EARLY RESULTS OF CONSERVATIVE TREATMENT OF CHILDREN WITH IDIOPATHIC SCOLIOSIS USING THE SPINECOR SYSTEM
Journal Title: Fizjoterapia Polska - Year 2008, Vol 8, Issue 4
Abstract
[b]Background.[/b] The SpineCor method, the effectiveness of which is evaluated in the present paper, was introduced to Poland two years ago and has been used in few centres. The present paper evaluates the effects of dynamic bracing over a period of two years.[b]Material and methods.[/b] The subjects were 121 children undergoing treatment at the Paediatric Rehabilitation Hospital in Radziszów. Parameters analysed included Cobb's angles (radiographic), the Risser test and a clinical evaluation of spinal rotation before and immediately after the placement of the brace, and at one year after placement.[b]Results.[/b] Clinical evaluations and a classification based on the SpineCor Assistant System (SAS) revealed a predominance of right-sided thoracic (RT) scoliosis (47.3%), particularly type III (RT3) (24.7%). Significant differences between means after the application of the SpineCor brace were shown in Cobb's angles in the primary and secondary arches and in clinical rotation. There was a high correlation between Cobb's angle progression in the primary arch and the Risser test (r=0.46), time from brace placement to first menstruation (PM), r=0.33, and regularity of follow-up (r=0.43).[b]Conclusions.[/b] The results indicate a significant change in the clinical parameters of sciolosis following the application of a SpineCor brace as regards halting the progression of the scoliosis angle and reduction in clinical rotation of vertebrae. A reduction in Cobb's angle within a year of placement of a SpineCor brace was recorded in 7-10-year-old children. Progression or no change in Cobb's angle was seen in those aged 11-12 years and those older than 17 years of age.
Authors and Affiliations
Mariusz Janusz, Andrzej Szczygieł, Anna Leszczyńska, Lucyna Horodecka-Wardęga, Agnieszka Smatras
Keywords
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