Influence of side-shift therapy associated or not with a shoe lift on idiopathic scoliosis

Abstract

Introduction:
The benefits of side-shift therapy associated with a shoe lift in scoliosis can act by reorganizing the asymmetries found in these individuals. The aim of this study was to analyze the influence of side-shift therapy with or without a high or low shoe lift in patients with idiopathic scoliosis.

Materials and Methods:
10 individuals of both genders, aged 13-24 years, were selected, with scoliosis "S" and right thoracic and left lumbar greater than 10º. Initially the order of the task was static and then dynamic, after which there was a draw for the conditions with the shoe lift. The values of postural angles during the five lateral tilt movements were obtained and also the minimum and maximum values of each movement. The average value of postural angle in the static position, without a shoe lift, was used as a reference.

Results:
The movement associated with the shoe lift demonstrated less significant results compared with the effect of the static shoe lift and the side-shift movements performed in isolation, no significant results in any angle were found.

Discussion:
Both movements, to the side of the convexity or to the opposite side, seemed to decrease the effect of the shoe lift. The side-shift movement performed in isolation failed to influence the postural angles in general, demonstrating that acute intervention may not be efficient.

Conclusion:
The influence of side-shift therapy associated with a high or low shoe lift on both sides was effective, but the shoe lift in the static position produced the most significant changes and therefore is considered a better intervention in order to prevent the progression of double curve in patients with idiopathic scoliosis.

Full text

Fisioter Mov. 2016 Jan/Mar;29(1):121-30
ISSN 0103-5150
Fisioter. Mov., Curitiba, v. 29, n. 1, p. 121-30, Jan./Mar. 2016
Licenciado sob uma Licença Creative Commons
DOI: http://dx.doi.org.10.1590/0103-5150.029.001.AO13
[T]
Influence of side-shift therapy associated or not
with a shoe lift on idiopathic scoliosis
[I]
Inuência da inclinação lateral associado ou
não ao calço na escoliose idiopática
[A]
Crystian Bitencourt Oliveira, Cristina Elena Prado Teles Fregonesi,
Célia Aparecida Stellutti Pachioni, Maria Rita Masselli, Dalva Minonroze Albuquerque Ferreira*
Universidade do Estado de São Paulo, (UNESP), Presidente Prudente, SP, Brazil
[R]
Abstract
Introduction: 

Materials and
Methods:



Results: The

 
 
 
 
 

Fisioter Mov. 2016 Jan/Mar;29(1):121-30
Oliveira CB, Fregonesi CEPT, Pachioni CAS, Masselli MR, Ferreira DMA.
122

Discussion: 

Conclusion: 



Keywords
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Resumo
Introdução: -

Materiais e Métodos:
-



Resultados:-


Discussão:

-
Conclusão:
-


[K]
Palavras-chave
Introduction




















     
     











Fisioter Mov. 2016 Jan/Mar;29(1):121-30
Influence of side-shift therapy associated or not with a shoe lift on idiopathic scoliosis
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
  

    































Materials and methods






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     
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





Table 1 - Collection steps divided into trials, conditions
and tasks performed by the control and experi-
mental groups
Trial Condition Task
1 no shoe lift Static
2 no shoe lift shift side to the
right
3 no shoe lift side-shift to the left
4 right shoe lift
(1 cm)
side-shift to the
right
5 right shoe lift
(1 cm)
side-shift to the left
6 left shoe lift
(1 cm)
side-shift to the
right
7 left shoe lift
(1 cm)
side-shift to the left
8 right shoe lift
(3 cm)
side-shift to the
right
9 right shoe lift
(3 cm)
side-shift to the left
10 left shoe lift
(3 cm)
side-shift to the
right
11 left shoe lift
(3 cm)
side-shift to the left

Fisioter Mov. 2016 Jan/Mar;29(1):121-30
Oliveira CB, Fregonesi CEPT, Pachioni CAS, Masselli MR, Ferreira DMA.
124
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


Figure 1 - Representation of the spine postural angles in
the frontal plane, with the a1 angle in the thoracic region, a2
angle in the middle thoracic region, a3 angle in the thoraco-
lumbar region and a4 angle in the lumbar region

Fisioter Mov. 2016 Jan/Mar;29(1):121-30
Influence of side-shift therapy associated or not with a shoe lift on idiopathic scoliosis
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

















