Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 Nov 28:6:25.
doi: 10.1186/1748-7161-6-25.

Conservative treatment of idiopathic scoliosis according to FITS concept: presentation of the method and preliminary, short term radiological and clinical results based on SOSORT and SRS criteria

Marianna Białek  1
Affiliations

Conservative treatment of idiopathic scoliosis according to FITS concept: presentation of the method and preliminary, short term radiological and clinical results based on SOSORT and SRS criteria

Marianna Białek. Scoliosis. .

Abstract

Background: Conservative scoliosis therapy according to the FITS Concept is applied as a unique treatment or in combination with corrective bracing. The aim of the study was to present author's method of diagnosis and therapy for idiopathic scoliosis FITS-Functional Individual Therapy of Scoliosis and to analyze the early results of FITS therapy in a series of consecutive patients.

Methods: The analysis comprised separately: (1) single structural thoracic, thoracolumbar or lumbar curves and (2) double structural scoliosis-thoracic and thoracolumbar or lumbar curves. The Cobb angle and Risser sign were analyzed at the initial stage and at the 2.8-year follow-up. The percentage of patients improved (defined as decrease of Cobb angle of more than 5 degrees), stable (+/- 5 degrees), and progressed (increase of Cobb angle of more than 5 degrees) was calculated. The clinical assessment comprised: the Angle of Trunk Rotation (ATR) initial and follow-up value, the plumb line imbalance, the scapulae level and the distance from the apical spinous process of the primary curve to the plumb line.

Results: In the Group A: (1) in single structural scoliosis 50,0% of patients improved, 46,2% were stable and 3,8% progressed, while (2) in double scoliosis 50,0% of patients improved, 30,8% were stable and 19,2% progressed. In the Group B: (1) in single scoliosis 20,0% of patients improved, 80,0% were stable, no patient progressed, while (2) in double scoliosis 28,1% of patients improved, 46,9% were stable and 25,0% progressed.

Conclusion: Best results were obtained in 10-25 degrees scoliosis which is a good indication to start therapy before more structural changes within the spine establish.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Examination of flexibility of the scoliotic spine in functional positions.
Figure 2
Figure 2
Making child aware of trunk deformity due to scoliosis.
Figure 3
Figure 3
Active myofascial relaxation for hamstrings and erector spinae.
Figure 4
Figure 4
Active myofascial relaxation for erector spinae.
Figure 5
Figure 5
The myofascial structures limiting the corrective shift (a-before therapy, b-after therapy).
Figure 6
Figure 6
Active relaxation for rectus femoris with scoliosis derotation maneuver.
Figure 7
Figure 7
Sensory-motor control training on one leg.
Figure 8
Figure 8
Sensory-motor control training on the balance trainer.
Figure 9
Figure 9
Stabilization of lower trunk with 3-dimensional correction of scoliosis.
Figure 10
Figure 10
Stabilization of lower trunk with pillows sensorimotor and the ball.
Figure 11
Figure 11
Corrective chest movement for thoracic scoliosis.
Figure 12
Figure 12
An example of corrective pattern in functional position.
Figure 13
Figure 13
An example of corrective pattern in functional position.
Figure 14
Figure 14
An example of corrective pattern in functional position.
Figure 15
Figure 15
Cobb angle values before and after therapy in A group.
Figure 16
Figure 16
Percentage of improvement, stabilization and progression in A1 subgroup.
Figure 17
Figure 17
Percentage of improvement, stabilization and progression in A2 subgroup.
Figure 18
Figure 18
Percentage of improvement, stabilization and progression in B1 subgroup.
Figure 19
Figure 19
Percentage of improvement, stabilization and progression in B2 subgroup.
Figure 20
Figure 20
Clinical image before therapy.
Figure 21
Figure 21
Clinical image after therapy.
Figure 22
Figure 22
Radiography before treatment.
Figure 23
Figure 23
Radiography after treatment.
Figure 24
Figure 24
Exercise in pattern correction.
Figure 25
Figure 25
Clinical image before therapy.
Figure 26
Figure 26
Clinical image after therapy.
Figure 27
Figure 27
Radiography before treatment.
Figure 28
Figure 28
Radiography after treatment.
Figure 29
Figure 29
Exercise in pattern correction.
Figure 30
Figure 30
Clinical image before therapy.
Figure 31
Figure 31
Clinical image after therapy.
Figure 32
Figure 32
Radiography before treatment.
Figure 33
Figure 33
Radiography after treatment.
Figure 34
Figure 34
Exercise in pattern correction.
See this image and copyright information in PMC

References

    1. Rigo M, Reiter C, Weiss HR. Effect of conservative management on the prevalence of surgery in patients with adolescent idiopathic scoliosis. Pediatr Rehabil. 2003;6(3-4):209–214. - PubMed
    1. Maruyama T, Kitagawa T, Takeshita K, Mochizuki K, Nakamura K. Conservative treatment for adolescent idiopathic scoliosis: can it reduce the incidence of surgical treatment? Pediatr Rehabil. 2003;6(3-4):215–219. - PubMed
    1. Negrini S, Atanasio S, Zaina F, Romano M, Parzini S, Negrini A. End-growth results of bracing and exercises for adolescent idiopathic scoliosis. Prospective worst-case analysis. Stud Health Technol Inform. 2008;135:395–408. - PubMed
    1. Negrini S, Negrini A, Romano M, Verzini N, Parzini S. A controlled prospective study on the efficacy of SEAS.02 exercises in preparation to bracing for idiopathic scoliosis. Stud Health Technol Inform. 2006;123:519–522. - PubMed
    1. Romano M, Carabalona R, Petrilli S, Sibilla P, Negrini S. Forces exerted during exercises by patients with adolescent idiopathic scoliosis wearing fiberglass braces. Scoliosis. 2006;1:12. doi: 10.1186/1748-7161-1-12. - DOI - PMC - PubMed

LinkOut - more resources