Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : August | Volume : 11 | Issue : 8 | Page : YC01 - YC04

Efficacy of Task Oriented Exercise Program Based on Ergonomics on Cobb’s Angle and Pulmonary Function Improvement in Adolescent Idiopathic Scoliosis- A Randomized Control Trial

Arvind Kumar, Santosh Kumar, Vineet Sharma, R.N.Srivastava, Anil Kumar Gupta, Anit Paparihar,Vikas Varma, Dileep Kumar

1. Assistant Professor, Department of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, Uttar Pradesh, India. 2. Professor, Department of orthopaedic Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India. 3. Professor, Department of Orthopaedic Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India. 4. Professor, Department of Orthopaedic Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India. 5. Associate Professor, Department of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, Uttar Pradesh, India. 6. Associate Professor, Department of Radiodiagnosis, King George's Medical University, Lucknow, Uttar Pradesh, India. 7. Associate Professor, Department of Orthopaedic Surgery and Trauma, king George's Medical University, Lucknow, Uttar Pradesh, India. 8. Assistant Professor, Department of Physical Medicine and Rehabilitation, King George's Medical University, Luckn

Correspondence Address :
Dr. Arvind Kumar,
Assistant Professor, Department of Physical Medicine and Rehabilitation, King George's Medical University,
Lucknow-226003, Uttar Pradesh, India.
E-mail: arvindmspt@yahoo.in

Abstract

Introduction: Scoliosis is lateral curvature of the spine greater than 100 accompanied by vertebral rotation. The prime risk factors for curve progression are a large curve magnitude, skeletal immaturity and female gender. The curve progression can be recorded by measuring the curve magnitude using the Cobb method on radiographs.

Aim: To assess the effect of task oriented exercises based on ergonomics on Cobb’s angle and pulmonary functions on one year outcome of Adolescent Idiopathic Scoliosis(AIS) (defined as curves < 150 for thoracolumbar region and < 200 for thoracic region).

Materials and Methods: A total of 36 patients were enrolled in the study and 18 patients in each group (experimental and control group) were allocated randomly. The subjects in control group underwent spinal strengthening exercises, active self-correction and breathing exercises, whereas subjects in the experimental group followed task oriented exercises based on ergonomics in addition to exercises for conventional group for one year. Chi square test was used to compare the categorical/dichotomous variables between the groups. Unpaired t-test was used to compare continuous variables between the groups at pre and post intervention. Paired t-test was used to compare the changes in continuous variables from pre to post intervention within the group.

Results: FVC was found to be significantly (p=0.001) higher in experimental group (2.68±0.37) than control group (2.20±0.41) at post-intervention. FEV1 (p=0.01) and VC (p=0.002) were also found to be significantly higher in experimental group compared to control group at postintervention. Also, there was significant (p=0.001) mean reduction in Cobb’s angle from pre to post intervention in both the groups being higher in Experimental group than control group.

Conclusion: The task oriented exercise protocol benefited patients with AIS which had a significant improvement of their pulmonary functions and Cobb’s angle.

Keywords

Adam's forward bend test, Lateral curvature, Spinal strengthening

How to cite this article :

Arvind Kumar, Santosh Kumar, Vineet Sharma, R.N.Srivastava, Anil Kumar Gupta, Anit Paparihar, et al.. EFFICACY OF TASK ORIENTED EXERCISE PROGRAM BASED ON ERGONOMICS ON COBB’S ANGLE AND PULMONARY FUNCTION IMPROVEMENT IN ADOLESCENT IDIOPATHIC SCOLIOSIS- A RANDOMIZED CONTROL TRIAL. Journal of Clinical and Diagnostic Research [serial online] 2017 August [cited: 2017 Aug 18 ]; 11:YC01-YC04. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=August&volume=11&issue=8&page=YC01-YC04&id=10335

DOI and Others

DOI: 10.7860/JCDR/2017/27497.10335

Date of Submission: Feb 14, 2017
Date of Peer Review: Mar 19, 2017
Date of Acceptance: May 05, 2017
Date of Publishing: Aug 01, 2017

Financial OR OTHER COMPETING INTERESTS: None.

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