Research Journal of Pharmacy and Technology

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Schroth Exercise on Cobb’s Angle Inidiopathic Scoliosis


Affiliations
1 Saveetha College of Physiotherapy, Thandalam, India
     

   Subscribe/Renew Journal


Background: Scoliosis refers to a three-dimensional deformation of the natural curvature of the spine. Schroth exercise improves the trunk shape and the respiratory ability by applying rotational breathing. It has been reported to improve the function of the thoracic wall and the symptoms of the respiratory system. There is less evidence on the effects of Schroth exercise on a cobb’s angle of 40 degrees or higher. Hence, the purpose of the study was to investigate the effects of the Schroth exercise on the cobb’s angle in idiopathic scoliosis. Methods: Four patients with growing idiopathic scoliosis having a cobb’s angle of 40 degrees or higher in the thoracic vertebrae were included in the study. The Schroth exercise was performed 3 times a week for 3 months. The thoracic cobb’s angle was measured before and after the exercise program. Result: The thoracic cobb’s angle decreased from 40.28±7.72 to 24.0±2.65 on average. These effects were significant. Conclusion: The 3 months Schroth exercise caused significant effects in the thoracic cobb’s angle. The conservative treatment method was found to be effective even at a 40 degree for higher cobb’s angle. In the future universal exercise approach methods and preventive training for the treatment of scoliosis should be developed further.

Keywords

Cobb’s Angle, Schroth Exercise, Scoliosis.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Beamer S, Mignotte M, Parent S, et al.: 3D/2D registration and segmentation of scoliotic vertebrae using statistical models. Computerized Medical Imaging and Graphics, 2003, 27: 321–337.

  • Cassar-Pullicino VN, Eisenstein SM: Imaging in scoliosis: what, why and how? Clinical Radiology, 2002, 57: 543–562.

  • Kim BJ: A comparison on the influences of Schroth-based static scoliosis exercise and asymmetric scoliosis exercise on the patients with scoliosis. Graduate School of Daegu University, PhD thesis, 2014.

  • Lee JH, Kim SY: Comparative effectiveness of Schroth therapeutic exercise versus sling therapeutic exercise in flxibility, balance, spine angle and chest expansion in patient with scoliosis. Journal of the Korean Society of Physical Medicine, 2014, 9: 11–23.

  • Mooney V, Gulick J: A report on the effect of measured strength training in adolescent idiopathic scoliosis. Journal of Spinal Disorders, 2000, 13: 102–107.

  • Zabjek KF, Leroux MA, Coillard C, et al.: Acute postural adaptations induced by a shoe lift in idiopathic scoliosis patients. European Spine Journal, 2001, 10: 107–113.

  • Roach JW: Adolescent idiopathic scoliosis. Orthopedic Clinics of North America, 1999, 30: 353–365

  • Landauer F, Wimmer C, Behensky H: Estimating the fial outcome of brace treatment for idiopathic thoracic scoliosis at 6-month follow-up. Journal of Pediatric Rehabilitation Medicine, 2003, 6: 201–207.

  • Weiss HR: Adolescent Idiopathic Scoliosis—case report of a patient with clinical deterioration after surgery. Patient Safety in Surgery, 2007, 1: 7.

  • Kotwicki T, Napiontek M: Intravertebral deformation in idiopathic scoliosis: a transverse plane computer tomographic study. Journal of PediatricOrthopedics, 2008, 28: 225–229.

  • Mahaudens P, Banse X, Mousny M, et al.: Very short-term effect of brace wearing on gait in adolescent idiopathic scoliosis girls. European Spine Journal, 2013, 22: 2399–2406.

  • Zabjek KF, Leroux MA, Coillard C, et al.: Acute postural adaptations induced by a shoe lift in idiopathic scoliosis patients. European Spine Journal, 2001, 10: 107–113.

  • Trobisch P, Suess O, Schwab F: Idiopathic scoliosis. Deutsches Ärzteblatt International, 2010, 107: 875–883, quiz 884.

  • Park JY, Park GD, Lee SG, et al.: The effect of scoliosis angle on center of gravity sway. Journal of physical therapy science, 2013, 25:1629–1631.

