Rehabilitation of Childrenwith Dysontogenetic-Dystrophic Syndrome for Combined Pelvicand Spinal Deformities

Abstract

Objective. To analyze the effectiveness of complex remedial measures including biological feedback to pelvic girdle and spinal muscles in treatment of scoliosis in children with dysontogenetic- dystrophic syndrome. Material and Methods. The study included 49 patients aged 6 to 16 years with combined deformities of the pelvis and the spine (grade I and II measured by Cobb method). All examined patients had S-shaped scoliosis and pelvic asymmetry. The treatment included application of biological feedback after EMG training of patients. Results. The study showed that one of the basic requirements for successful EMG biofeedback application is a functional biocontrol. Patients are trained to control the activity of muscles and muscle groups, which are under disturbed or lost voluntary control. Functional biocontrol assumes using activity of the disturbed motor system itself. Biofeedback looping provides learning and fixation of motor patterns and a new behavior strategy allowing for voluntary correction of the disturbed motor functions. Conclusion. The application of EMG biofeedback to pelvic girdle muscles resulted in reduction or reversal of scoliotic deformity in the thoracic and lumbar spine. Formation of new statodynamic system decreased trunk and spinal muscle imbalance, and changed the direction of spinal curves.