Department of Physiotherapy, College of Rehabilitation in Warsaw, 01-234 Warsaw, Poland.
Neuroorthopedics and Neurology Clinic and Polyclinic, National Institute of Geriatrics, Rheumatology and Rehabilitation, 02-637 Warsaw, Poland.
Int J Environ Res Public Health. 2021 Dec 22;19(1):65. doi: 10.3390/ijerph19010065.
(1) Background: The unknown etiology of idiopathic scoliosis and its three-dimensional nature make the cause-and-effect therapeutic management difficult. A tendency to progression of scoliosis and the failure of many methods of conservative treatment have prompted the search for new methods that would stop and correct deformations. One of them is the FED method, used in the conservative treatment of idiopathic scolioses, in which all scoliotic curves are corrected. The aim of this study was a comparative analysis of the effectiveness of idiopathic scoliosis treatment with the FED and FITS methods. (2) Methods: The study included 60 randomly selected girls, aged 11 to 15 years, treated with the FED and FITS methods. They were diagnosed with idiopathic scoliosis grade II according to Cobb and double-curve scoliosis type I and II according to King-Moe classification. The results of the therapy were assessed with the use of the Bunnell scoliometer. The examinations were performed before the start of the therapy-on the first day of the child's stay-and 3 weeks after the therapy. The angle of trunk rotation and the sum of two rotations were assessed using a scoliometer. (3) Results: The performed statistical analysis demonstrated significant changes in the examined parameters in both therapeutic groups. (4) Conclusions: 1. The obtained results indicate that the FED therapy may prove to be an effective method of treating idiopathic scoliosis; however, it requires further research in a larger group of patients; 2. both methods significantly improved trunk rotation in primary and secondary scoliosis, but after using summing parameters (SDR parameter), the FED method appeared to be statistically more effective.
(1) 背景：特发性脊柱侧凸的病因不明且具有三维特征，这使得因果治疗管理变得困难。脊柱侧凸的进展趋势和许多保守治疗方法的失败促使人们寻求新的方法来阻止和纠正畸形。其中一种方法是 FED 方法，用于特发性脊柱侧凸的保守治疗，其中所有的脊柱侧凸曲线都得到纠正。本研究的目的是对 FED 和 FITS 方法治疗特发性脊柱侧凸的效果进行比较分析。(2) 方法：本研究纳入了 60 名随机选择的 11 至 15 岁女孩，她们分别接受了 FED 和 FITS 方法治疗。根据 Cobb 角和 King-Moe 分类的双曲脊柱侧凸 I 型和 II 型，她们被诊断为特发性脊柱侧凸 II 级。使用 Bunnell 脊柱侧凸计评估治疗结果。在治疗开始前（即患儿入住的第一天）和治疗后 3 周进行检查。使用脊柱侧凸计评估躯干旋转角度和两个旋转的总和。(3) 结果：进行的统计分析显示，在两个治疗组中，检查参数均发生了显著变化。(4) 结论：1. 获得的结果表明，FED 治疗可能是治疗特发性脊柱侧凸的有效方法；然而，它需要在更大的患者群体中进一步研究；2. 两种方法都显著改善了原发性和继发性脊柱侧凸的躯干旋转，但使用求和参数（SDR 参数）后，FED 方法在统计学上更有效。
