AB1375-HPR EFFECT OF SCHROTH METHOD AND SCIENTIFIC EXERCISE APPROACH TO SCOLIOSIS (SEAS) ON THE COBB ANGLE AMONG THE ADOLESCENT WITH IDIOPATHIC SCOLIOSIS A COMPARATIVE STUDY

Background

Scoliosis is a three-dimensional deformity of the spine and trunk leading to physical and functional disability. Among adolescent, idiopathic scoliosis is the most common (80% - 89%) form of scoliosis with prevalence ranging between 0.47% and 5.2% in general population¹. As the evidence on the comparative efficacy of various physical therapy in scoliosis is sparse, we conducted a comparative study assessing efficacy of Schroth method of exercise group (SEG)² and scientific exercise approach to scoliosis group (SEASG)³ in adolescents with idiopathic scoliosis.

Objectives

To compare efficacy of schroth method and SEAS among adolescent with scoliosis.

Methods

Thirty subjects, both male and female of the age group of 10 to 18 years, with mild-moderate idiopathic scoliosis defined as the spinal radiographic Cobb angle in the range of 20 to 45 and riser sign of 0-2 were randomly allocated to Schroth method of exercise group (SEG, n=15) and scientific exercise approach to scoliosis group (SEASG, n=15). Subjects with diagnosis of spinal injury, previous spinal surgery, gibbus, limb deformity, infection and malignancy were excluded. The SEG and SEASG performed Schroth and scientific exercise respectively, 5 times a week for 7 weeks. To quantify the magnitude of spinal deformity, Cobb angle measurements were obtained by using radiograph to gain pre-post interventional differences. (Figure 1)

Results

SEG showed the significant changes in pre (mean sd 31.2 5.20) and post (mean sd 27.4 5.17) Cobb angle measurements. SEASG also showed the significant changes in pre (mean sd 31.33 5.26) and post (mean sd 29.4 5.9) Cobb angle measurements (Figure 2). Comparing both the groups by unpaired t test suggested SEG to be more efficacious than the SEASG with the t value (4.22) for change in Cobb angle (p <.0.0001) (Figure 3).

Conclusion

The study establishes the role of physical therapy in idiopathic scoliosis of mild to moderate degree among adolescents with. Schroth method of exercise performs better compared to the SEAS in patients with mild to moderate scoliosis.

References

[1] Negrini, Stefano & Fusco, Claudia & Minozzi, S & Atanasio, Salvatore & Zaina, Fabio & Romano, Michele. (2008). Exercises reduce the progression rate of adolescent idiopathic scoliosis: Results of a comprehensive systematic review of the literature. Disability and rehabilitation. 30. 772-85. [2] Schreiber S, Parent EC, Moez EK, Hedden DM, Hill D, Moreau MJ, Lou E, Watkins EM, Southon SC. The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis-an assessor and statistician blinded randomized controlled trial:”SOSORT 2015 Award Winner”. Scoliosis. 2015 Sep 18;10:24. doi:10.1186/s13013-015-0048-5 [3] Romano M, Negrini A, Parzini S, et al. SEAS (Scientific Exercises Approach to Scoliosis): a modern and effective evidence based approach to physiotherapic specific scoliosis exercises. Scoliosis. 2015;10:3. Published 2015 Feb 5.

Disclosure of Interests

None declared