Skolyoz Sürecinde Egzersiz
Özet
Amaç: Skolyoz; omurganın dikey normal düzleminden lateral bir sapma eğrisi göstererek oluşan şekil bozukluğu olarak tanımlanmaktadır. Omurga düzlemindeki bu eğrilik aynı zamanda omurganın rotasyonu ile gerçekleşmekte ve omurganın koronal, frontal ve sagital düzlemlerinde oluşum gösteren üç boyutlu bir deformasyon sebebi olarak karşımıza çıkmaktadır. Konservatif olmayan tedavilerde omurga deformasyonunu düzeltebilmek adına ameliyat gerekmektedir ve risk içermektedir. Fizyoterapi gibi konservatif tedavilerde skolyoza özgü egzersizler, Uluslararası Skolyoz Ortopedik Tedavi ve Rehabilitasyon Derneği tarafından kabul gören yöntemler olarak karşımıza çıkmaktadır. Skolyoza uygun hazırlanan özel fizyoterapi egzersizleri, odağın skolyoz olduğu eğitimler yanında gözlem ve gözetimin önemi, psikolojik anlamda kişiye verilen destek, korse kullanımı ve cerrahi müdahaleler gibi birçok barındırmaktadır. Skolyoz tedavisinde kullanılan egzersiz yöntemi ve kalıplar nelerdir ve hangi aşamada devreye girmelidir? Bu bölümde bu sorulara cevap aramayı hedeflemekteyiz. Yöntem: Bölümde kullanılan tüm veriler Web of Science, Google Akademik ve Pubmed veri tabanlarında ‘’Skolyoz’’, ‘’Egzersiz’’ anahtar kelimeleri taratılarak elde edilmiştir. Sonuç: Skolyoz tedavisinin egzersiz reçetelendirilmesi, postür farkındalığı oluşturabilmek, doğru bir duruş ve düzgün bir yürüyüş paterni oluşturabilmek, asimetrik anlamda omurgaya zarar verebilecek yüklenmelerin önüne geçebilmek, doğru solunum fonksiyon özeliklerini kazandırabilmek gibi farkındalıklar değerlendirilerek planlanmalıdır.
Purpose: Scoliosis is defined as a deformity that occurs by showing a lateral deviation curve from the vertical normal plane of the spine. This curvature in the spinal plane also occurs with the rotation of the spine and is a three-dimensional deformation that occurs in the coronal, frontal and sagittal planes of the spine. In non-conservative treatments, surgery is required to correct spinal deformation and it carries risks. In conservative treatments such as physiotherapy, scoliosis-specific exercises are accepted as methods by the International Scoliosis Orthopedic Treatment and Rehabilitation Association. Special physiotherapy exercises prepared for scoliosis include many things such as the importance of observation and supervision, psychological support given to the person, use of corsets and surgical interventions, as well as trainings focusing on scoliosis. What are the exercise methods and patterns used in scoliosis treatment and at what stage should they be put into effect? In this section, we aim to find answers to these questions. Method: All data used in the section were obtained by searching the keywords ‘’Scoliosis’’, ‘’Exercise’’ in the Web of Science, Google Scholar and Pubmed databases. Conclusion: Exercise prescription for scoliosis treatment should be planned by evaluating awareness such as creating posture awareness, creating a correct posture and a proper walking pattern, preventing asymmetrical loads that may damage the spine, and providing correct respiratory function characteristics.
Referanslar
Clayton, R. A., & Court-Brown, C. M. (2008). The epidemiology of musculoskeletal tendinous and ligamentous injuries. Injury, 39(12), 1338-1344.
Pitsilos, C., Gigis, I., Chitas, K., Papadopoulos, P., & Ditsios, K. (2022). Systematic review of distal biceps tendon rupture in athletes: treatment and rehabilitation. Journal of shoulder and elbow surgery, 31(8), 1763-1772
Kelley, M. J., Shaffer, M. A., Kuhn, J. E., Michener, L. A., Seitz, A. L., Uhl, T. L., ... & Wilk, K. (2013). Shoulder pain and mobility deficits: adhesive capsulitis: clinical practice guidelines linked to the international classification of functioning, disability, and health from the Orthopaedic Section of the American Physical Therapy Association. Journal of orthopaedic & sports physical therapy, 43(5), A1-A31.
Kısa, E. P., & Otman, A. S. (2020). Skolyoz odaklı egzersizler-yedi büyük okulun kapsamlı incelemesi. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 11(2), 255-259.
Berdishevsky, H., Lebel, V. A., Bettany-Saltikov, J., Rigo, M., Lebel, A., Hennes, A., ... & Durmala, J. (2016). Physiotherapy scoliosis-specific exercises–a comprehensive review of seven major schools. Scoliosis and spinal disorders, 11, 1-52.
