Published Paper Details:

Background: Scoliosis is defined as a lateral curvature of the spine that is usually accompanied by rotation. Progression of the curvature during periods of rapid growth may result in significant deformity, which may be accompanied by cardiopulmonary compromise. When the spine develops a lateral curve, it is abnormal. It throws the well-adjusted spinal mechanism out of gear and poses the following problems: - a) A cosmetically unacceptable deformity. b) Deranges the load and force transmission mechanism through the spine. c)Jeopardizes the functions of vital organs like lungs, heart by overcrowding the ribs. Methods: This is a retrospective case presentation involving a 6-year-old girl scoliosis patient who began an outpatient various physiotherapy exercise program and was monitored monthly for improvement in measurements of cobb's angle and chest expansion and improvement in limb length discrepancy measured. Photos were taken to document body image periodically throughout treatment. Results: Within one month of beginning of various approaches of treatment the patient reported no more shoulder pain and within 3months there were significant improvement in strength, limb length discrepancy and improve flexibility of hamstrings and rectus femoris muscles. The patient also benefitted from improved chest expansion, reduced scoliosis curve angles (Pre:26-degree, post-23 degree). She became more active and resumed all functional activity within 3 months of beginning physiotherapy treatment. Conclusions: The combination of various approaches is effective for improving flexibility, strength, skeletal deviation and Cardiovascular fitness in juvenile idiopathic scoliosis. Future experimental studies should be done to examine the effectiveness of chiropractic care and mechanical traction, given the relative scarcity of research on this topic