  • Lonstein JE: Adolescent idiopathic scoliosis. Lancet, 1994, 344: 1407–1412.

  • Kim JJ, Song GB, Park EC: Effects of Swiss ball exercise and resistance exercise on respiratory function and trunk control ability in patients with scoliosis. Journal of Physical Therapy Science, 2015, 27: 1775–1778.

  • Lee MG, Hwang JS, Seo BD, et al.: The effects of the core muscle release technique on scoliosis. Journal of Physical Therapy Science, 2013, 25: 445–448.

  • Yang JM, Lee JH, Lee DH: Effects of consecutive application of stretching, Schroth, and strengthening exercises on Cobb’s angle and the rib hump in an adult with idiopathic scoliosis. Journal Of Physical Therapy Science, 2015, 27: 2667–2669.

  • Negrini S, Antonini G, Carabalona R, et al.: Physical exercises as a treatment for adolescent idiopathic scoliosis. A systematic review. Pediatric Rehabilitation, 2003, 6: 227–235.

  • Weiss HR: The effect of an exercise program on vital capacity and rib mobility in patients with idiopathic scoliosis. Spine, 1991, 16: 88–93.

  • Fusco C, Zaina F, Atanasio S, et al.: Physical exercises in the treatment of adolescent idiopathic scoliosis: an updated systematic review. Physiotherapy: Theory and Practice, 2011, 27: 80–114.

  • Weiss HR: “Brace technology” thematic series - the Gensingen brace in the treatment of scoliosis. Scoliosis, 2010, 5:22.

  • Negrini S, Fusco C, Minozzi S, et al.: Exercises reduce the progression rate of adolescent idiopathic scoliosis: results of a comprehensive systematic review of the literature. Disability and Rehabilitation, 2008, 30: 772–785.

  • Lenssinck ML, Frijlink AC, Berger MY, et al.: Effect of bracing and other conservative interventions in the treatment of idiopathic scoliosis in adolescents: a systematic review of clinical trials. Physical Therapy, 2005, 85: 1329–1339.

  • Landauer F, Wimmer C, Behensky H: Estimating the fial outcome of brace treatment for idiopathic thoracic scoliosis at 6-month follow-up. Pediatric Rehabilitation, 2003, 6: 201–207.

  • Yang JM, Lee JH, Lee DH: Effects of consecutive application of stretching, Schroth, and strengthening exercises on Cobb’s angle and the rib hump in an adult with idiopathic scoliosis. Journal Of Physical Therapy Science, 2015, 27: 2667–2669.


Abstract Views: 261

PDF Views: 0




  • Effect of Schroth Exercise on Cobb’s Angle Inidiopathic Scoliosis

Abstract Views: 261  |  PDF Views: 0

Authors

M. V. Sowmya
Saveetha College of Physiotherapy, Thandalam, India
S. Dhivya
Saveetha College of Physiotherapy, Thandalam, India
R. Jumanah Haseen
Saveetha College of Physiotherapy, Thandalam, India

Abstract


Background: Scoliosis refers to a three-dimensional deformation of the natural curvature of the spine. Schroth exercise improves the trunk shape and the respiratory ability by applying rotational breathing. It has been reported to improve the function of the thoracic wall and the symptoms of the respiratory system. There is less evidence on the effects of Schroth exercise on a cobb’s angle of 40 degrees or higher. Hence, the purpose of the study was to investigate the effects of the Schroth exercise on the cobb’s angle in idiopathic scoliosis. Methods: Four patients with growing idiopathic scoliosis having a cobb’s angle of 40 degrees or higher in the thoracic vertebrae were included in the study. The Schroth exercise was performed 3 times a week for 3 months. The thoracic cobb’s angle was measured before and after the exercise program. Result: The thoracic cobb’s angle decreased from 40.28±7.72 to 24.0±2.65 on average. These effects were significant. Conclusion: The 3 months Schroth exercise caused significant effects in the thoracic cobb’s angle. The conservative treatment method was found to be effective even at a 40 degree for higher cobb’s angle. In the future universal exercise approach methods and preventive training for the treatment of scoliosis should be developed further.

Keywords


Cobb’s Angle, Schroth Exercise, Scoliosis.

References