The effectiveness of personalized kinesitherapy on an inclined plane at degree I scoliosis in children: X-ray monitoring

Abstract

The purpose is to evaluate the effectiveness of complex treatment of grade I scoliosis in children on an inclined plane. Material and methods. Throughout 2021, 42 children with degree I scoliosis aged from 8 to 13 years old (average age 10.5 years) were under observation. All patients with degree I scoliotic disease were prescribed complex treatment, which included personalized kinesitherapy on an inclined plane (Evminov's board), massage, electrical stimulation of the back muscles, and cholecalciferol intake (if indicated). Two groups of patients were identified: Group I – children with grade I scoliosis before treatment (42 persons) and Group II – children with grade I scoliosis in the process of treatment (37 persons). Re-examination was carried out 4-5 months after the start of the course. Results. 45.2 % of children in Group I had complaints of cerebroasthenic nature, which remained in only 12 % of patients in Group II. No clinical signs of hypocalcemia were revealed in the examined children during the initial and repeated laboratory examination. When analyzing the indicators of ultrasound densitometry, 14.3 % of children in Group I had initial signs of osteopenia (Z-Score); 25-hydroxycalciferol was at the lower limit of the normative values in children before the start of treatment. Regression of scoliosis was noted in 80.9 % of children of Group II, according to X-ray data, in 3 patients of this group there was a stable clinical and instrumental picture. Conclusions. The application of an inclined plane for children in the treatment of degree I scoliosis gives a positive result – regression of the spinal deformity. The results indicate the need to develop medical and social programs for the prevention and treatment of degree I scoliotic deformity of the spine in children in general educational institutions at physical education lessons. Key words: children, degree 1 scoliosis, inclined plane, kinesitherapy, radiography, densitometry.