The assessment of balance training based on proprioceptive reinforcement on the dynamic balance performance and Cobb angle of patients with mild adolescent idiopathic scoliosis

Three dimensional deformity in idiopathic scoliosis of the spine is associated with the deficits on the proprioceptive performance. The aim of this study was to evaluate the effects of balance training with reference to the proprioceptive training on the dynamic balance performance and Cobb angle patients with mild adolescent idiopathic scoliosis. In this quasi-experimental study, twenty girls with adolescent idiopathic scoliosis with mean height and weight of 157.1 ± 5.22 cm and 42.8 ± 5.9 kg were studied. Their minimum and maximum Cobb angle was measured using AP radiography. Using a dynamic stability platform in standing position with opened eyes on stable and unstable platform, their balance performance was measured. Patients underwent four months (54 sessions) balance training with special reference to the proprioceptive training. The measurements were repeated after the exercise therapy. Repeated Measure ANOVA was used for statistical analysis. The postural deviation and body sway of the patients were reduced by 0.97 ± 0.3 and 0.96 ± 0.3, respectively. The greatest improvement in balance performance was obtained, when hip strategy was involved. Exercise training was affected in the reduction of the Cobb angle in 60 % of the subjects (1 to 11 degrees). In 25 % of the patients, the Cobb was not changed and in 15 % of the patients, there was only 1 degree increase on their Cobb angle. According to significant effect of balance training based on the proprioceptive training on the treatment of the scoliotic deformity, the inclusion of the proprioceptive training in the treatment of the mild scoliotic deformity is recommended.