title: The Impact of the Derotational Mobilization of Manual Therapy According to Kaltenborn-Evjenth on the Angle of Trunk Rotation in Patients with Adolescent Idiopathic Scoliosis--Pilot Study, Direct Observation.
abstract: BACKGROUND
  The use of manual therapy in the treatment of scoliosis has been controversial. Scientific reports do not clearly indicate its effectiveness or harmfulness. The aim of this study was to determine the effectiveness of passive and active derotation techniques of manual therapy according to Kaltenborn-Evjent on the reduction of the angle of trunk rotation in patients with idiopathic scoliosis.
  
  
  METHODS
  The study enrolled 33 female patients from the Department of Rehabilitation who were diagnosed with adolescent idiopathic scoliosis. The patients were divided into two groups according to the curve location (SRS classification). Group A consisted of 17 women, aged 14.±2.4 years, with single-curve scoliosis in the thoracolumbar segment and group B was composed of 16 women, aged 15±2.24 years, with double-curve scoliosis in the thoracic and lumbar segments. In both groups, the angle of trunk rotation, the magnitude of thoracic kyphosis and lumbar lordosis were measured twice, before and after each session of derotation techniques.
  
  
  RESULTS
  Both groups demonstrated a positive impact of active and passive derotation techniques on the angle of trunk inclination. The greatest difference was observed after a session of active derotation in the patients with lumbar scoliosis. The angle of trunk rotation decreased on average by 4.5°±1.14°. No correlations were found between the curve angle values and the degree of thoracic derotation after the application of these techniques.
  
  
  CONCLUSIONS
  Derotational mobilization techniques may be a valuable complement to scoliosis treatment methods as they increase their effectiveness.
authors.affiliation: School of Health Sciences in Katowice, Department of Rehabilitation, Medical University of Silesia in Katowice, Poland.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Wnuk
authors.affiliation: School of Health Sciences in Katowice, Department of Rehabilitation, Medical University of Silesia in Katowice, Poland.
authors.forename: Irmina
authors.initials: I
authors.lastname: Blicharska
authors.affiliation: Department of Medical Biophysics, Medical University of Silesia in Katowice, Poland.
authors.forename: Edward
authors.initials: E
authors.lastname: Błaszczak
authors.affiliation: School of Health Sciences in Katowice, Department of Rehabilitation, Medical University of Silesia in Katowice, Poland.
authors.forename: Jacek
authors.initials: J
authors.lastname: Durmała
mesh_terms: D000293:Adolescent; D001858:Bone Nails; D001863:Bone Screws; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology*; D026201:Musculoskeletal Manipulations / Q000379:methods*; D010865:Pilot Projects; D012399:Rotation; D012600:Scoliosis / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D013904:Thoracic Vertebrae / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome