Lewis Clare, Diaz Rafael, Lopez Geoff, Marki Nicholas, Olivio Ben
Professor, Sacramento State University, Physical Therapy Department, Sacramento State University, Sacramento, CA.
Associate Professor, Sacramento State University, Mathematics and Statistics, Sacramento State University, Sacramento, CA.
J Manipulative Physiol Ther. 2014 Sep;37(7):502-9. doi: 10.1016/j.jmpt.2014.07.005. Epub 2014 Aug 21.
The purpose of this preliminary study was to determine if the use of Active Therapeutic Movement Version 2 (ATM2) device and home exercises using the Mulligan's mobilization-with-movement concept by subjects with scoliosis would result in postural improvement and to document any changes in trunk range of motion and quality of life.
Forty-three subjects between the ages of 12 to 75 years were recruited for the study. Each subject underwent a low back evaluation along with specific measurements for their scoliosis. Subjects participated in a 4-week intervention, 2 times a week consisting of treatment utilizing the ATM2 and were also given a home exercise program to mimic the specific movement(s) they performed on the ATM2. Photographic assessment of posture was taken before and after the intervention. Subjects were surveyed during the initial assessment and again at the final intervention using the following outcome measures: Fear Avoidance Belief Questionnaire, Short-Form Health Survey-36, Oswestry Disability Index, and a Numeric Pain Rating Scale.
Results were significant for most of the variables measured. Subjects gained improvement in spinal ranges of motion for all directions except for flexion and extension (most subjects had reference range of flexion and extension at the beginning of the study). Most subjects had improved pelvic alignment after the intervention. Before and after photographs demonstrated improved posture. Subjective measurements of pain, disability, and quality of life improved.
Results of this preliminary study showed improvement for selected variables. The use of ATM2 and home exercises using the Mulligan's mobilization-with-movement concept by subjects with scoliosis appears to be a potentially viable conservative treatment alternative to address various findings associated with scoliosis, including posture improvement.
本初步研究的目的是确定脊柱侧弯患者使用主动治疗运动版本2（ATM2）设备以及采用穆利根动态关节松动术概念进行家庭锻炼是否会改善姿势，并记录躯干活动范围和生活质量的任何变化。
招募了43名年龄在12至75岁之间的受试者参与该研究。每位受试者都接受了下背部评估以及针对其脊柱侧弯的特定测量。受试者参加了为期4周的干预，每周2次，包括使用ATM2进行治疗，并且还获得了一个家庭锻炼计划，以模仿他们在ATM2上进行的特定动作。在干预前后对姿势进行了摄影评估。在初始评估期间以及在最终干预时再次对受试者进行调查，使用以下结果测量指标：恐惧回避信念问卷、简短健康调查问卷-36、奥斯威斯利残疾指数和数字疼痛评分量表。
所测量的大多数变量结果具有显著性。除了前屈和后伸外，受试者在所有方向的脊柱活动范围都有改善（大多数受试者在研究开始时前屈和后伸的参考范围正常）。大多数受试者在干预后骨盆排列得到改善。前后照片显示姿势有所改善。疼痛、残疾和生活质量的主观测量结果有所改善。
本初步研究结果显示选定变量有改善。脊柱侧弯患者使用ATM2以及采用穆利根动态关节松动术概念进行家庭锻炼似乎是一种潜在可行的保守治疗选择，可解决与脊柱侧弯相关的各种问题，包括姿势改善。
