reducing muscle tension, restoring balance in the musculoskeletal system and improving postural control. The use of manual therapy in combination with traditional physical therapy methods has the potential to improve the effectiveness of treatment of adolescents with scoliosis. Manual therapy is an effective component of conservative treatment of adolescent idiopathic scoliosis, complementing standard physical therapy methods. It is aimed at reducing muscle spasm, improving spinal mobility and restoring the biomechanical balance of the spinal motor segment. Conclusions. The effectiveness of manual therapy depends on the individual characteristics of the patient, such as age, degree of curvature, skeletal maturity and functional state of the spine. This requires a personalized approach to planning therapeutic interventions.
References
Kuru, T., Yeldan, İ., Dereli, E. E., Dikici, F., & Çolak, İ. (2016). The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: A randomised controlled clinical trial. Clinical Rehabilitation, 30(2), 181–190.
Kwan, K. Y. H., Cheng, A. C. S., Koh, H. Y., Chiu, A. Y. Y., & Cheung, K. M. C. (2017). Effectiveness of Schroth exercises during bracing in adolescent idiopathic scoliosis: Results from a preliminary study—SOSORT Award 2017 Winner. Scoliosis and Spinal Disorders, 12, 32–42.
Monticone, M., Ambrosini, E., Cazzaniga, D., Rocca, B., & Ferrante, S. (2014). Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis: Results of a randomised controlled trial. European Spine Journal, 23(6), 1204–1214.
Negrini, S., Donzelli, S., Aulisa, A. G., Czaprowski, D., Schreiber, S., de Mauroy, J. C., Diers, H., Grivas, T. B., Knott, P., Kotwicki, T., Maruyama, T., O'Brien, J., Price, N., Parent, E., Rigo, M., Romano, M., Stikeleather, L., Wynne, J., & Zaina, F. (2018). 2016 SOSORT guidelines: Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis and Spinal Disorders, 13, 3.
Park, J. H., Jeon, H. S., & Park, H. W. (2017). Effects of the Schroth exercise on idiopathic scoliosis: A meta-analysis. European Journal of Physical and Rehabilitation Medicine, 54, 440–449.
Peng, Y., & Wang, S. R. (2020). Research progress on the etiology and pathogenesis of adolescent idiopathic scoliosis. Chinese Medical Journal, 133, 483–493.
Romano, M., & Negrini, A. (2015). SEAS (Scientific Exercises Approach to Scoliosis): A modern and effective evidence-based approach to physiotherapeutic specific scoliosis exercises. Scoliosis, 10, 3–23.
Rowe, D. E., Bernstein, S. M., Riddick, M. F., Adler, F., & Emans, J. B. (1997). A meta-analysis of the efficacy of non-operative treatments for idiopathic scoliosis. Journal of Bone and Joint Surgery - American Volume, 79(5), 664–674.
Schreiber, S., Parent, E. C., Khodayari Moez, E., Hedden, D. M., Hill, D. L., Moreau, M. J., Lou, E., Watkins, E. M., Southon, S. C., & Russell, K. (2016). The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis: A randomized controlled trial. Scoliosis and Spinal Disorders, 11(4).
Sun, Y., Zhang, Y., Ma, H., Tan, M., & Zhang, Z. (2023). Spinal manual therapy for adolescent idiopathic scoliosis: A systematic review and meta-analysis of randomized controlled trials. Biomed Research International, 2023, 7928429.
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