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Use of Postural Reconstruction((R)) physiotherapy to treat an adolescent with asymmetric bilateral genu varum and idiopathic scoliosis = Impact d'une intervention physiothérapique par la méthode de reconstruction posturale-R chez un adolescent présentant un genu varum bilatéral asymétrique et une scoliose idiopathique

OBJECTIVE: To document the effect of Postural Reconstruction((R)) physiotherapy
on two postural disorders commonly observed in adolescents: genu varum and
idiopathic scoliosis. 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 7cm and
the Cobb angles for the right lumbar curve and left thoracic curve were 18
degrees and 13 degrees , respectively. The boy was treated with Postural
Reconstruction((R)), a neuromuscular physiotherapy intervention using
facilitation/inhibition techniques. The outcomes used to quantify the effect of
6months (T1), 12months (T2) and 26months (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 4cm, the lumbar gibbosity angle had decreased by 2 degrees
and the lumbar and thoracic Cobb angles had decreased by 8 degrees and 7 degrees
, respectively. CONCLUSION: This non-invasive physiotherapy intervention appears
to have considerable promise for the long-term correction of postural disorders.
CI - Copyright (c) 2013 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS

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