Corrective exercises specific for adolescent idiopathic scoliosis presented with bilateral leg pain: a case report describing an adaptive program and the recorded improvement as expressed by Cobb angle

Adolescent idiopathic scoliosis is considered as the most common type of scoliosis. A 13-year-old female complained of bilateral leg pain, left > right, and severe headache. She was referred to an orthopaedic physical therapy clinic. Spinal X-ray revealed right thoracolumbar scoliosis with Cobb a...

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Main Authors: Fatma Elzahraa AbdelAziz ElBayomi, Faten Fathy Ibrahim, Mona M. Ibrahim
Format: Article
Language:English
Published: Termedia Publishing House 2020-11-01
Series:Physiotherapy Quarterly
Subjects:
Online Access:https://www.termedia.pl/Corrective-exercises-specific-for-adolescent-idiopathic-scoliosis-presented-r-nwith-bilateral-leg-pain-a-case-report-describing-an-adaptive-program-and-r-nthe-recorded-improvement-as-expressed-by-Cobb,128,40946,1,1.html
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author Fatma Elzahraa AbdelAziz ElBayomi
Faten Fathy Ibrahim
Mona M. Ibrahim
author_facet Fatma Elzahraa AbdelAziz ElBayomi
Faten Fathy Ibrahim
Mona M. Ibrahim
author_sort Fatma Elzahraa AbdelAziz ElBayomi
collection DOAJ
description Adolescent idiopathic scoliosis is considered as the most common type of scoliosis. A 13-year-old female complained of bilateral leg pain, left > right, and severe headache. She was referred to an orthopaedic physical therapy clinic. Spinal X-ray revealed right thoracolumbar scoliosis with Cobb angle of about 48°. The primary curve was in the lumbar vertebrae, directed to the left, and the secondary curve was in the thoracic vertebrae, directed to the right. Two surgeons recommended corrective surgery, while one recommended physiotherapy for 6 months. The third surgical opinion was based on magnetic resonance imaging that presented normal cervical spine, mild scoliotic deformity of lower dorsal vertebrae with right-sided convexity and of lumbar vertebrae with left-sided convexity, L4–5 broad based posterior and left posterolateral disc protrusion, and L5–S1 mild central posterior disc protrusion. At the final evaluation after 18 months of a corrective exercise program, the patient reported no symptoms at rest or with exercises. The improvement was evidenced by Cobb angle change from 48° to 21°, pelvic shift, and general spinal flexibility and strength. The current case report describes a specific corrective exercise protocol adapted to a case of adolescent idiopathic scoliosis that presented with bilateral leg pain.
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spelling doaj.art-0d41651a09b94b25afba2c2d53cddafd2023-08-02T00:36:10ZengTermedia Publishing HousePhysiotherapy Quarterly2544-43952020-11-01284556010.5114/pq.2020.9623740946Corrective exercises specific for adolescent idiopathic scoliosis presented with bilateral leg pain: a case report describing an adaptive program and the recorded improvement as expressed by Cobb angleFatma Elzahraa AbdelAziz ElBayomiFaten Fathy IbrahimMona M. IbrahimAdolescent idiopathic scoliosis is considered as the most common type of scoliosis. A 13-year-old female complained of bilateral leg pain, left > right, and severe headache. She was referred to an orthopaedic physical therapy clinic. Spinal X-ray revealed right thoracolumbar scoliosis with Cobb angle of about 48°. The primary curve was in the lumbar vertebrae, directed to the left, and the secondary curve was in the thoracic vertebrae, directed to the right. Two surgeons recommended corrective surgery, while one recommended physiotherapy for 6 months. The third surgical opinion was based on magnetic resonance imaging that presented normal cervical spine, mild scoliotic deformity of lower dorsal vertebrae with right-sided convexity and of lumbar vertebrae with left-sided convexity, L4–5 broad based posterior and left posterolateral disc protrusion, and L5–S1 mild central posterior disc protrusion. At the final evaluation after 18 months of a corrective exercise program, the patient reported no symptoms at rest or with exercises. The improvement was evidenced by Cobb angle change from 48° to 21°, pelvic shift, and general spinal flexibility and strength. The current case report describes a specific corrective exercise protocol adapted to a case of adolescent idiopathic scoliosis that presented with bilateral leg pain.https://www.termedia.pl/Corrective-exercises-specific-for-adolescent-idiopathic-scoliosis-presented-r-nwith-bilateral-leg-pain-a-case-report-describing-an-adaptive-program-and-r-nthe-recorded-improvement-as-expressed-by-Cobb,128,40946,1,1.htmladolescent idiopathic scoliosis specific exercise correction physical therapy cobb angle
spellingShingle Fatma Elzahraa AbdelAziz ElBayomi
Faten Fathy Ibrahim
Mona M. Ibrahim
Corrective exercises specific for adolescent idiopathic scoliosis presented with bilateral leg pain: a case report describing an adaptive program and the recorded improvement as expressed by Cobb angle
Physiotherapy Quarterly
adolescent idiopathic scoliosis
specific exercise
correction
physical therapy
cobb angle
title Corrective exercises specific for adolescent idiopathic scoliosis presented with bilateral leg pain: a case report describing an adaptive program and the recorded improvement as expressed by Cobb angle
title_full Corrective exercises specific for adolescent idiopathic scoliosis presented with bilateral leg pain: a case report describing an adaptive program and the recorded improvement as expressed by Cobb angle
title_fullStr Corrective exercises specific for adolescent idiopathic scoliosis presented with bilateral leg pain: a case report describing an adaptive program and the recorded improvement as expressed by Cobb angle
title_full_unstemmed Corrective exercises specific for adolescent idiopathic scoliosis presented with bilateral leg pain: a case report describing an adaptive program and the recorded improvement as expressed by Cobb angle
title_short Corrective exercises specific for adolescent idiopathic scoliosis presented with bilateral leg pain: a case report describing an adaptive program and the recorded improvement as expressed by Cobb angle
title_sort corrective exercises specific for adolescent idiopathic scoliosis presented with bilateral leg pain a case report describing an adaptive program and the recorded improvement as expressed by cobb angle
topic adolescent idiopathic scoliosis
specific exercise
correction
physical therapy
cobb angle
url https://www.termedia.pl/Corrective-exercises-specific-for-adolescent-idiopathic-scoliosis-presented-r-nwith-bilateral-leg-pain-a-case-report-describing-an-adaptive-program-and-r-nthe-recorded-improvement-as-expressed-by-Cobb,128,40946,1,1.html
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