Method of conscious correction of scoliosis and postural disorders in comprehensive remedial treatment of idiopathic scoliosis of the lumbar spine

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Abstract

The study aimed to substantiate the effectiveness of applying a new method of physiotherapy exercise called Conscious Correction of Scoliosis and Postural Disorders (CCS) in children and adolescents with a diagnosis of 1º–3º idiopathic scoliosis (IS) of the lumbar spine.

Material and methods. Seventy patients diagnosed with IS were under our supervision. The curvature arc was localized in the lumbar spine, and no compensatory arches were noted in other regions. The radiographs were performed in a standing position in a direct projection before and after 2 years of comprehensive therapy, including individual isometric, derotational, respiratory, and other complexes of physiotherapy exercises according to the methods of CCS, Schrot, and Chéneau corsets, were analyzed.

The patients were divided into three groups depending on the disease severity. The average age was 12.4 (9–15) years, with a predominance of women (84%). The angle of curvature was between 6° and 35°, according to Cobb.

Conclusion. The complex application of the early diagnostics system and timely treatment of lumbar spine IS using physiotherapy exercises according to the CCS method achieved regression and stabilized the disease course in patients with a deformity of up to 16°. The use of a Chéneau-type corset with IS of 20° or more achieved significant correction and stabilization.

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About the authors

Vitaly Y. Levkov

N.I. Pirogov Russian National Research Medical University

Author for correspondence.
Email: Levkovv@ya.ru
ORCID iD: 0000-0002-4104-2886

MD, PhD

Russian Federation, Moscow

Il’ya A. Shavyrin

Scientific and practical Center of specialized medical care for children

Email: shailya@ya.ru

MD, PhD

Russian Federation, Moscow

Andrey N. Lobov

N.I. Pirogov Russian National Research Medical University

Email: a_lobov54@mail.ru

MD, PhD, DSc, Professor

Russian Federation, Moscow

Maksim V. Panyukov

N.I. Pirogov Russian National Research Medical University

Email: maxim287@mail.ru

MD, PhD

Russian Federation, Moscow

Larisa B. Andronova

N.I. Pirogov Russian National Research Medical University

Email: larisaandronova@mail.ru

MD, PhD

Russian Federation, Moscow

Boris A. Polyaev

N.I. Pirogov Russian National Research Medical University

Email: polyaev@sportmed.ru
ResearcherId: ААВ-9757-202

MD, PhD, DSc

Russian Federation, Moscow

Valery P. Plotnikov

N.I. Pirogov Russian National Research Medical University

Email: pronator@mail.ru

MD, PhD, DSc, Professor

Russian Federation, Moscow

Antonina V. Butorina

N.I. Pirogov Russian National Research Medical University

Email: avbutorina@gmail.com

MD, PhD, DSc, Professor

Russian Federation, Moscow

Sergey V. Tsoy

N.I. Pirogov Russian National Research Medical University

Email: tsoy-1967@mail.ru

MD, PhD

Russian Federation, Moscow

References

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  2. Skryabin E.G., Sharypova A.A. Relationship of diseases spine and feet in children. Meditsinskaya nauka i obrazovanie Urala. 2016; 17(2):45-8. (In Russian)
  3. James J.I. The etiology of scoliosis. Bone Joint Surg Br. 1970;52(3): 410-9.
  4. Dudin M.G. Idiopathic scoliosis. Lecture, part I. “Paradoxes”. Ortopediya, travmatologiya i vosstanovitel’naya khirurgiya detskogo vozrasta. 2014;1(1):70˗7. (In Russian)
  5. Isupova O.A., Podlubnaya A.A. Application kineziotaping the cor¬rection of scoliosis. Sciences of Europe. 2016;(1˗1):49˗50. (In Russian)
  6. Zaidman A.M. What is idiopathic scoliosis? Khirurgiya pozvonochnika. 2016;13(4):104˗10. (In Russian)
  7. Levkov V.Yu., Panyukov M.V., Andronova L.B., Lobov A.N., Tsoi S.V., Levkova T.V. Conscious correction of scoliosis and postural disorders: Guidance. [Osoznannaya korrektsiya skolioza i narushenii osanki: Nauchno-prakticheskoe rukovodstvo]. Ed by Polyaev B.A., Plotnikov V.P. Moscow: RASMIRBI; 2020. 144 p. (In Russian)
  8. Kiselev D.A., Levkov V.Yu., Timonin E.M., Laisheva O.A., Shishkin A.A., Plotnikov V.P., Yunusov F.A. Method of using proprioceptive correctors. Rossiiskii meditsinskii zhurnal. 2019;25(5-6):280-6. (In Russian) doi: 10.17816/0869-2106-2019-25-5-6-280-286.
  9. Plotnikov V.P., Polyaev B.A., Panyukov M.V., Levkov V.Yu. Integral assessment of physical development of college students. Sportivnaya meditsina: nauka i praktika. 2015;(2):69-74. (In Russian)
  10. Tsoi S.V., Lobov A.N., Belyakov V.K., Levkov V.Yu., Troya¬nov K.V., Kuznetsov A.B. et al. Innovative approach to the treatment and correction of scoliosis using directed psycho-volitional static-dynamic system combined with modern methods of control. Sportivnaya meditsina: nauka i praktika. 2015;(4):78-82. (In Russian)

Supplementary files

Supplementary Files
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1. Figure. Designation of local breathing zones in left-sided lumbar scoliosis.

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