ABSTRACT

Year : 2022  |  Volume : 6  |  Issue : 2  |  Page : 79-80

Physiotherapy in Musculoskeletal conditions: AB No: 8: Effectiveness of Holistic approach an Osteo-Fascial Remodeling in adolescent Idiopathic Scoliosis – Single Case Study

Diksha Saini¹, Narkeesh Arumugam^2
1 Kanishk Clinics, Patiala
² Punjabi University

Correspondence Address:

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2456-7787.361109

Purpose: To evaluate the efficacy of holistic approach formed by Schroth exercises along with soft tissue elongation and Matrix Rhythm Therapy (MRT) in treatment of AIS (Adolescent Idiopathic Scoliosis). Relevance: Integration of corrective exercises and soft tissue elongation methods might lead to reversal of underlying pathological osteo-fascial derangements in idiopathic scoliosis. Participants: A 13 years old female with left thoracolumbar scoliosis of idiopathic nature. Methods: Nature of the Study: A case-report. A single scoliotic curve extending from T1 to L4 was seen on X-ray with a Cobb’s angle measurement of 25.24°. Static EMG (sEMG) of paraspinal musculature was carried out. Holistic treatment comprising myofascial release directed to the identified shortened musculature along with MRT was administered twice daily for 4 days. This was combined with home exercise program designed on Schroth’s approach. The exercises were aimed at active correction of thoracolumbar concavo-convex regions, ribcage rotation and asymmetries of shoulder and pelvis, along with rotational breathing. Outcome Measures: Cobb’s angle, sEMG using Myovision. Results: Repeat radiograph after 5 months of regular exercises revealed significant improvement in lateral curvature with reduction of Cobb’s angle from 25.24° to 14.46°. A considerable improvement in level of shoulders was also observed. sEMG re-test reflected rise in stress score from 508 to 763 microvolt ascribable to activation of electromyographically silent and weak musculature with retrieval of nearly symmetrical paraspinal muscle activation. Conclusion: Holistic approach of scoliosis correction might expedite rectification of muscle imbalance by activating electromyographically silent musculature along with lengthening of shortened muscles hence correcting scoliotic spine deviations in all the three planes. Implications: Holistic treatment of scoliotic deviations indeed contribute to enhance osteo-fascial remodeling of curvatures with resolution of potentially etiological muscle imbalances.

Keywords: AIS: Adolescent Idiopathic Scoliosis, sEMG: Static Electromyography, MRT: Matrix Rhythm Therapy