Monitoring therapy outcomes in idiopathic scoliosis patients: case series and a proposed model

Introduction: Current treatment options for idiopathic scoliosis include three main strategies: physiotherapy, bracing and surgery, which are used combined or successively, but in many cases are not efficient. This study aimed to develop a targeted, efficient, and appropriately calibrated approach f...

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Bibliographic Details
Published in:Journal of Physical Education and Sport 2024-01, Vol.24 (1), p.219-228
Main Authors: Petrosyan, Tigran, Makaryan, Narek, Hovhannisyan, Hripsime, Kamrany, Reyhaneh, Mkrtchyan, Hasmik
Format: Article
Language:English
Subjects:
Biomechanics
Correlation
Exercise
Longitudinal studies
Motion capture
Outcomes of Treatment
Patients
Physical therapy
Posture
Rehabilitation Programs
Scoliosis
Ultrasonic imaging
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Summary:Introduction: Current treatment options for idiopathic scoliosis include three main strategies: physiotherapy, bracing and surgery, which are used combined or successively, but in many cases are not efficient. This study aimed to develop a targeted, efficient, and appropriately calibrated approach for continuously monitoring of scoliosis therapy. Methods: Six patients with idiopathic scoliosis (IS) participated in this consecutive sample study. The study group (n = 6) underwent a physical rehabilitation program that utilized motion capture and myometry for control.Both before and after program completion, all patients underwent X-ray revaluations. Repeated assessments of muscle thickness were conducted to establish a correlation between biomechanical spine remodeling and paraspinal muscle development. Results. Results of M°Cap spinal curvature assessment correlate positively with the x-ray measurements (f2 >0.35). The same ratio of difference in x-ray angle measurement results was revealed after the study completion (PO.OOl). Both the muscle thickness and the body muscle mass measurements showed negative correlation with the changes in Cobb's angle measurements (the angle was decreased in all measurements, whereas the muscle thickness and mass were increased). Correlation for the SMI (R=-0.88) was close to -1.0. For the measurements in the study group the minimum R value was - 0.92 and for paraspinal muscles L3-L4 and SMM (%) the correlation index was -0.96. These results indicate that the improved muscle thickness and muscle mass (particularly the SMM (%)) support the posture correction and assist in spinal stability. Conclusion. The M°Cap and myometry controlled assessment is an efficient, safe and reliable monitoring model to control the outcomes of scoliosis rehabilitation.
ISSN:2247-8051
2247-806X
DOI:10.7752/jpes.2024.01027