Document Type : Research Paper

Authors

1 Shahre kord university

2 , Departmeat of sports sciences, Faculty of Humanities, Shahrekord University .shahrekord.iran

3 , Departmeat of sports sciences, Faculty of Humanities, Shahrekord University

4 department of sport science shahrkord univercity

Abstract

The purpose of this study was to investigate the effect and persistence of 8 weeks of Shroth exercises on Cobb's angle, scapular flexibility and quality of life of 12-15 years old girls with idiopathic scoliosis.
The population was girls students aged 12-15 years of girls' schools of the first secondary school of the 2nd education district of Isfahan city. After the initial screening, 30 volunteers were selected and randomly divided into experimental and control groups (n=15). Cobb angle and symmetry of acromion process, lower angle of the scapula, external rotation of the scapula and the quality of life Were measured by photogrammetry, tape, goniometer and specific quality of life questionnaire for scoliotic adolescents respectively. All Subjects were evaluated before, after 8 weeks and two weeks after completing the training. The experimental group performed Shrouth's exercise program 8 weeks, 3 sessions per week and 50 minutes each session. The data was analyzed using mixed variance analysis and with spss software at an error level of 0.05. The results showed that there was a significant difference between the experimental and control groups in Cobb angle, symmetry of acromion process, lower angle and external rotation of the scapula and quality of life (p=0.001). there was no significant difference between the post and the follow-up test of the experimental group in any of these variables (p=0.001). Therefore, Shrouth's exercises were effective and lasting in improving adolescent girls with idiopathic scoliosis and it is recommended to use in corrective and rehabilitatve programs.

Keywords

  1. Schreiber S, Parent EC, Moez EK, Hedden DM, Hill D, Moreau MJ, et al. 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;10:24.
  2. Ko K-J, Kang S-J. Effects of 12-week core stabilization exercise on the Cobb angle and lumbar muscle strength of adolescents with idiopathic scoliosis. Journal of Exercise Rehabilitation. 2017;13(2):244.
  3. Romano M, Minozzi S, Bettany-Saltokov J, Zaina F, Chockalingam N, Kotwicki T, et al. Exercises for adolescent idiopathic scoliosis. Cochrane Database Syst Rev. 2012;8:10-2.
  4. Yao G, Cheung JP, Shigematsu H, Ohrt-Nissen S, Cheung K, Luk KD, et al. Characterization and predictive value of segmental curve flexibility in adolescent idiopathic scoliosis patients. Spine. 2017;42(21):1622-8.

 

