Abstract
BackgroundImpairment of spine rotation is a key concept in several theories explaining the pathogenesis and progression of scoliosis. In previous studies, a more limited range of motion in scoliotic girls compared to their non-scoliotic peers was noted. The Trunk-Pelvis-Hip Angle measurement is a test used to assess the range of motion in the trunk-pelvis-hip complex in the transverse plane. The aim of this study was to assess an immediate effect of Proprioceptive Neuromuscular Facilitation specific mobilization (mPNF) on the angle of trunk rotation and Trunk-Pelvis-Hip Angle range of motion in adolescent girls with double scoliosis.MethodsThe study was conducted on 83 girls aged 10 to 17 years (mean 13.7 ± 1.9) with double idiopathic scoliosis consisting of a right-sided thoracic curve (mean 25.1° ± 13.9°) and a left-sided thoracolumbar or lumbar curve (mean 20.8° ± 11.4°). The angle of trunk rotation and Trunk-Pelvis-Hip Angle were measured at baseline and after PNF mobilization. Bilateral lower limb patterns of Proprioceptive Neuromuscular Facilitation were used in combination with the “contract–relax” technique and stimulation of asymmetrical breathing. In the statistical analysis, the SAS rel. 13.2 software was used. Preliminary statistical analysis was performed using descriptive statistics. According to Shapiro-Wilk criterion of normality, the Wilcoxon test was used to compare paired samples. Next, the data was analyzed using multivariate GLM models.ResultsIn adolescent girls with double scoliosis, significant differences between the left and right side of the body concerning the Trunk-Pelvis-Hip Angle ranges were noted. A single, unilateral PNF mobilization significantly decreased the angle of trunk rotation in the thoracic (p < 0.001) and lumbar spine (p < 0.001). Unilateral PNF mobilization also increased the Trunk-Pelvis-Hip Angle ranges on the left (p < 0.001) and right (p < 0.001) side significantly.ConclusionsUnilateral PNF mobilization led to a decrease in the angle of trunk rotation, improvement in the range of motion, and the symmetry of mobility in the transverse plane in the trunk-pelvis-hip complex in adolescent girls with double idiopathic scoliosis. The effects should be treated only as immediate. Further studies are required to determine long-term effects of PNF mobilization on the spinal alignment.Trial registrationISRCTN11750900.
Highlights
Impairment of spine rotation is a key concept in several theories explaining the pathogenesis and progression of scoliosis
The aim of this study was to assess an immediate effect of Proprioceptive Neuromuscular Facilitation (PNF) specific mobilization on the angle of trunk rotation (ATR) and the Trunk-Pelvis-Hip Angle (TPHA) range of motion in adolescent girls with double scoliosis
The study was performed on 83 girls with double idiopathic scoliosis with different levels of deformity diagnosed according to the recommended classification [2]
Summary
Impairment of spine rotation is a key concept in several theories explaining the pathogenesis and progression of scoliosis. The Trunk-Pelvis-Hip Angle measurement is a test used to assess the range of motion in the trunk-pelvis-hip complex in the transverse plane. Idiopathic scoliosis is one of the most common spinal deformities in children and adolescents It is defined as three-dimensional torsional deformity characterized by lateral deviation of the spine equal to or greater than 10°, vertebral rotation and reduced normal thoracic kyphosis [1, 2]. Previous studies showed a more limited range of motion (ROM) in the transverse plane in scoliotic girls compared to their non-scoliotic peers [6,7,8]. The Trunk-Pelvis-Hip Angle (TPHA) measurement is a test used to assess the range of motion in the trunk-pelvis-hip complex in the transverse plane. An impairment of spine rotation is considered a factor predisposing to the development and progression of scoliosis [9, 10]
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