Effectiveness of dynamic neuromuscular stabilization approach in lumbopelvic stability in individuals with idiopathic scoliosis: a randomized controlled trial

Liow, Kai Jun (2023) Effectiveness of dynamic neuromuscular stabilization approach in lumbopelvic stability in individuals with idiopathic scoliosis: a randomized controlled trial. Final Year Project, UTAR.

Preview

PDF Download (7Mb) | Preview

Abstract

Background and Objective: Idiopathic scoliosis is a lateral curvature to spine more than 10 degrees, where exact cause is unknown. In idiopathic scoliosis patient, lumbopelvic stability can be affected. To prevent progression of curve, core stabilization exercise (CSE) is one of the most effective treatments. Recently, Dynamic Neuromuscular Stabilization (DNS) have been developed. There was limited research on the effectiveness of DNS in addition to CSE in idiopathic scoliosis. Besides, there was also limited study on the effectiveness of short-term DNS in addition to CSE in improving lumbopelvic stability in idiopathic scoliosis. The purpose of this study was to compare the effectiveness between short-term CSE and short�term DNS in addition to CSE in improving lumbopelvic stability in individuals with idiopathic scoliosis. Methods: 30 participants who met the inclusion criteria were recruited in this randomized controlled trial for 4 weeks through simple random sampling. Participants were randomized into control group (n = 15) and intervention group (n = 15) through draw lots. Performance of single leg squat and dip test were assessed at baseline and after 4-week intervention. Collected data were analyzed using Wilcoxon signed-rank test and Mann�Whitney U test in IBM SPSS version 29.0. Results: Among 30 participants recruited, only 28 participants (male = 12, female = 16) with mean age of 20.82 (SD = 1.36) accomplished the study. The difference between pre and post-tests results of left side SLS, right side SLS, left side dip test and right side dip test for lumbopelvic stability in control group was compared using Wilcoxon Signed-rank Test and the findings were p = 0.002, p = 0.002, p = 0.002 and p = 0.003 respectively. Meanwhile, the difference between pre and post-tests results of left side SLS, right side SLS, left side dip test and right side dip test for lumbopelvic stability in intervention iii group was also compared using Wilcoxon Signed-rank Test and the findings were p = 0.025, p = 0.046, p = 0.005 and p = 0.008 respectively. Other than that, the difference in the post-tests results of left side SLS, right side SLS, left side dip test and right side dip test for lumbopelvic stability between control and intervention group was compared by utilizing Mann-Whitney U test and the findings were p = 0.103, p = 0.224, p = 1.000 and p = 0.283 respectively. There was significant difference (p < 0.05) between pre and post-tests results in control and intervention group. However, there was no significant difference (p > 0.05) in post-tests results between control and intervention group. Conclusion: Short-term DNS in addition to CSE and CSE alone were equally beneficial in improving lumbopelvic stability in individuals with idiopathic scoliosis. There was a significant improvement in lumbopelvic stability in both control and intervention group after 4-week intervention. Keywords: Idiopathic scoliosis, short-term, DNS, CSE, lumbopelvic stability

Actions (login required)