  1. Monticone M, Ambrosini E, Cazzaniga D, Rocca B, Ferrante S. 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. Eur Spine J. 2014;23(6):1204-14.
  2. Goldberg CJ, Gillic I, Connaughton O, Moore DP, Fogarty EE, Canny GJ, et al. Respiratory function and cosmesis at maturity in infantile-onset scoliosis. Spine (Phila Pa 1976). 2003;28(20):2397-406.
  3. Marty-Poumarat C, Scattin L, Marpeau M, Garreau de Loubresse C, Aegerter P. Natural history of progressive adult scoliosis. Spine (Phila Pa 1976). 2007;32(11):1227-34.
  4. Fortin C, Feldman DE, Cheriet F, Labelle H. Validity of a quantitative clinical measurement tool of trunk posture in idiopathic scoliosis. Spine (Phila Pa 1976). 2010;35(19):E988-E994.
  5. Silva RT, Hartmann LG, de SouzaLaurino CF, Biló PR. Clinical and ultrasonographic correlation between scapular dyskinesia and subacromial space measurement among junior elite tennis players. British Journal of Sports Medicine. 2010;44(6):407-10.
  6. Kibler WB, Ludewig PM, McClure PW, Michener LA, Bak K, Sciascia AD. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the 'Scapular Summit'. Br J Sports Med. 2013;47(14):877-85.
  7. Najafi H, Seidi F, Alizadeh MH. The effect of an eight week selected corrective exercises program on non-structural scoliosis deformity. Journal For Research in Sport Rehabilitation. 2014;2(3):11-9. [In Persian]
  8. Mousavi SJ, Mobini B, Mehdian H, Akbarnia B, Bouzari B, Askary-Ashtiani A, et al. Reliability and validity of the Persian version of the Scoliosis Research Society-22r Questionnaire. Spine. 2010;35(7):784-9.
  9. Mercado E, Alman B, Wright JG. Does spinal fusion influence quality of life in neuromuscular scoliosis? Spine (Phila Pa 1976). 2007;1(32(19 Suppl):S):120-5.
  10. Berdishevsky H, Lebel VA, Bettany-Saltikov J, Rigo M, Lebel A, Hennes A, et al. Physiotherapy scoliosis-specific exercises-a comprehensive review of seven major schools. Scoliosis Spinal Disord. 2016;4:11-20.
  11. Mostamand J, Jokar F. Schroth’s method exercises for treating idiopathic adolescent scoliosis: a narrative review. J Res Rehabil Sci. 2018;14(6):375-81. [In Persian]
  12. Fusco C, Zaina F, Atanasio S, Romano M, Negrini A, Negrini S. Physical exercises in the treatment of adolescent idiopathic scoliosis: an updated systematic review. Physiother Theory Pract. 2011;27(1):80-114.
  13. Lehnert-Schroth C. Three-dimensional treatment for scoliosis: physiotherapeutic method for deformities of the spine. Hong Kong: Martindale Press;
  14. Burger M, Coetzee W, du Plessis LZ, Geldenhuys L, Joubert F, Myburgh E, et al. The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis: a systematic review and meta-analysis. South African Journal of Physiotherapy. 2019;75(1):a
  15. Sokhangouei Y, Mohammadian F, Zivaryan M. Impact of corrective exercises on the flexibility and cardiopulmonary of adolescent girls suffering scoliosis. Strategic Studies on Youth ans Sports. 2013;12(21):101-10. [In Persian]
  16. Geitasi M, Alizadeh M H, Raja R, Ebrahimi Takamjani E. Comparison of three methods of routine, self-correction, and mixed corrective exercise on lateral curvature degree in non-structural scoliotic subjects. J Rehab Med. 2019;8(1):47-60. [In Persian]
  17. Sepehrifar S, Moezy  A, Solaymani Dodaran M. The effect of exercise therapy on improving shoulder pain, flexibility and range of motion in patients with shoulder overuse syndrome in comparison with physiotherapy procedures. Journal of Medical Council of Islamic Republic of Iran. 2013;31(2):133-47. [In Persian]
  18. Patias P, Grivas TB, Kaspiris A, Aggouris C, Drakoutos E. A review of the trunk surface metrics used as Scoliosis and other deformities evaluation indices. Scoliosis. 2010;5(12):1-20.
  19. Asher M, Min Lai S, Burton D, Manna B. Discrimination validity of the Scoliosis Research Society-22 Patient Questionnaire: relationship to idiopathic scoliosis curve pattern and curve size. Spine. 2003;28(1):74-7.
  20. Asher M, Min Lai S, Burton D, Manna B. The reliability and concurrent validity of the Scoliosis Research Society-22 Patient Questionnaire for idiopathic scoliosis. Spine. 2003;28(1):63-9.
  21. Saad KR, Colombo AS, João SM. Reliability and validity of the photogrammetry for scoliosis evaluation: a cross-sectional prospective study. J Manipulative Physiol Ther. 2009;32(6):423-30.
