Adolesan Idiyopatik Skolyozda Spinal Stabilizasyon Eğitimi ve Vücut Farkındalığı Eğitiminin Subjektif Vertikal Algılama ve Gövde Simetrisi Üzerine Etkisinin Araştırılması

Abstract

The aim of this study was to compare the effects of spinal stabilization and body awareness exercises in addition to brace wearing versus classical exercises on subjective verticality perception, trunk symmetry, cosmetic deformity and health related quality of life in adolescent idiopathic scoliosis (AIS). This study included 30 AIS patients between the ages of 14.40 ± 201 years (stabilization group), 14.2 ± 2 years (Body awareness group) ve 13.60 ± 1.65 (classical group). Following recording demographic data, bone maturation level according to Risser, curve types according to King, spinal region, which includes curve, were recorded. Cobb angles by antero-posterior X-ray, rotation degrees with scoliometer in Adam's forward bend test, subjective visual (SVV), postural (SPV) and haptic (SHV) verticality perception with laser stick system, cosmetic deformity perception for patient, family and physiotherapist according with Walter Reed Visual Assessment Scale (WRVAS), trunk asymmetries with Posterior Trunk Asymmetry Index (POTSI) and health related quality of life with SRS-22 were assessed at baseline and after 10th week of treatment. According to the obtained data, total (thoracic and lumbar) Cobb angle decreased in stabilization and awareness groups (p<0,001) but there was no change in classical group (p>0,05). Total rotation decreased in all three groups (p<0,05). Although SVV total score improved in all three groups with treatment, SPV and SHV improved only in stabilization and awareness groups (p<0,05). Body asymmetry improved in stabilization and awareness groups; there was no difference in classical group (p>0,05). Cosmetic deformity perception improved in stabilization and awareness group whereas did not change in classical group (p>0,05). Further, in patient and parent opinion, the deformity intensity was lower than real at baseline (p<0,05), but they had the same idea with physiotherapist after treatment (p>0,05). There was no difference with treatments in terms of quality of life scores in all three groups (p>0,05). There was only improvement in function subtest of SRS-22 in stabilization group with treatment (p<0,05). In conclusion, stabilization and body awareness exercises in addition to brace wearing created positive changes to prevent curve progression, to improve upright posture perception, to decrease body asymmetry and cosmetic deformity. On the other hand there is need for more studies, which investigate the effects of different treatment methods, in question above.