| INTERVENTIONS |
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Intervention type
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Intervention name
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Dose
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Duration
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Intervention description
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Group size
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Nature of control
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| Control Group |
conventional physical therapy program in addition shockwave therapy |
The whole program will be applied two sessions/ week for twelve consecutive weeks.
conventional physical therapy program will include:
(infrared radiation and FITS method as physiotherapeutic scoliosis-specific exercises).
infrared radiation for 15 minutes at a distance of 50 cm from the back region for warming up.
FITS method will be performed as an outpatient program two times a week for 45 minutes for all groups.
In this study, extracorporeal shockwave therapy will be applied to the group (A) and (C) only with a total number of eight sessions (one session
every ten days for twelve consecutive weeks
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All patients in the three groups will receive the treatment program for twelve consecutive weeks |
All groups will receive infrared radiation for 15 minutes at a distance of 50 cm from the back region for warming up.
b)The exercise mechanics of FITS are as follows:
1. Sensory-motor balance training to improve nervous system control over the muscle’s function.
2. Mobilization and myofascial techniques to eliminate myofascial restrictions which limit three-plane corrective movement.
3. 3D correction breathing to increase derotation movement and improve breathing mechanism.
4. Corrective patterns – active correction.
5. Neuromuscular Re-education.
6. Auto-correction in activities of daily living (Berdishevsky et al., 2016).
c) Application procedures for extracorporeal shockwave therapy:
a) The patient will be in an inclined prone kneeling with the shoulders flexed and abducted and the head rested on the hands or on the plinth (Weiss, 2017).
b) Treatment will be directly paravertebral on both sides of the vertebral column (never directly on the spinous processes).
c) The apical area of scoliosis is the focus of treatment (mainly on the concave side) and the orientation of application will be in the cranial direction.
d) The researcher will apply ultrasonic gel to the treatment area
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20 |
Active-Treatment of Control Group |
| Experimental Group |
conventional physical therapy program in addition to neural mobilization and shockwave therapy |
The whole program will be applied two sessions/ week for twelve consecutive weeks.
conventional physical therapy program will include:
(infrared radiation and FITS method as physiotherapeutic scoliosis-specific exercises).
infrared radiation for 15 minutes at a distance of 50 cm from the back region for warming up.
FITS method will be performed as an outpatient program two times a week for 45 minutes for all groups.
In this group, extracorporeal shockwave therapy will be applied for the group (C) with a total number of eight sessions (one session
every ten days for twelve consecutive weeks
neural mobilization technique in slump-sitting will be applied for the group (C)
The stretch force for this technique is held for 15 to 20 seconds, released, and then repeated several times.
|
All patients in the three groups will receive the treatment program for twelve consecutive weeks |
a) Infrared radiation:
All groups will receive infrared radiation for 15 minutes at a distance of 50 cm from the back region for warming up.
b)The exercise mechanics of FITS are as follows:
1. Sensory-motor balance training to improve nervous system control over the muscle’s function.
2. Mobilization and myofascial techniques to eliminate myofascial restrictions which limit three-plane corrective movement.
3. 3D correction breathing to increase derotation movement and improve breathing mechanism.
4. Corrective patterns – active correction.
5. Neuromuscular Re-education.
6. Auto-correction in activities of daily living (Berdishevsky et al., 2016).
c) Application procedures for extracorporeal shockwave therapy:
a) The patient will be in an inclined prone kneeling with the shoulders flexed and abducted and the head rested on the hands or on the plinth (Weiss, 2017).
b) Treatment will be directly paravertebral on both sides of the vertebral column (never directly on the spinous processes).
c) The apical area of scoliosis is the focus of treatment (mainly on the concave side) and the orientation of application will be in the cranial direction.
d) The researcher will apply ultrasonic gel to the treatment area..).
neural mobilization technique
The stretch force for this technique is held for 15 to 20 seconds, released, and then repeated several times
In this group, the neural mobilization technique in slump-sitting will be applied to the group (C)
Patient position and procedure:
- Begin with the patient sitting upright.
- Have the patient slump by flexing the neck, thorax, and low back.
- Apply overpressure to the cervical spine.
- Dorsiflex the ankle and then extend the knee as much as possible.
- Release the overpressure on the spine and have the patient actively extend the neck to see if symptoms decrease.
- Increase and release the stretch force by moving one joint in the chain a few degrees, such as knee flexion and extension or ankle dorsiflexion and plantarflexio |
20 |
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| Control Group |
neural mobilization technique and conventional physical therapy program |
neural mobilization technique
The stretch force for this technique is held for 15 to 20 seconds, released, and then repeated several times.
conventional physical therapy program:( infrared radiation and FITS method)
- infrared radiation:
All groups will receive infrared radiation for 15 minutes at a distance of 50 cm from the back region for warming up.
- FITS method
It will be performed as an outpatient program two times a week for 45 minutes for all groups. |
two sessions/ week for twelve consecutive weeks |
All patients in the three groups will undergo a conventional physical therapy program two sessions/ week for twelve consecutive weeks which includes infrared radiation and FITS method as physiotherapeutic scoliosis-specific exercises.
In this study, neural mobilization technique in slump-sitting will be applied for the group (B)
Patient position and procedure:
- Begin with the patient sitting upright.
- Have the patient slump by flexing the neck, thorax, and low back.
- Apply overpressure to the cervical spine.
- Dorsiflex the ankle and then extend the knee as much as possible.
- Release the overpressure on the spine and have the patient actively extend the neck to see if symptoms decrease.
- Increase and release the stretch force by moving one joint in the chain a few degrees, such as knee flexion and extension or ankle dorsiflexion and plantarflexion.
- The stretch force for this technique is held for 15 to 20 seconds, released, and then repeated several times.
- After the therapist has performed several treatments and learned the tissue response, the patient is will be taught self-stretching (Butler, 2000; Kisner and Colby, 2012). |
20 |
Active-Treatment of Control Group |