Ireneusz M. Kowalski
University of Warmia and Mazury, Poland
Title: Algorithm in idiopathic scoliosis conservative treatment
Biography
Biography: Ireneusz M. Kowalski
Abstract
Introduction Idiopathic scoliosis (IS) in three-dimension is of various causes. Following atrophic and degenerative changes of muscle and connective tissue, resulting in contractures, usually are secondary in relation to nervous and musculo-nervous damages. Aim Analysis of conservative treatment outcomes of lateral spine deformations and estimation of angle ranges of most effective therapy. Materials and methods Two different models of medical proceedings represented by Scoliosis Research Society (SRS) in the form of corseting and surgical approach and Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) in the form of kinezytherapy, physicotherapy, corseting, and surgical approach. Analysis of Artificial Neural Networks (ANN) was used in evaluation of different treatment methods on 2500 patients in growth age, from 2 to 18 years old. Outcomes The most significant efficacy and effectiveness of analysed conservative treatment methods of IS was accomplished in following angle ranges: Degree of deformation Treatment method 0 - 9 observation + prophylaxis 10 - 19 kinezytherapy + electrostimulation 20 - 29 kinezytherapy + elektrostimulation + orthopaedic brace 30 - 39 kinezytherapy + orthopaedic brace 40 - 49 kinezytherapy + orthopaedic brace +surgical treatment > 50 surgical treatment Discussion Physiotherapy in conservative treatment of IS in children and adolescants is a up to date problem. Under discussion is its effectiveness in deformity correction and the validity of its symmetric or asymmetric use. Conclusions 1. IS require inquisitive analysis in relation to planned type of physiotherapy. 2. Each type of physiotherapy is assigned to specific angle range of IS due to specific effectiveness and efficacy of therapy.