Lenhert-Schroth, C. (2007). The Schroth scoliosis three dimensional treatment. Norderstedt: Books on Demand GmbH, 13, 1607-1614.
Ph. D., & Solberg, D. G. (2008). Postural disorders & musculoskeletal dysfunction. Churchill Livingstone.
X-ray Film Teenager Patient Scoliosis On Stok Fotoğrafı 435354382 | Shutterstock E.T: 11.11.2024
Van Rooyen, C., Du Plessis, L. Z., Geldenhuys, L., Myburgh, E., Coetzee, W., Vermeulen, N., ... & Burger, M. (2019). The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis: A systematic review and meta-analysis. South African Journal of Physiotherapy, 75(1), 1-9.
YILMAZ, H. G. (2014). İdiyopatik skolyozda egzersiz reçeteleme. Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, 60, S31-S35.
Reamy, B. V., & Slakey, J. B. (2001). Adolescent idiopathic scoliosis: review and current concepts. American family physician, 64(1), 111-117.
Weiss, H. R., & Goodall, D. (2008). The treatment of adolescent idiopathic scoliosis (AIS) according to present evidence. A systematic review. European journal of physical and rehabilitation medicine, 44(2), 177-193.
Negrini, S., Aulisa, A. G., Aulisa, L., Circo, A. B., De Mauroy, J. C., Durmala, J., ... & Zaina, F. (2012). 2011 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis, 7, 1-35.
Oğuz, H., Dursun, E., & Dursun, N. (2004). Tıbbi rehabilitasyon. Nobel Tıp Kitabevleri,İstanbul; pp:869
Beyazova, M., & Kutsal, Y. G. (Eds.). (2016). Fiziksel tıp ve rehabilitasyon. Güneş Tıp Kitabevleri.Ankara 2000; pp:3243-59.
Dickson, R. A., & Leatherman, K. D. (1978). Cotrel traction, exercises, casting in the treatment of idiopathic scoliosis: a pilot study and prospective randomized controlled clinical trial. Acta Orthopaedica Scandinavica, 49(1), 46-48.
De Mauroy, J. C., Journe, A., Gagaliano, F., Lecante, C., Barral, F., & Pourret, S. (2015). The new Lyon ARTbrace versus the historical Lyon brace: a prospective case series of 148 consecutive scoliosis with short time results after 1 year compared with a historical retrospective case series of 100 consecutive scoliosis; SOSORT award 2015 winner. Scoliosis, 10(1), 26.
Karimi, M. T., & Rabczuk, T. (2018). Scoliosis conservative treatment: A review of literature. Journal of Craniovertebral Junction and Spine, 9(1), 3-8.
Bettany Saltikov, J., Parent, E., Romano, M., Villagrasa, M., & Negrini, S. (2014). Physiotherapeutic scoliosis-specific exercises for adolescents with idiopathic scoliosis. European Journal of Physical and Rehabilitation Medicine, 50(1), 111-121.
Weiss HR. (2007). Best Practice in Conservative Scoliosis Care. Bad Sobernheim: Druck und Bindung ;7-14.
Crawford, M. W., Hickey, C., Zaarour, C., Howard, A., & Naser, B. (2006). Development of acute opioid tolerance during infusion of remifentanil for pediatric scoliosis surgery. Anesthesia & Analgesia, 102(6), 1662-1667.
Pr, H. (1963). The Management Of Scolıosıs By Spıne Instrumentatıon: An Evaluatıon Of More Than 200 Cases. Southern Medical Journal, 56, 1367-1377.
Coran, D. L., Rodgers, W. B., Keane, J. F., Hall, J. E., & Emans, J. B. (1999). Spinal fusion in patients with congenital heart disease: predictors of outcome. Clinical Orthopaedics and Related Research®, 364, 99-107.
Hıbbs, R. A. (1924). A report of fifty-nine cases of scoliosis treated by the fusion operation. JBJS, 6(1), 3-34.
Weiss, H., & Maier-Hennes, A. (2008). Specific exercises in the treatment of scoliosis-differential indication. Studies in Health Technology and Informatics, 135, 173.
Erdogan, M. A., Ozgul, U., Ucar, M., Korkmaz, M. F., Aydogan, M. S., Ozkan, A. S., ... & Durmus, M. (2017). Patient-controlled intermittent epidural bolus versus epidural infusion for posterior spinal fusion after adolescent idiopathic scoliosis: prospective, randomized, double-blinded study.
Bettany-Saltikov, J., Cook, T., Rigo, M., De Mauroy, J., Romano, M., Negrini, S., ... & Bialek, M. (2012). Physical therapy for adolescents with idiopathic scoliosis. In Physical Therapy Perspectives in the 21st Century: Challenges and Possibilities (pp. 3-40). IntechOpen.
