ROLE OF POSTURAL CORRECTION BRACE ALONG WITH CORRECTIVE EXERCISES IN IMPROVEMENT OF FUNCTIONS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS- RANDOMISED CONTROLLED TRIAL

Abstract

Arvind Kumar1, Santosh Kumar2, Vikas Verma3

BACKGROUND
Scoliosis is lateral curvature of spine with torsion of the spine and chest resulting in a disturbed sagittal profile. The exact cause
of Adolescent Idiopathic Scoliosis (AIS) is unknown, but it may be due to combination of genetic and environmental factors.
Conservative measures of treatment for AIS are exercises, braces and postural education. The aim of this randomised control
study was to assess the effect of adding a brace and postural correction to spinal scoliosis correction exercises on one year
outcome of treatment of AIS. Objectives of the study were to assess the effects of adding a brace and postural correction to
spinal scoliosis correction exercises on angle of trunk rotation and health-related quality of life in AIS.
MATERIALS AND METHODS
Thirty two patients of AIS who met the eligibility criteria were enrolled in the study. Both the groups undertook self-correction
exercises (spinal extension and spinal stretching exercises). Braces and postural correction were added to the experimental
group. Effects were assessed after one year using scoliometry for measurement of Angle of Trunk Rotation (ATR) and SRS-22
was used to assess health-related quality of life.
RESULTS
ATR was found to be significantly (p=0.02) lower in the Experimental group compared to Control group at one year follow up.
A significant (p<0.05) difference in the quality of life parameters was also observed at one year follow up in the experimental
group compared to control group, the experimental group showing higher improvement.
CONCLUSION
Adding brace and postural correction to spinal scoliosis correction exercises improves one year outcome measured in terms of
ATR and health-related quality of life.

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