Investigation of the Effect of Schroth Therapy and Brace Therapy on Quality of Life in Children with Idiopathic Scoliosis

Author(s)

Brauner B1, Braunerné Árkai J2, Boncz I1, Molics B1, Ács P1, Tardi P1
1University of Pécs, Pécs, Hungary, 2SpineArt Health Center, Érd, Hungary

Objectives: The aim of our research was to examine the effects of the combined use of Schroth therapy and corset therapy on patients' spinal deformities, range of motion, muscle strength, muscle extensibility, and patients' quality of life.

Methods: The longitudinal, quantitative, prospective research was conducted from January 2019 to January 2020 at the SpineArt Health Centre in Budapest, Hungary. Juveniles diagnosed with idiopathic scoliosis (n=8) participated in the research. Each of them received individual gymnastics, which consisted of Schroth-based exercises and consisted of symmetrical strengthening and stretching exercises, wore a Chêneau corset as an adjunctive therapy from 21 to 23 hours a day.

Results: We found significant changes before and after the exercise program as changes in Cobb degrees (Th- pre: 28±13.9; post: 21.13±13.1; p=0.007, Th-L, L- pre: 27±8.5; post: 21.86±11.4; p=0.007), a Scoliometer measurements (Th- pre: 7±4.6, post: 4±2.55, p=0.03;, Th-L, L- pre: 7±3, post: 3.93±2.5; p=0.037), the lateral flexion to the right (pre: 16.06±2.68; post: 18±2.35; p=0.001) and to the left (pre: 15.75±1.83; post: 17.81±2.22; p=0.013). Significant improvements in muscle strength and extensibility were expected to be detected. The Schober I. test alone did not give significant results (pre: 4.49±1.3; post: 5.29±0.73; p=0.197). When evaluating the questionnaire, the degree of pain (pre: 4.26±0.78; post: 4.60±0.47; p=0.033), daily activity (pre: 4.2±0.56; post: 4.6±0.52; p=0.015), self-image (pre: 2.8±0.49; post: 3.8±0.33; p=0.001), and mental health (pre: 3.6±0.56; post: 4.1±0.58; p=0.0002) also showed significant improvements.

Conclusion: Based on our results and the international literature the Schroth rehabilitation program, together with corset treatment has a positive effect on patients in spinal deformity, range of movement, muscle strength, extensibility, pain, self-image, daily activity, mental health and their quality of life.

Conference/Value in Health Info

2021-11, ISPOR Europe 2021, Copenhagen, Denmark

Value in Health, Volume 24, Issue 12, S2 (December 2021)

Code

POSA340

Topic

Health Service Delivery & Process of Care, Patient-Centered Research

Topic Subcategory

Patient-reported Outcomes & Quality of Life Outcomes, Quality of Care Measurement

Disease

Musculoskeletal Disorders

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