Introduction. Different spine sagittal contours in classic and lumbar Scheuermann's disease are associated with various muscle imbalance. Material and methods. A randomized controlled trial of the efficacy of kinesiotherapy programs in patients with Scheuermann's kyphosis and lumbar Scheuermann's aged 16–26 years (mean age 20.6 ± 0.3 years) was performed. We evaluated the mobility of the spine and hip joints, the roentgenometric magnitude of thoracic kyphosis and lumbar lordosis, the parameters of EMG of the lumbar part of the muscles erector spinae using surface electrodes. Patients interviewed on the visual analogue scale (VAS), on the Oswestry Disability Questionnaire, version 2.0 (ODI), on the Pain and Anxiety Symptoms Scale (PASS) – 20. Results. After the treatment in groups with kinesiotherapy program was observed the increase of general spine mobility while bending forward, the increase of hip joint movements in sagittal plane and significant improvement VAS, ODI and PASS as compared with the control groups in the classic and atypical forms of the Scheuermann's disease, respectively. Discussion and Conclusion. We associate the efficiency of the kinesiotherapy program with applying a differential approach to prescribing the exercises according to the variation of sagittal spinal alignment.

SI “Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine”

Vinnitsa National Medical University Named after Pirogov N I

Účinnost programů kinesioterapie u pacientů s Scheuermannovou chorobou a různé postavení páteře v sagitální rovině

Kinesiotherapy programs efficacy in patients with Scheuermann's disease and different sagittal spine alignment [elektronický zdroj] /

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