Outcome of 24 Weeks of Combined Schroth and Pilates Exercises on Cobb Angle, Angle of Trunk Rotation, Chest Expansion, Flexibility and Quality of Life in Adolescents with Idiopathic Scoliosis

Abstract

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.

The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: A single-blind, randomized-controlled trial

“…In conservative treatment, increasing the flexibility and mobility of the spine is important to correct the curve of the spine in scoliosis [ 43 ]. The effect of the Schroth method on the flexibility and mobility of the spine has been documented in previous studies [ 7 , 44 , 45 ]. Malaj et al [ 44 ] reported an improvement in trunk flexion after treatment with combined Schroth and Pilates exercises in patients with AIS.…”

“…The effect of the Schroth method on the flexibility and mobility of the spine has been documented in previous studies [ 7 , 44 , 45 ]. Malaj et al [ 44 ] reported an improvement in trunk flexion after treatment with combined Schroth and Pilates exercises in patients with AIS. Another study examined the effects of CS exercise on flexibility in scoliosis and showed that lumbar flexibility increased significantly after CS exercise in patients with AIS [ 13 ].…”

Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy

“…Sport can be synonymous with “harmonic” prevention activities, such as Pilates, which can improve the expansion of the rib cage and the flexibility of the trunk [ 16 ].…”

The Effect of Tapping on Functional Changes in Spinal Mobility and Respiratory System in Adolescents with Idiopatic Scolosis: Pilot Study

“…Prieš ir po dviejų mėnesių tiriamiesiems buvo įvertintas liemens funkcinis stabilumas, juosmeninės ir krūtininės stuburo dalies paslankumas, GPT, FIT 1 . Pirmos ir antros grupių tiriamiesiems stuburo korekcija taikyta Schroth metodu, atliekant stuburo kreivių stabilizavimo, stuburo mobilizacijos, laikysenos išilginimo, derotacijos, raumenų kontrolės, jėgos ir ištvermės pratimus (Rrecaj-Malaj et al, 2020). Antros grupės tiriamiesiems po Schroth metodo užsiėmimų buvo taikytas kineziologinis teipavimas.…”