Volume 16, Issue 4 (Winter 2016)                   jrehab 2016, 16(4): 294-303 | Back to browse issues page

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Hedayati Z, Kamyab M, Ahmadi A, Babaee T, Reyhaninejad Z, Ganjavian M S. Effect of Group Exercising and Adjusting the Brace at Shorter Intervals on Cobb Angle and Quality of Life of Patients with Idiopathic Scoliosis. jrehab 2016; 16 (4) :294-303
URL: http://rehabilitationj.uswr.ac.ir/article-1-1640-en.html
1- Department of Orthosis & Prosthesis, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. , amirahmadi.pt@gmail.com
3- Department of Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Health & Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran.
5- Department of Orthopaedic Surgery, Shafa Yahyaiian Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:   (5085 Views)

Objective: Bracing along with exercising is the most effective protocol in patients with idiopathic scoliosis which have Cobb angles of 25 to 45 degrees. However, since the psychological aspects of scoliosis treatment may affect the quality of life, and the exact time for adjusting the pads of Milwaukee brace is unknown; Therefore the aim of this study was evaluating the effect of exercising in a group, with adjusting the brace in shorter intervals, in compare to routine protocol, in the treatment of idiopathic scoliosis.

Matterials & Methods: Thirty-four patients with idiopathic scoliosis which had Cobb angles of 50 to 15 degrees were included in this study and were divided into experimental and control groups. The patients of two groups participated in an eleven-week treatment program, differ between the two groups. Quality of life scores of both groups were evaluated before and after intervention using SRS-22 questionnaire, as well as scoliosis angles before and after the intervention according to the primary and secondary radiographic X-rays.

Results: Statistical analysis was performed using Paired T-Test in each group, and Independent T-Test between the two groups before and after treatment. The severity of scoliosis curvature and satisfaction domain of the experimental group was reduced significantly in compared with the control group, after intervention (P=0.04). Moreover in the case of  the quality of life in patients with Cobb angles less than 30 degrees, compared with patients with Cobb angles greater than 31 degrees, in the domains of self-image, satisfaction, and total score, the difference was significant (P<0.05).

Conclusion: Adjusting the brace at shorter intervals along with exercising as a group, during the eleven weeks of treatment, has increased satisfaction and reduced the scoliosis Cobb angles of patients.

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Type of Study: Original | Subject: Orthotics & Prosthetics
Received: 9/12/2014 | Accepted: 25/02/2015 | Published: 22/12/2015

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