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Monitoring therapy outcomes in idiopathic scoliosis patients: case series and a proposed model
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Monitoring therapy outcomes in idiopathic scoliosis patients: case series and a proposed model
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Journal Article
Monitoring therapy outcomes in idiopathic scoliosis patients: case series and a proposed model
2024
Overview
Introduction: Current treatment options for idiopathic scoliosis include three main strategies: physiotherapy, bracing and surgery, which are used combined or successively, but in many cases are not efficient. This study aimed to develop a targeted, efficient, and appropriately calibrated approach for continuously monitoring of scoliosis therapy. Methods: Six patients with idiopathic scoliosis (IS) participated in this consecutive sample study. The study group (n = 6) underwent a physical rehabilitation program that utilized motion capture and myometry for control.Both before and after program completion, all patients underwent X-ray revaluations. Repeated assessments of muscle thickness were conducted to establish a correlation between biomechanical spine remodeling and paraspinal muscle development. Results. Results of M°Cap spinal curvature assessment correlate positively with the x-ray measurements (f2 >0.35). The same ratio of difference in x-ray angle measurement results was revealed after the study completion (PO.OOl). Both the muscle thickness and the body muscle mass measurements showed negative correlation with the changes in Cobb's angle measurements (the angle was decreased in all measurements, whereas the muscle thickness and mass were increased). Correlation for the SMI (R=-0.88) was close to -1.0. For the measurements in the study group the minimum R value was - 0.92 and for paraspinal muscles L3-L4 and SMM (%) the correlation index was -0.96. These results indicate that the improved muscle thickness and muscle mass (particularly the SMM (%)) support the posture correction and assist in spinal stability. Conclusion. The M°Cap and myometry controlled assessment is an efficient, safe and reliable monitoring model to control the outcomes of scoliosis rehabilitation.
Publisher
Universitatea din Pitesti
