Fizioterapevtski pristopi k zdravljenju pacientov z adolescentno idiopatsko skoliozo in torakalno hiperkifozo
Physiotherapy approaches to treatment of patients with adolescent idiopathic scoliosis and thoracic hyperkyphosis

slovenian

2011

volume 10, issue 2

physiotherapy   therapy

Univerzitetni rehabilitacijski inštitut RS – Soča
(Obvezni izvod spletne publikacije)

Background: Adolescent idiopathic scoliosis is a lifetime condition, probably systemic of unknown cause. It is a three-dimensional deformity in which the spine deviates from its normal sagittal and coronal positions in the upright human posture. The prevalence of AIS, when curvature is larger than 10° according to Cobb, is 2 % to 3 %. The prevalence of curvatures larger than 20° is between 0,3 % and 0,5 %, while curvatures larger than 40° are found in less than 0,1 % of the population. The effectiveness of performing specific exercises in conservative treatment is scientifically proved. Spinal sagittal deformities are posterior (kyphosis) or anterior (lordosis) pathological deviations. Because these deviations occur within the physiological curvatures of the spine, the latter can be excessively increased (thoracic hyperkyphosis or round back, lumbar hyperlordosis) reduced (flat back, hollow back, hypo-lordosis, lumbar kyphosis) or modified in their normal distribution (kyphosis of the thoraco-lumbar junction, cervico-thoracic kyphosis). Thoracic hyperkyphosis is a frequent problem and can impact greatlyon patientŽs quality of life during adolescence. Treating changes in kyphosis can be more difficult than treating scoliosis. The main object of thearticle is to present different ways of physiotherapy in scoliosis and changed physiologic kyphosis management. Methods: Findings published in English language in the following bibliographic databases were summarisedČ PubMed, Medline, EBM, Scoliosisjournal, Google. The criteria for choosing the articles were: English language, articles published since year 2000, publications found with the use of the selected key words. Conclusions: In reducing the progression of scoliosis, specific and personalised treatment appears to be more effective than usual physiotherapy. Conservative treatment for the management of thoracic hyperkyphosis is useful.

07.03.2012