Hundozi-Hysenaj Hajrije, Dallku Iliriana Boshnjaku, Murtezani Ardiana, Rrecaj Shkurte
Department of Physical Therapy, University Clinical Center of Kosovo, rr. Spitalit pn. 10000 Prishtina, UNMIK/Kosovo.
Niger J Med. 2009 Jul-Sep;18(3):256-9.
Scoliosis is a three-dimensional deformation of the spine with a lateral curvature or deviation greater than 10 degrees and associated with vertebral rotation. Many conservative treatments are available for adolescents with idiopathic scoliosis, but the evidence for their effectiveness is still questioned. The objective of this study was to define the effectiveness of braces and individual physiotherapy for the comprehensive treatment of idiopathic scoliosis in adolescents.
A retrospective study of 57 children with idiopathic thoracic dextroscoliosis with the magnitude of the thoracic curve between 20 degrees-35 degrees, treated in Orthopedic and Physiatrist Clinic as well as National Ortho-prosthetic Center within University Clinical Center of Kosova in Prishtina, during the period of 2003-2006.
Inclusion of kinesitherapy in the comprehensive management of idiopathic scoliosis varied in the improvement of the muscle strength (satisfied and moderate) in almost 80% of the children while the correction of the curve was small in approximately 42.1% of cases.
For children with idiopathic scoliosis, who require braces, an exercise program helps chest mobility, muscle strength, proper breathing flexibility in the spine, correct posture and keeps muscles in tone so that the transition period after brace removal is easier.
脊柱侧弯是脊柱的三维变形，伴有大于10度的侧方弯曲或偏移，并伴有椎体旋转。对于患有特发性脊柱侧弯的青少年，有许多保守治疗方法，但它们的有效性证据仍受到质疑。本研究的目的是确定支具和个体物理治疗对青少年特发性脊柱侧弯综合治疗的有效性。
对2003年至2006年期间在普里什蒂纳科索沃大学临床中心的骨科和物理治疗诊所以及国家矫形假体中心接受治疗的57例胸段右凸特发性脊柱侧弯患儿进行回顾性研究，胸段侧弯角度在20度至35度之间。
在特发性脊柱侧弯的综合管理中纳入运动疗法，近80%的患儿肌肉力量得到改善（满意和中等），而约42.1%的病例侧弯矫正较小。
对于需要佩戴支具的特发性脊柱侧弯患儿，运动计划有助于胸部活动度、肌肉力量、脊柱适当的呼吸灵活性、正确姿势，并使肌肉保持张力，从而使去除支具后的过渡期更容易。
