Review Article
Year: 2021 | Month: January | Volume: 11 | Issue: 1 | Pages: 88-99
Adolescent Idiopathic Scoliosis: Review of Conservative Treatment with Physiotherapy Scoliosis Specific Exercises
Maria-Aikaterini Giordamni1, Konstantinos Chandolias2, Dimitris Pollatos3, Anna Chalkia4, Eugenia Trevlaki5
1PT, Postgraduate Program, International Hellenic University, Greece
2PT, PhD, NDT, Academic Fellow, Department of Physical Therapy International Hellenic University, Greece
3PT, Postgraduate Program, International Hellenic University, Greece
4PT, PhD, Academic Fellow, Department of Physical Therapy, International Hellenic University, Greece
5PT, MSc, Academic Fellow, Department of Physical Therapy, International Hellenic University, Greece
Corresponding Author: Maria-Aikaterini Giordamni
ABSTRACT
Background: Idiopathic Scoliosis is a complex issue in the lives of patients who develop this deformity, especially in adolescents during the period of development to skeletal maturation. The purpose of this review is to present the current data in the conservative treatment of Adolescent Idiopathic Scoliosis and to be a guide in the conservative treatment and the treatment strategy of these patients.
Method: A literature review was conducted in the PubMed, PEDro, Google Scholar databases with articles during the period 2000-2019. The terms "adolescent idiopathic scoliosis", "special physiotherapy exercises for scoliosis", "conservative treatment", "physiotherapy" was searched.
Results: Physiotherapy Scoliosis Specific Exercises (PSSE) "share" common principles in treating patients. In general, in terms of the effectiveness of Physiotherapy Scoliosis Specific Exercises, it seems that all methods present positive results in terms of prevention of surgery, posture and deformity correction, respiratory capacity, strength, balance and neuromuscular coordination. In particular, it seems that the Schroth Method and its most advanced version, the BSPTS, present excellent data in the treatment and prevention of the development of scoliosis. SEAS exercises show an improvement in Cobb angle compared to simple physical therapy and good results in preventing aggravation by weaning braces.
Conclusions: The results of the review showed that the combination of methods and means of treatment seems to have better results in the treatment of scoliosis, mainly in moderate to severe scoliosis, especially through the application of exercises Schroth & BSPTS and SEAS.
Key words: adolescent idiopathic scoliosis, physiotherapy scoliosis specific exercises, conservative treatment, physiotherapy.