Results




Table 2 - Difference between means (maximum and minimum) of α1, α2, α3 and α4 in side-shift movements to the right
with shoe lifts of 1 cm and 3 cm in relation to the static position and
p value
A
N
G
L
E
S
Right Side-shift
1 cm right shoe lift
Right Side-shift
3 cm right shoe lift
Right Side-shift
1 cm left shoe lift
Right Side-shift
3 cm left shoe lift
Mean (SD) P-value Mean (SD) P-value Mean (SD) P-value
Mean
(SD)
P-value
α1 Min -5.6 (11.5) 0.37 -2.55 (7.4) 0.37 -2.2 (5.8) 0.19 -5.0 (11.5) 0.03*
α1 Max 1.36 (2.7) 0.54 1.41 (3.0) 0.19 0.27 (2.7) 0.37 -1.37 (2.9) 0.16
α2 Min -2.49 (6.4) 0.49 -1.24 (1.6) 0.01* -0.47 (1.0) 0.32 -2.19 (6.3) 0.49
α2 Max 2.87 (5.2) 0.13 1.51 (5.8) 0.23 1.01 (5.2) 0.69 -0.56 (1.9) 0.62
α3 Min -0.93 (6.2) 1.00 -1.95 (4.9) 0.23 -1.16 (7.3) 0.56 2.03 (2.3) 0.08
α3 Max -1.18 (6.1) 0.92 -1.87 (4.6) 0.16 -1.24 (7.9) 0.32 2.86 (4.3) 0.05**
α4 Min 1.31 (4.1) 0.56 -0.1 (6.5) 0.32 1.99 (3.2) 0.08 2.76 (3.8) 0.08
α4 Max 0.21 (2.8) 0.92 -0.54 (5.9) 0.43 2.2 (2.9) 0.05** 3.74 (5.0) 0.05**
Note: *p < 0.05
** marginal difference
Table 3 - Difference between means (maximum and minimum) of α1, α2, α3 and α4 in side-shift movements to the left
with shoe lifts of 1 cm and 3 cm in relation to the static position and
p value
A
N
G
L
E
S
Left Side-shift
1 cm right shoe lift
Left Side-shift
3 cm right shoe lift
Left Side-shift
1 cm left shoe lift
Left Side-shift
3 cm left shoe lift
Mean (SD) P-value Mean (SD) P-value Mean (SD) P-value Mean (SD) P-value
α1 Min 0.51 (1.7) 0.37 0.75 (1.1) 0.08 -0.3 (0.4) 0.16 -3.39 (4.1) 0.01*
α1 Max 3.20 (8.6) 0.08 1.34 (1.1) 0.002* 0.25 (0.6) 0.43 5.72 (10.4) 0.08
α2 Min 0.78 (2.8) 0.56 0.50 (0.9) 0.23 -0.45 (0.6) 0.06 -0.55 (5.2) 0.43
α2 Max 3.05 (9.7) 0.49 0.46 (1.2) 0.28 0.22 (0.8) 0.56 7.15 (10.4) 0.03*
(To be continued)

Fisioter Mov. 2016 Jan/Mar;29(1):121-30
Oliveira CB, Fregonesi CEPT, Pachioni CAS, Masselli MR, Ferreira DMA.
126



















Discussion





Table 3 - Difference between means (maximum and minimum) of α1, α2, α3 and α4 in side-shift movements to the left
with shoe lifts of 1 cm and 3 cm in relation to the static position and
p value
A
N
G
L
E
S
Left Side-shift
1 cm right shoe lift
Left Side-shift
3 cm right shoe lift
Left Side-shift
1 cm left shoe lift
Left Side-shift
3 cm left shoe lift
Mean (SD) P-value Mean (SD) P-value Mean (SD) P-value Mean (SD) P-value
α3 Min -2.86 (5.5) 0.01* -2.54 (1.1) 0.002* 0.34 (1) 0.32 -1.46 (4.9) 0.77
α3 Max -1.92 (5.0) 0.19 -1.03 (1.5) 0.08 1.17 (0.8) 0.004* 0.2 (5.0) 0.43
α4 Min 5.45 (17.4) 0.49 1.75 (17.0) 0.08 6.69 (18.2) 0.03* 7.74(18.9) 0.06
α4 Max -1.16 (3.7) 0.37 -3.94 (3.6) 0.004* 0.61 (3.4) 0.08 -0.04 (7.8) 0.56
Note: *p < 0.05
** marginal difference
Table 4 - Difference between means (maximum and minimum) of a1, α2, α3 and α4 in the static position with shoe lifts
of 1 cm and 3 cm in relation to the static position without shoe lift and
p value
A
N
G
L
E
S
Static Position
1 cm right shoe lift
Static Position
3 cm right shoe lift
Static Position
1 cm left shoe lift
Static Position
3 cm left shoe lift
Mean (SD) P-value Mean (SD) P-value Mean (SD) P-value
Mean
(SD.)
P-value
α1 Min 0.97 (3.0) 0.38 1.9 (2.2) 0.04* 0.05 (3.1) 0.49 0.15(0.6) 0.63
α1 Max -0.98 (2.1) 0.13 0.04 (1.2) 0.85 -0.65 (0.9) 0.06 -1.24(0.9) 0.002*
α2 Min 3.9 (2.7) 0.004* 4.5 (2.6) 0.002* 0.29 (1.4) 0.77 -0.31(1.9) 0.63
α2 Max -0.03 (1.1) 1 0.18 (0.8) 0.49 -2.63 (1.3) 0.002* -3.06(1.8) 0.004*
α3 Min 7.5 (5.4) 0.002* 4.68 (1.9) 0.002* 0.95 (1.1) 0.03* 2.29(2.0) 0.02*
α3 Max 1.31 (4.2) 0.63 -1.74 (2.9) 0.08 -5.64 (3.6) 0.002* -3.69(4.2) 0.037*
α4 Min 2.82 (4.9) 0.06 1.42 (3.5) 0.19 6.49 (19.1) 0.06 9.9(17.9) 0.06
α4 Max -3.09 (4.2) 0.03* -3.64 (1.7) 0.004* -5.94 (5.0) 0.004* -3.97(4.9) 0.014*
Note: *p < 0.05
** marginal difference
(Conclusion)

Fisioter Mov. 2016 Jan/Mar;29(1):121-30
Influence of side-shift therapy associated or not with a shoe lift on idiopathic scoliosis
127
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
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
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

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







Fisioter Mov. 2016 Jan/Mar;29(1):121-30
Oliveira CB, Fregonesi CEPT, Pachioni CAS, Masselli MR, Ferreira DMA.
128
Conclusion



















References
   



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


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 




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

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
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Fisioter Mov. 2016 Jan/Mar;29(1):121-30
Influence of side-shift therapy associated or not with a shoe lift on idiopathic scoliosis
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      
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


Fisioter Mov. 2016 Jan/Mar;29(1):121-30
Oliveira CB, Fregonesi CEPT, Pachioni CAS, Masselli MR, Ferreira DMA.
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 
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      
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