Effect of Exercise Therapy for Mild Functional Scoliosis

運動治療對輕度功能性脊柱側彎的效果

卓瓊鈺(Chiung-Yu Cho)

《中華民國物理治療學會雜誌》 24卷1期 (1999/01) Pp. 24-30

https://doi.org/10.29616/JPTAROC.199901.0004

摘要

Scoliosis is frequently found among general population, especially for female adolescent group. Patients with scoliosis may be treated by exercise therapy. However, the effect of exercise is always a controversial topic. The purpose of this study was to examine the effect of a three-month exercise therapy program for patients with mild scoliosis. Fourteen volunteers with mild scoliosis served as subjects of the study (6 males, 8 females). They were randomly divided into two groups: supervised exercise group and home program group. There was no significant difference in demographic characteristics between these two groups. Physical assessments included clinical evaluation of posture, and Metrecom 2000 postural analysis. Both of them were conducted during the initial patient interview. Physical therapist designed exercise for each individual. All participants were informed to conduct the exercise at least two times a week. The supervised exercise group performed their exercise under the supervision of a licensed physical therapists, and the home program group conducted their exercise at home after the inital interview. The second set of physical assessments was conducted after three months of exercise therapy. Descriptive statistic and paired t-test were used for data analysis. Nearly all patients performed better in the clinical evaluation results, however, the differences between these two groups were not significant (p＞0.05). As for scoliotic curve analysis, there was a significant improvement of scoliotic angle in the supervised exercise group (p＜0.05), but no significant difference in the home program group. The results of this study showed that exercise therapy might improve scoliotic patient's posture, such as more symmetric shoulder, and pelvic level. However, for the quantitative evaluation such as forward bending and side-bending test, the researcher did not find any significant difference between pre-and post exercise measurements. Our results suggested that improvement of scoliotic curve in the exercise group may be due to better compliance and supervision.

關鍵字

脊柱側彎 ； 運動治療

並列摘要

Scoliosis is frequently found among general population, especially for female adolescent group. Patients with scoliosis may be treated by exercise therapy. However, the effect of exercise is always a controversial topic. The purpose of this study was to examine the effect of a three-month exercise therapy program for patients with mild scoliosis. Fourteen volunteers with mild scoliosis served as subjects of the study (6 males, 8 females). They were randomly divided into two groups: supervised exercise group and home program group. There was no significant difference in demographic characteristics between these two groups. Physical assessments included clinical evaluation of posture, and Metrecom 2000 postural analysis. Both of them were conducted during the initial patient interview. Physical therapist designed exercise for each individual. All participants were informed to conduct the exercise at least two times a week. The supervised exercise group performed their exercise under the supervision of a licensed physical therapists, and the home program group conducted their exercise at home after the inital interview. The second set of physical assessments was conducted after three months of exercise therapy. Descriptive statistic and paired t-test were used for data analysis. Nearly all patients performed better in the clinical evaluation results, however, the differences between these two groups were not significant (p＞0.05). As for scoliotic curve analysis, there was a significant improvement of scoliotic angle in the supervised exercise group (p＜0.05), but no significant difference in the home program group. The results of this study showed that exercise therapy might improve scoliotic patient's posture, such as more symmetric shoulder, and pelvic level. However, for the quantitative evaluation such as forward bending and side-bending test, the researcher did not find any significant difference between pre-and post exercise measurements. Our results suggested that improvement of scoliotic curve in the exercise group may be due to better compliance and supervision.

並列關鍵字

Scoliosis ； Exercise therapy