Bialek, M. (2015). Mild angle early onset idiopathic scoliosis children avoid progression under FITS method (Functional Individual Therapy of Scoliosis). Medicine, 94(20), e863.
Yaman, O., & Dalbayrak, S. (2013). İdiopatik skolyoz [Idiopathic scoliosis]. Türk Nöroşirürji Dergisi, 23, 37-51.
Richards, B. S., Sucato, D. J., Konigsberg, D. E., & Ouellet, J. A. (2003). Comparison of reliability between the Lenke and King classification systems for adolescent idiopathic scoliosis using radiographs that were not premeasured. Spine, 28(11), 1148-1156.
Day, J. M., Fletcher, J., Coghlan, M., & Ravine, T. (2019). Review of scoliosis-specific exercise methods used to correct adolescent idiopathic scoliosis. Archives of physiotherapy, 9, 1-11.
Fabian, K. M. (2010). Evaluation of the effectiveness of asymmetric breathing exercises according to Dobosiewicz on chosen functional parameters of the respiratory system in girls with scoliosis. Physiotherapy/Fizjoterapia, 18(4).
Bettany-Saltikov, J., & Paz-Lourido, B. (Ed.). (2012). 21. yüzyılda fizik tedavi perspektifleri: zorluklar ve olasılıklar.
Białek, M. (2011). İdiyopatik skolyozun FITS konseptine göre konservatif tedavisi: SOSORT ve SRS kriterlerine göre yöntemin ve ön, kısa dönem radyolojik ve klinik sonuçların sunumu. Skolyoz, 6, 1-19.
Lehnert-Schroth, C. (2007). Three-dimensional treatment for scoliosis: a physiotherapeutic method for deformities of the spine. Martindale Press.
Referanslar
Clayton, R. A., & Court-Brown, C. M. (2008). The epidemiology of musculoskeletal tendinous and ligamentous injuries. Injury, 39(12), 1338-1344.
Pitsilos, C., Gigis, I., Chitas, K., Papadopoulos, P., & Ditsios, K. (2022). Systematic review of distal biceps tendon rupture in athletes: treatment and rehabilitation. Journal of shoulder and elbow surgery, 31(8), 1763-1772
Kelley, M. J., Shaffer, M. A., Kuhn, J. E., Michener, L. A., Seitz, A. L., Uhl, T. L., ... & Wilk, K. (2013). Shoulder pain and mobility deficits: adhesive capsulitis: clinical practice guidelines linked to the international classification of functioning, disability, and health from the Orthopaedic Section of the American Physical Therapy Association. Journal of orthopaedic & sports physical therapy, 43(5), A1-A31.
Kısa, E. P., & Otman, A. S. (2020). Skolyoz odaklı egzersizler-yedi büyük okulun kapsamlı incelemesi. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 11(2), 255-259.
Berdishevsky, H., Lebel, V. A., Bettany-Saltikov, J., Rigo, M., Lebel, A., Hennes, A., ... & Durmala, J. (2016). Physiotherapy scoliosis-specific exercises–a comprehensive review of seven major schools. Scoliosis and spinal disorders, 11, 1-52.
Lenhert-Schroth, C. (2007). The Schroth scoliosis three dimensional treatment. Norderstedt: Books on Demand GmbH, 13, 1607-1614.
Ph. D., & Solberg, D. G. (2008). Postural disorders & musculoskeletal dysfunction. Churchill Livingstone.
X-ray Film Teenager Patient Scoliosis On Stok Fotoğrafı 435354382 | Shutterstock E.T: 11.11.2024
Van Rooyen, C., Du Plessis, L. Z., Geldenhuys, L., Myburgh, E., Coetzee, W., Vermeulen, N., ... & Burger, M. (2019). The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis: A systematic review and meta-analysis. South African Journal of Physiotherapy, 75(1), 1-9.
YILMAZ, H. G. (2014). İdiyopatik skolyozda egzersiz reçeteleme. Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, 60, S31-S35.
Reamy, B. V., & Slakey, J. B. (2001). Adolescent idiopathic scoliosis: review and current concepts. American family physician, 64(1), 111-117.
Weiss, H. R., & Goodall, D. (2008). The treatment of adolescent idiopathic scoliosis (AIS) according to present evidence. A systematic review. European journal of physical and rehabilitation medicine, 44(2), 177-193.
Negrini, S., Aulisa, A. G., Aulisa, L., Circo, A. B., De Mauroy, J. C., Durmala, J., ... & Zaina, F. (2012). 2011 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis, 7, 1-35.
Oğuz, H., Dursun, E., & Dursun, N. (2004). Tıbbi rehabilitasyon. Nobel Tıp Kitabevleri,İstanbul; pp:869
Beyazova, M., & Kutsal, Y. G. (Eds.). (2016). Fiziksel tıp ve rehabilitasyon. Güneş Tıp Kitabevleri.Ankara 2000; pp:3243-59.
