Document Detail


ADL based scoliosis rehabilitation--the key to an improvement of time-efficiency?
MedLine Citation:
PMID:  17108494     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A new ADL (Activities of Daily Living) approach in scoliosis rehabilitation has been designed. The ADL approach uses Side-Shift, physiologic(R), 3D-ADL exercises and Schroth exercises according to current standard. It was compared to an exercise based scoliosis rehabilitation that mainly uses Schroth exercises and as an add-on the training of ADL. The ADL approach in practice seems to be easier to teach and the treatment needs fewer theoretical modules leading to a better time-efficiency. Aim of this study was to test whether the gain in time-efficiency is at the loss of outcome. MATERIALS AND METHODS: We studied 13 patients having had a 2 weeks ADL based rehabilitation (ABR) and compared their clinical outcome parameters (surface topograhy & Scoliometer angle) to a group of 13 diagnosis-, age-, sex-, Cobb-angle and curve pattern-matched controls having a 4 weeks programme of exercise based rehabilitation (EBR) only. Average age in the study group was 15 years and average Cobb-angle 39 degrees. RESULTS: Lateral deviation in the study group already after 2 weeks of ABR decreased 2mm (Formetric). Lateral deviation in the control group (EBR) decreased 1,9 mm. The changes were not significant. Thoracic as well as lumbar Scoliometer angle decreased highly significantly in both groups (ABR: 1,8 degrees thoracic, 2,3 degrees lumbar; EBR: 2,1 degrees thoracic, 2,6 degrees lumbar). The differences of outcome between the two groups were not significant. CONCLUSIONS: ABR (2-week programme) seems to provide similar results as EBR (4-week programme). ABR seems to provide a better time efficiency, however a prospective controlled study with a larger sample of patients is desirable before final conclusions can be drawn.
Authors:
Hans-Rudolf Weiss; Marco Hollaender; Rolf Klein
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Studies in health technology and informatics     Volume:  123     ISSN:  0926-9630     ISO Abbreviation:  Stud Health Technol Inform     Publication Date:  2006  
Date Detail:
Created Date:  2006-11-19     Completed Date:  2007-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214582     Medline TA:  Stud Health Technol Inform     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  594-8     Citation Subset:  T    
Affiliation:
Asklepios Katharina Schroth Spinal Deformities Rehabilitation Centre, Korczakstr. 2, 55566 Bad Sobernheim, Germany. hr.weiss@asklepios.com
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Adolescent
Female
Germany
Humans
Rehabilitation / methods
Scoliosis / rehabilitation*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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