Ab. No. 36 Integrated Effect of 3d Schroth Method and Cellular Rhythm Therapy on 4-D Postural Analysis in an Individual With Idiopathic Structural Scoliosis- Single Case Study

Abstract

Introduction: The study attempts to widen the horizons of physiotherapy profession by promoting insights towards the advanced non-invasive treatment approaches for the management of Idiopathic Structural Scoliosis and aims to investigate the combined effect of 3D Schroth Method (spinal corrective exercise program) and Cellular Rhythm Therapy on 4D Postural Analysis in an individual with Idiopathic Structural Scoliosis Methods: An 18-year-old male diagnosed with idiopathic scoliosis for 4 years. He had thoracic levoscoliosis and lumbar dextroscoliosis with a baseline Cobb’s angle of 35º. Physical findings were uneven shoulder heights, slight right scapular winging, prominent left hip, and increased space between left elbow and trunk due to trunk deviation towards the right side. The patient intervened with Cellular Rhythm Therapy for 20 minutes followed by 3D Schroth Method exercises for 20 minutes. The treatment was given for a total of 30 days (5 sessions per week). Pre and Post interventional objective assessment was done using 4D postural analysis and subjective assessment was done using the Italian Spine-Related Quality of Life (ISYQOL) questionnaire at day 0 and day 30. Result: Significant change was found in lumbar lordosis angle (46º -31º), sagittal imbalance (6º - 2º), pelvic torsion (4º- 2º), vertebral rotation (17º -13º), apical deviation (49º - 21º), lumbar lordosis depth (32º- 30º) and in Cobb’s angle from 35º to 29º, along with difference in Italian Spine-Related Quality of Life (ISYQOL) questionnaire from 37% to 39%. Conclusion: According to the study’s findings, 3D Schroth Method and Cellular Rhythm Therapy can be an effective treatment for patients with Scoliosis. Implications: This combinational approach anticipates a useful reference guide for future management of Idiopathic Structural scoliosis.