Dickson, R. A., & Leatherman, K. D. (1978). Cotrel traction, exercises, casting in the treatment of idiopathic scoliosis: a pilot study and prospective randomized controlled clinical trial. Acta Orthopaedica Scandinavica, 49(1), 46-48.
De Mauroy, J. C., Journe, A., Gagaliano, F., Lecante, C., Barral, F., & Pourret, S. (2015). The new Lyon ARTbrace versus the historical Lyon brace: a prospective case series of 148 consecutive scoliosis with short time results after 1 year compared with a historical retrospective case series of 100 consecutive scoliosis; SOSORT award 2015 winner. Scoliosis, 10(1), 26.
Karimi, M. T., & Rabczuk, T. (2018). Scoliosis conservative treatment: A review of literature. Journal of Craniovertebral Junction and Spine, 9(1), 3-8.
Bettany Saltikov, J., Parent, E., Romano, M., Villagrasa, M., & Negrini, S. (2014). Physiotherapeutic scoliosis-specific exercises for adolescents with idiopathic scoliosis. European Journal of Physical and Rehabilitation Medicine, 50(1), 111-121.
Weiss HR. (2007). Best Practice in Conservative Scoliosis Care. Bad Sobernheim: Druck und Bindung ;7-14.
Crawford, M. W., Hickey, C., Zaarour, C., Howard, A., & Naser, B. (2006). Development of acute opioid tolerance during infusion of remifentanil for pediatric scoliosis surgery. Anesthesia & Analgesia, 102(6), 1662-1667.
Pr, H. (1963). The Management Of Scolıosıs By Spıne Instrumentatıon: An Evaluatıon Of More Than 200 Cases. Southern Medical Journal, 56, 1367-1377.
Coran, D. L., Rodgers, W. B., Keane, J. F., Hall, J. E., & Emans, J. B. (1999). Spinal fusion in patients with congenital heart disease: predictors of outcome. Clinical Orthopaedics and Related Research®, 364, 99-107.
Hıbbs, R. A. (1924). A report of fifty-nine cases of scoliosis treated by the fusion operation. JBJS, 6(1), 3-34.
Weiss, H., & Maier-Hennes, A. (2008). Specific exercises in the treatment of scoliosis-differential indication. Studies in Health Technology and Informatics, 135, 173.
Erdogan, M. A., Ozgul, U., Ucar, M., Korkmaz, M. F., Aydogan, M. S., Ozkan, A. S., ... & Durmus, M. (2017). Patient-controlled intermittent epidural bolus versus epidural infusion for posterior spinal fusion after adolescent idiopathic scoliosis: prospective, randomized, double-blinded study.
Bettany-Saltikov, J., Cook, T., Rigo, M., De Mauroy, J., Romano, M., Negrini, S., ... & Bialek, M. (2012). Physical therapy for adolescents with idiopathic scoliosis. In Physical Therapy Perspectives in the 21st Century: Challenges and Possibilities (pp. 3-40). IntechOpen.
Bialek, M. (2015). Mild angle early onset idiopathic scoliosis children avoid progression under FITS method (Functional Individual Therapy of Scoliosis). Medicine, 94(20), e863.
Yaman, O., & Dalbayrak, S. (2013). İdiopatik skolyoz [Idiopathic scoliosis]. Türk Nöroşirürji Dergisi, 23, 37-51.
Richards, B. S., Sucato, D. J., Konigsberg, D. E., & Ouellet, J. A. (2003). Comparison of reliability between the Lenke and King classification systems for adolescent idiopathic scoliosis using radiographs that were not premeasured. Spine, 28(11), 1148-1156.
Day, J. M., Fletcher, J., Coghlan, M., & Ravine, T. (2019). Review of scoliosis-specific exercise methods used to correct adolescent idiopathic scoliosis. Archives of physiotherapy, 9, 1-11.
Fabian, K. M. (2010). Evaluation of the effectiveness of asymmetric breathing exercises according to Dobosiewicz on chosen functional parameters of the respiratory system in girls with scoliosis. Physiotherapy/Fizjoterapia, 18(4).
Bettany-Saltikov, J., & Paz-Lourido, B. (Ed.). (2012). 21. yüzyılda fizik tedavi perspektifleri: zorluklar ve olasılıklar.
Białek, M. (2011). İdiyopatik skolyozun FITS konseptine göre konservatif tedavisi: SOSORT ve SRS kriterlerine göre yöntemin ve ön, kısa dönem radyolojik ve klinik sonuçların sunumu. Skolyoz, 6, 1-19.
Lehnert-Schroth, C. (2007). Three-dimensional treatment for scoliosis: a physiotherapeutic method for deformities of the spine. Martindale Press.
