Use of Postural Reconstruction® physiotherapy to treat an adolescent with asymmetric bilateral genu varum and idiopathic scoliosis.

Ann Phys Rehabil Med

École de réadaptation, faculté de médecine et des sciences de la santé, université de Sherbrooke, 3001, 12e, avenue Nord, Sherbrooke, Quebec, J1H 5N4, Canada.

Published: May 2013

Objective: To document the effect of Postural Reconstruction® physiotherapy on two postural disorders commonly observed in adolescents: genu varum and idiopathic scoliosis.

Patient And Methods: A case report on a 16-year-old boy suffering from knee pain and presenting with bilateral genu varum and mild scoliosis. At the initial evaluation (T0), the intercondylar space was 7 cm and the Cobb angles for the right lumbar curve and left thoracic curve were 18° and 13°, respectively. The boy was treated with Postural Reconstruction(®), a neuromuscular physiotherapy intervention using facilitation/inhibition techniques. The outcomes used to quantify the effect of 6 months (T1), 12 months (T2) and 26 months (T3) of treatment were pain levels, the intercondylar space, the lumbar gibbosity and the lumbar and thoracic Cobb angles.

Results: The knee pain disappeared rapidly. At T3, the intercondylar space had decreased by 4 cm, the lumbar gibbosity angle had decreased by 2° and the lumbar and thoracic Cobb angles had decreased by 8° and 7°, respectively.

Conclusion: This non-invasive physiotherapy intervention appears to have considerable promise for the long-term correction of postural disorders.

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http://dx.doi.org/10.1016/j.rehab.2013.02.004DOI Listing

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