Effects of consecutive application of stretching, Schroth, and strengthening exercises on Cobb’s angle and the rib hump in an adult with idiopathic scoliosis

Abstract

[Purpose] To report the effects of consecutive application of stretching, Schroth, and strengthening exercises in an adult with idiopathic scoliosis. [Subject] A 26-year-old woman with idiopathic scoliosis, Cobb’s angle of 20.51°, and back pain. [Methods] The exercise program consisted of 3 sessions: 10 minutes of stretching exercises, 20 minutes of Schroth exercises, and 10 minutes of strengthening exercises. This program was implemented 3 times a week, for 8 weeks. [Results] The thoracic Cobb’s angle decreased from 20.51° to 16.35°, and the rib hump decreased from 15° to 9°. [Conclusion] Consecutive application of stretching, Schroth, and strengthening exercises may help reduce Cobb’s angle and the rib hump in adults with idiopathic scoliosis.

Effect of the Schroth method of emphasis of active holding on Cobb’s angle in patients with scoliosis: a case report

“…Previous studies have also reported significant decreases in pain and Cobb’s angle and increased quality of life8,9,10,11, 13 ) . Thus, the Schroth method allows patients to regain normal posture of elongation, de-rotation, and de-flexion of the spine by continuous feedback of visual information8,9,10,11, 13 ) . Therefore, the Schroth method decreases pain and Cobb’s angle by inhibiting compensation and restoring appearance.…”

“…The Schroth method helps correct posture depending on the scoliosis type10, 11 ) . In addition, a therapist educated in the memory of corrected posture recognizes abnormal during activities of daily living8, 9, 12, 13 ) . Patients with idiopathic scoliosis must consider the of changed appearance after treatment and adjustment of Cobb’s angle8 ) .…”

“…It evaluated idiopathic scoliosis by measuring Cobb’s angle (intersecting angle between the perpendicular to lines drawn parallel to the superior and inferior endplates of the most tilted vertebrae) at the coronal plane of the entire spine by X-ray (ED150L/R-500-150; Shimadzu Inc., Tokyo, Japan; Siremobil Compact/HRFC-100-P; Siemens Inc., Erlangen, Germany) and a computer-aided design program (CAD impact, Seoul, Korea)8 ) .…”

“…The US Scoliosis Research Society recommends evaluating Cobb’s angle in patients with idiopathic scoliosis, which is measured from a standing posture radiograph8 ) .…”

Effects of corrective, therapeutic exercise techniques on adolescent idiopathic scoliosis. A systematic review

“…The objective of exercise is to reduce symptoms and improve functional capacity and quality of life. [10][11][12][13][14][15] Although braces are mainly used in these patients, the isolated effects of corrective, therapeutic exercise on AIS patients are not clear; 1 actually, the Scientific Society on Scoliosis Orthopaedic Rehabilitation and Treatment (SOSORT) 16 has shown that the evidence of conservative management in these patients is scarce.…”