Uvod: Skolioza je trodimenzionalni deformitet kralježnice koji se definira uglavnom na temelju zakrivljenosti kralježnice. Dijeli se na funkcionalnu i strukturnu. Skolioza može dovesti do dugotrajnog ...nepravilnog držanja, bolova u leđima i problema s disanjem. Vježbe za ublažavanje skolioze uključuju jačanje mišića, mobilizaciju trupa, električnu stimulacija, vježbe disanja i posturalne korekcije te vježbe s malim utjecajem kao što su pilates, joga ili tai chi za poboljšanje fleksibilnosti i trupa.Metode: Istraživanje je obuhvatilo analizu podataka dobivenih iz medicinske dokumentacije prvog nalaza i kontrolnih nalaza specijalista fizikalne medicine i rehabilitacije. Za potrebe istraživanja prikupljeni su podaci o spolnoj i dobnoj strukturi ispitanika, vrsti skoliotičke zakrivljenosti (funkcionalna ili strukturna), kao i lokalizaciji skolioze po segmentima kralježnice. Svi su ispitanici podvrgnuti individualnom fizioterapijskom tretmanu od strane fizioterapeuta u trajanju od 15 radnih dana, jedan sat dnevno, nakon čega su provodili fizioterapijski program kod kuće u trajanju od šest mjeseci prije kontrolnog pregleda. Podaci istraživanja dobiveni su u razdoblju od siječnja 2009. do prosinca 2018. godine.Rezultati: Nakon konzervativne terapije kod 132 ispitanika (66 %) došlo je do poboljšanja, dok kod 68 (34 %) ispitanika nije došlo do smanjenja skolioze. Statistički značajno veći postotak muških ispitanika (73,1 %) imao je poboljšanje kliničke slike u odnosu na ispitanice (58,3 %). Kod ispitanika s funkcionalnom skoliozom utvrđeno je statistički značajno poboljšanje kliničke slike (74,4 %) u odnosu na ispitanike sa strukturnom skoliozom (14,3 %).Zaključak: Rezultati istraživanja pokazali su da individualni fizioterapijski program ima pozitivan učinak na korekciju skoliotičke zakrivljenosti. Djeca koja redovito vježbaju kod kuće, nakon završenog kineziterapijskog liječenja u zdravstvenoj ustanovi, u trajanju od najmanje šest mjeseci, imaju veći postotak poboljšanja skoliotične zakrivljenosti u odnosu na djecu koja ne vježbaju redovito.
Introduction:
Scoliosis is a three-dimensional deformity of the spine that is defined mainly on the basis of lateral curvature of the spine. It is divided into functional and structural scoliosis. Scoliosis can lead to prolonged improper posture, back pain, and breathing problems. Scoliosis relief exercises include muscle strengthening, torso mobilization, machine-assisted auxiliary exercises, electrical stimulation, breathing exercises, and postural corrections, as well as low-impact exercises such as pilates, yoga or tai chi to improve flexibility and the torso.
Methods:
The research included the analysis of data obtained from the medical documentation of the first and control findings of physicians specializing in physical medicine and rehabilitation. For the research, data were collected on the gender and age structure of the subjects, the type of scoliotic curvature (functional or structural), as well as the localization of scoliosis by spinal segments. All subjects underwent individual physioterapeutic treatment by a physiotherapist for 15 working days, one hour a day, after which they conducted a kinesitherapy program at home for six months (before the check-up). Survey data were obtained in the period from January 2009 to December 2018.
Results:
After conservative therapy, scoliosis improved in 132 subjects (66%), while scoliosis did not improve in 68 (34%) subjects. A statistically significantly higher percentage of respondents (73.1%) had an improvement in the clinical picture compared to respondents (58.3%). In subjects with functional scoliosis, a statistically significant improvement in the clinical picture was found (74.4%) compared to subjects with structural scoliosis (14.3%).
Conclusion:
The results of the study showed that individual kinesitherapy treatment has a positive effect on the correction of scoliotic curvature. Children who exercise regularly at home, after completing kinesitherapy treatment in a health facility for at least six months, have a higher percentage of improvement in scoliotic curvature compared to children who do not exercise regularly.
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