short -term effects of exercise programme as adjunct to orthosis in neuromuscular scoliosis

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Abstract from Prosthet Orthot Int. 2004 Dec;28(3):273-7.

The short - term effects of an exercise program as an adjunct to an orthosis in

neuromuscular scoliosis.

Bayar B, Uygur F, Bayar K, Bek N, Yakut Y.

Hacettepe University, School of Physical Therapy and Rehabilitation, Unit of

Orthotics and Biomechanics, Ankara, Turkey.

The purpose of this study was to investigate the effects of a 4 week

physiotherapy programme on patients who were given a spinal orthosis for

neuromuscular scoliosis. This study was planned as a single group pre- and

post-intervention repeated measures design. All patients were given a

polyethylene spinal orthosis with an anterior opening. Fifteen (15) patients

with neuromuscular diseases and a mean age of 12.46 years were evaluated. An

exercises programme consisting of postural training, muscle strengthening and

stretching exercises with special emphasis on respiratory exercises was given as

an adjunct to orthotic treatment. The degree of impairment in forced vital

capacity was 17.56% upon wearing an orthosis, it decreased to 9.28% following

therapy (p < 0.05). There was also a statistically significant increase in

muscle strength, balance duration and a significant decrease in limitation of

range of motion. The results of the study imply that the conservative treatment

of neuromuscular scoliosis should include an exercise programme as an adjunct to

an orthosis, both to reduce the compromising effect of an orthosis on

respiratory function and to support the patient's physical capacities.

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