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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/14697

Title: Traction of the Spine Versus Stretching Exercises in Management of Adolescent Idiopathic Scoliosis
Authors: Ashraf Ramadan Hafez Ibraheem PhD
Keywords: Abnormal curvature, lateral curvature, spinal curvature, postural scoliosis, structural scoliosis, idiopathic scoliosis, adolescent idiopathic scoliosis, thoracic scoliosis, spinal deformity, low back pain, surgical and conservative management
Issue Date: 2005
Publisher: Bull. Fac. Ph. Th. Cairo Univ
Abstract: Background and purpose: Based on the need for nonsurgical approaches to treat idiopathic scoliosis, this study was conducted to compare between two training programs, traction and stretching exercises. Subjects and methods: The study included fourty patients of moderate scoliosis (cobb΄s angle ranged from 20 to 40 degrees), with age ranged from 15 to 25 years divided into two groups. The first group with mean age 19.31±2.54 years followed a physical therapy program of exercises in the form of strengthening exercises for convex side, strengthening exercises of abdominal muscles, stretching of back muscles, and traction of the spine by suspension on wallbar using body weight force with postural instructions of active daily living (ADL), three sessions per week for three months. The second group with mean age 19.18±2.69 years, submitted to a physical therapy program of exercises in the form of strengthening exercises for convex side, strengthening exercises of abdominal muscles, stretching of back muscles, and stretching muscles of concave side with postural instructions of ADL, three sessions per week for three months. Outcome measures were anteroposterior view of loading X-ray, is to detect any change in Cobb΄s angle of lower spine and upper spine. Tape measurement is to detect range of motion (ROM) of trunk flexion, and visual analogue scale (VAS) is to measure the pain. Results: There was a significant difference in the first group (t. of pain=0.02, t. of ROM of trunk flexion=0.005, t. of Cobb΄s angle of lower spine =0.01), and t. of Cobb΄s angle of upper spine=0.02. In the second group, there was a significant difference in pain and ROM with no significant difference in Cobb΄s angle of lower spine and Cobb΄s angle of upper spine where t. of pain=0.03, t. of ROM=0.02, t. of Cobb΄s angle of lower spine =0.07, and t. of Cobb΄s angle of upper spine=0.075. Discussion and Conclusion: This study showed that patients rehabilitated with traction is better than stretching exercises in correction of scoliotic curves of the spine in management of scoliotic patients.
URI: http://hdl.handle.net/123456789/14697
Appears in Collections:College of Applied Medical Sciences

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