The Effect of 3-Dimensional Posture Correction Exercise Program Incorporating PNF Respiratory Muscle Strengthening Exercise on the Spinal Alignment and the Trunk Expansion in Patients with Idiopathic Scoliosis

다국어 초록 (Multilingual Abstract)

Objective: The purpose of this study was to investigate the effect of 3-dimensional posture correction(3DPC) exercise program incorporating PNF respiratory muscle strengthening(RMS) exercise on spinal alignment and trunk expansion in patients with idiopathic scoliosis and the difference in intervention effect by type of idiopathic scoliosis.
Design: Comparative study using paired t-test and analysis of variance measures.
Methods: The subjects of this study were 5 men and 24 women diagnosed with idiopathic scoliosis with a Cobb angle greater than 10 degrees and less than 45 degrees. A 3DPC exercise program incorporating PNF RMS exercise was conducted twice a week for 1 hour per session for 6 weeks, and Cobb angle, Angle of trunk rotation, and trunk expansion were measured before and after the intervention.
Results: After the intervention, Cobb angle and trunk rotation angle showed a statistically significant decrease, and trunk expansion showed a statistically significant increase. In the effect difference by type, there was a statistically significant difference in the angle of trunk rotation of the thoracic in 3C and Single Lumbar.
Conclusions: In conclusion, it is thought that a 3DPC exercise program incorporating PNF RMS exercise can be effectively used in clinical practice to improve spinal alignment and trunk expansion in patients with idiopathic scoliosis.

참고문헌 (Reference)

1 심재훈, "흉부 유연성 운동이 척추측만증 환자의 폐활량과 흉곽 확장에 미치는 영향" 한국전문물리치료학회 9 (9): 145-156, 2002

2 이준호, "슈로스(Schroth)운동치료와 슬링운동치료가 척추측만증 환자의 유연성, 균형능력, 척추각 및 흉곽 확장에 미치는 효과 비교" 대한물리의학회 9 (9): 11-23, 2014

3 라은진, "급성 요통을 동반한 성인 측만증 환자에게 적용한 고유수용성신경근촉진법이 요부 능동 굴곡 관절가동 범위 및 일상생활동작에 미치는 영향 : 증례보고" 대한고유수용성신경근촉진법학회 10 (10): 33-40, 2012

4 Lehnert-Schroth C, "Three-dimensional treatment for scoliosis: physiotherapeutic method for deformities of the spine" Martindale Press 2007

5 Otman S, "The efficacy of Schroth’s 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey" 10 : 277-283, 2005

6 Weiss HR, "The effect of an exercise program on vital capacity and rib mobility in patients with idiopathic scoliosis" 16 : 88-93, 1991

7 Rigo M, "Scoliosis intensive out-patient rehabilitation based on Schroth method" 135 : 208-, 2008

8 Marti CL, "Scoliosis Research Society members attitudes towards physical therapy and physiotherapeutic scoliosis specific exercises for adolescent idiopathic scoliosis" 10 : 1-7, 2015

9 Tanure MC, "Reliability assessment of Cobb angle measurements using manual and digital methods" 10 : 769-774, 2010

10 Negrini S, "Rehabilitation of adolescent idiopathic scoliosis: results of exercises and bracing from a series of clinical studies" 2008

11 Negrini S, "Recommendations for research studies on treatment of idiopathic scoliosis : Consensus 2014between SOSORT and SRS non–operative management committee" 10 : 8-, 2015

12 Kofotolis N, "Proprioceptive neuromuscular facilitation training induced alterations in muscle fibre type and cross sectional area" 39 : e11-, 2005

13 Berdishevsky H, "Physiotherapy scoliosis-specific exercises–a comprehensive review of seven major schools" 11 : 20-, 2016

14 Bettany-Saltikov J, "Physical therapy for adolescents with idiopathic scoliosis" IntechOpen 2012

15 Adler SS, "PNF in practice: an illustrated guide" Springer 2007

16 Cobb J, "Outline for the study of scoliosis" 5 : 261-275, 1948

17 Bunnell WP, "Outcome of spinal screening" 18 : 1572-1580, 1993

18 Pehrsson K, "Lung function in adult idiopathic scoliosis : a 20year follow up" 46 : 474-478, 1991

19 Lehnert-Schroth C, "Introduction to the three-dimensional scoliosis treatment according to Schroth" 78 : 810-815, 1992

20 Bonagamba GH, "Inter and intra-rater reliability of the scoliometer" 14 : 432-438, 2010

21 Dubousset J, "Importance of the three-dimensional concept in the treatment of scoliotic deformities" 1992

22 Hermann R, "Idiopathic scoliosis and the central nervous system : a motor control problem" 10 : 1-4, 1985

23 Trobisch P, "Idiopathic scoliosis" 107 : 875-, 2010

24 Maizlin ZV, "How to measure scapholunate and Cobb’s angles on MRI and CT" 25 : 558-561, 2012

25 Focarile FA, "Effectiveness of nonsurgical treatment for idiopathic scoliosis. Overview of available evidence" 16 : 395-401, 1991

26 Wong MS, "Effectiveness of audio-biofeedback in postural training for adolescent idiopathic scoliosis patients" 25 : 60-70, 2001

27 Kim J, "Comparison of effects of ball⋅ sling exercise and Schroth treatments in adolescents with idiopathic scoliosis. The Graduate School of Sports Science" Dankook University 2010

28 Herling O, "Clinical measurements, radiological and cosmetic improvements in a girl with adolescent idiopathic scoliosis treated with a Schroth rehabilitation program : a single case study" 4 : 1-2, 2009

29 Bunnell WP, "An objective criterion for scoliosis screening" 66 : 1381-1387, 1984

30 Stępień A, "An immediate effect of PNF specific mobilization on the angle of trunk rotation and the Trunk-Pelvis-Hip Angle range of motion in adolescent girls with double idiopathic scoliosis—a pilot study" 12 : 1-10, 2017

31 Asher MA, "Adolescent idiopathic scoliosis : natural history and long term treatment effects" 1 : 2-, 2006

32 Weinstein SL, "Adolescent idiopathic scoliosis" 371 : 1527-1537, 2008

33 Rigo MD, "A specific scoliosis classification correlating with brace treatment : description and reliability" 5 : 1-, 2010

34 Negrini S, "2016 SOSORT guidelines : orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth" 13 : 3-, 2018

35 Rigo MD, ""Rehabilitation schools for scoliosis" thematic series: describing the methods and results" Springer 2010