Departmental sources Background: This study aimed to quantify the outcomes of combining Schroth and Pilates exercises on the Cobb angle, angle of trunk rotation (ATR), chest expansion, flexibility (trunk flexion), and quality of life (QoL) in adolescents with mild and moderate idiopathic scoliosis. Material/Methods: Sixty-nine adolescents with idiopathic scoliosis aged 10-17 years, presenting with a Cobb angle of 10-45º were enrolled in this study. The treatment protocol, including selected exercises from Schroth and Pilates methods, was performed over 24 weeks and consisted of 2 periods of 2-week treatment regimens performed daily for 60 minutes. Each of treatment periods was then followed by the same home program treatment for 10 weeks. Cobb angle (x-rays), ATR (Scoliometer), chest expansion (cm), trunk flexion (cm, distance between C7 to S2 with measuring tape), and QoL (SRS-22r Scoliosis Research Society Questionnaire) were assessed pre-treatment, at 12 week, and at 24 weeks. Results: Significant improvements (P<0.05) were found in both groups of patients wearing and not wearing a brace for Cobb angle (from 21.97±4.99° to 18.11±6.39°; from 14.19±3.11° to 11.66±2.73°), angle of trunk rotation (from 7.19±1.36° to 5.36±1.66°; from 4.72±1.04° to 3.58±0.94°), chest expansion (from 2.56±0.84 cm to 3.46±0.72 cm; from 2.57±0.87 cm to 3.52±0.72 cm), trunk flexion (from 9.55±1.95 cm to 14.33±2.40 cm; from 9.82±2.61 cm to 13.98±2.18 cm) and QoL (from 3.50±0.27 to 3.82±0.2; from 3.42±0.24 to 3.78±0.23) respectively. Conclusions: This study showed that combined exercises provided benefit on the Cobb angle, ATR, chest expansion, trunk flexion and QoL in adolescents with mild and moderate idiopathic scoliosis.
Adolescent Idiopathic Scoliosis (AIS) accounts for 80% of all types of diagnosed scoliosis, occurring in 2%-3% of growing age population. This disorder is quite complicated and physical therapy is important factor in the treatment. The aim of this study is to evaluate the effi cacy of physical therapy in quality of life in adolescent idiopathic scoliosis. This research was conducted in 56 consecutive adolescent idiopathic scoliosis patients (32 females and 24 males), aged 10-17 years, Cobb angle 10º-45º, at Physical and Rehabilitation Medicine Clinic, University Clinical Center of Kosovo (UCCK), Prishtina, Kosovo, during the period 2016-2017. The physical therapy protocol, including combined Schroth and Pilates exercise were performed during 3 months. The evaluation of Quality of Life (QoL) is done by SRS-22r questionnaire at the beginning and the end of the treatment. Results displayed that supervised combined Schroth and Pilates exercises have provided benefi t to the standard of care by improving QoL before and after physical therapy in all components: the mean for function has improved from 3.15 to 3.45, pain from 3.23 to 5.54, self-image from 3.36 to 5.46, mental health from 3.01 to 3.35, and in overall QoL was improved from 3.30 to 3.68. Quality of life was signifi cantly better after physical therapy (p<0.05). The study shows that physical therapy in scoliosis patients achieves good results in daily living life.
Neurological complications after the supracondylar humerus fractures with a displacement of fragments result from traction, direct trauma, or nerve ischemia. The beginning of early rehabilitation, from when the arm is still immobilized, leads to complete restoration of the elbow joint, and thus any delay in starting the rehabilitation will have consequences, ranging from lighter ones to full disability. This study analyzed the impact of injured nerves, length of immobilization, and interruptions during rehabilitation on the rehabilitation duration (RD). A sample of 140 children of both genders with post-traumatic elbow injuries was considered, from the birth to 15 years. The sample was collected in cooperation with an orthopedist, pediatrician, and physiotherapist. The diagnosis was confirmed by physical and neurological examination and by radiography. The type of injury affects the RD. The supracondylar humerus fracture has a longer RD, with the average 85.45 days. We conducted the linear correlation test, between cases with injured nerves and cases without in relation to RD. The analysis provided significant statistical data (p < 0.01) proving that injured nerves are an important factor in RD. Of cases with radius nerve injury, 62.5% achieved full recovery. The analysis shows that for p < 0.01 (for cases in general) the immobilization duration has a significant impact on RD. Among patients who had no interruptions of rehabilitation, 92 achieved an excellent rehabilitation success, with an average number of 29.7 procedures and an average RD of 56 days. Injured nerves proved to have a great impact on the RD for elbow injuries, while not showing any impact on the rehabilitation success. Interruptions of rehabilitation treatments proved to have a statistical significance, meaning they have a high impact on the RD and success.
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