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EFFECTS OF SPINAL MOBILIZATION TECHNIQUES IN THE MANAGEMENT OF COBB ANGLE AMONG ADOLESCENT IDIOPATHIC SCOLIOSIS PATIENTS

Dr Sumaira Imran Farooqui, Dr Pirzada Qasim Raza Siddiqui, Dr Basit Ansari, Dr Ali Farhad,

Background Idiopathic scoliosis is considered as the most common type of spinal deformity having insidious onset and relentless progression that may even lead to death. The global prevalence of the disease is 0.47 to 5.2% with the approximate prevalence rate of 2 to 3% in Pakistan. The deformity progresses with the age and approximately 90% of all the cases are being diagnosed during the age of adolescence (10-19 years). Multiple studies have provided evidences that physical therapy intervention strategies are beneficial in improving the Cobb angle but none of these studies have provided evidence on the effects of conservative management alone on scoliosis prior to surgery particularly in the perspective of under developed countries. Hence the present study is aimed to determine the impact of conservative management of Scoliosis in improving the Cobb angle of the Adolescent Idiopathic Scoliosis patients. Methodology A Quasi Experimental Study was conducted on 106 Adolescent Idiopathic Scoliosis Patients. The patients were given an initial of eight weeks of supervised exercises intervention in Physical Therapy outpatient department followed by a four weeks of home based session.The outcome measures were assessed through Cobb angle measurement using a radiographic X-rays. Results The findings revealed a significant difference in the mean 7.59±2.86 of Cobb angle p<0.0001 which shows that interventional strategies of 8 weeks as outpatient and 4 additional weeks as home program was found to be effective as a conservative approach of management for Adolescent Idiopathic Scoliosis of 300 or less. Conclusion In a nut shell, the conservative approach of Adolescent Idiopathic Scoliosis management protocol designed under the guidelines of Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) was found to be effective in not only decelerating the progression of the thoracic curve but indeed found to be effective in reducing the Cobb angle.

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