  22. Gheitasi M, Alizadeh M, Rajabi R, Ebrahimi E, Haghverdian S. Effect of eight-week routine corrective exercises (stretching-strengthening exercises) on lateral curve of spine in non-structural scoliotic subjects. Journal of Applied Exercise Physiology. 2014;10(20):93-106.
  23. Javdaneh N, Letafat kar A, Kamrani Faraz N, Shokri B. Investigation stability of upper limb function in handballers with glenohumeral internal rotation defici. J Sport Biomech 2017;3(2):51-9. [In Persian]
  24. Saki F, Gholami H, Yalfani A, Zia M. Effects of specific Schroth exercises on cobb angle, flexibility, and functional capacity of adolescents with idiopathic scoliosis. Avicenna Journal of Clinical Medicine. 2021;27(4):217-25. [In Persian]
  25. Weiss H R. The method of katharina Schroth-history, principles and current development. Scoliosis. 2011;6(17):2-21.
  26. Page P, Frank C, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach. Journal of orthopedic & sports physical therapy. 2011;41(10):799-800
  27. Bialek M, Kotwicki T. Lower limb muscle shortening in structural versus non-structural spinal deformity. Scoliosis. 2009;4(Suppl 2):O26.
  28. Marks D, Comans T, Bisset L, Scuffham PA. Substitution of doctors with physiotherapists in the management of common musculoskeletal disorders: a systematic review. Physiotherapy. 2017;103(4):341-51.
  29. Comerford M, Mottram S. Kinetic control-e-book: the management of uncontrolled movement. London: Elsevier Health Sciences; 2011.
  30. Alves de Araújo ME, Bezerra da Silva E, Bragade Mello D, Cader SA, Shiguemi Inoue Salgado A, EH D. The effectiveness of the Pilates method: reducing the degree of non-structural scoliosis, and improving flexibility and pain in female college students. J Bodyw Mov Ther. 2012;16(2):191-8.
  31. Gao A, Li JY, Shao R, WuTX, Wang YQ, Liu XG, et al. Schroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients. Chin Med J. 2021;134:2589–96.
  32. Rrecaj-Malaj S, Beqaj S, Krasniqi V, Qorolli M, Tufekcievski A. 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. Medical Science Monitor Basic Research. 2020;26:e920449-1.
  33. Van Rooyen C, Du Plessis LZ, Geldenhuys L, Myburgh E, Coetzee W, Vermeulen N, et al. The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis: a systematic review and meta-analysis. South African Journal of Physiotherapy. 2019;75(1):1-9.
  34. Burger M, Coetzee W, du Plessis LZ, Geldenhuys L, Joubert F, Myburgh E, et al. The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis: A systematic review and meta-analysis. 2019;75(1):a904.
  35. Kim MJ, Park DS. The effect of Schroth’s three-dimensional exercises in combination with respiratory muscle exercise on Cobb’s angle and pulmonary function in patients with idiopathic scoliosis. Phys Ther Rehabil Sci. 2017;6(3):113-9.
  36. Kim JH, Oh DH, Zhang SA, Lee JK. Effects of Schroth 3-dimensional exercise on cubb's angle, abdominal endurance,flexibility and balance in adolescents with idiopathic scoliosis. J Korea Acad Industr Coop Soc. 2015;16(6):4098-107.
  37. Schreiber S, Parent EC, Hedden DM, Moreau M, Hill D, Lou E. Effect of Schroth exercises on curve characteristics and clinical outcomes in adolescent idiopathic scoliosis: protocol for a multicentre randomised controlled trial. Journal of Physiotherapy. 2014;60(4):234.
  38. Otman S, Kose N, Yakut Y. The efficacy of Schroth's 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey. Neurosciences (Riyadh). 2005;10(4):277-83.
  39. Hibberd EE, Oyama S, Spang JT, Prentice W, Myers JB. Effect of a 6-week strengthening program on shoulder and scapular-stabilizer strength and scapular kinematics in division I collegiate swimmers. Journal of Sport Rehabilitation. 2012;21(3):253-65.
  40. Williams JG, Laudner KG, McLoda T. The acute effects of two passive stretch maneuvers on pectoralis minor length and scapular kinematics among collegiate swimmers. International Journal of Sports Physical Therapy. 2013;8(1):25.
  41. Fusco C, Zaina F, Atanasio S, Romano M, Negrini A, Negrini S. Physical exercises in the treatment of adolescent idiopathic scoliosis: an updated systematic review. Physiother Theory Pract. 2011;27(1):80-114.