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Three dimensional deformity in idiopathic scoliosis of the spine is associated with the deficits on the proprioceptive performance. The aim of this study was to evaluate the effects of balance training with reference to the proprioceptive training on the dynamic balance performance and Cobb angle patients with mild adolescent idiopathic scoliosis. In this quasi-experimental study, twenty girls with adolescent idiopathic scoliosis with mean height and weight of 157.1 +/- 5.22 cm and 42.8 +/- 5.9 kg were studied. Their minimum and maximum Cobb angle was measured using AP radiography. Using a dynamic stability platform in standing position with opened eyes on stable and unstable platform, their balance performance was measured. Patients underwent four months [54 sessions] balance training with special reference to the proprioceptive training. The measurements were repeated after the exercise therapy. Repeated Measure ANOVA was used for statistical analysis. The postural deviation and body sway of the patients were reduced by 0.97 +/- 0.3 and 0.96 +/- 0.3, respectively. The greatest improvement in balance performance was obtained, when hip strategy was involved. Exercise training was affected in the reduction of the Cobb angle in 60% of the subjects [1 to 11 degrees]. In 25% of the patients, the Cobb was not changed and in 15% of the patients, there was only 1 degree increase on their Cobb angle. According to significant effect of balance training based on the proprioceptive training on the treatment of the scoliotic deformity, the inclusion of the proprioceptive training in the treatment of the mild scoliotic deformity is recommended

[Postural deviations from chronic low back pain and correction through exercise therapy]

It has been shown that five deficits of the proprioceptive system and poor motor skills are associated with chronic low back pain [CLBP]. However, the exact mechanism is unknown. The objectives of this study were to assess the dynamic postural balance behavior of CLBP patients, as well as the effects of a specific exercise therapy for the treatment of CLBP and related postural imbalances. Sixteen females with CLBP and 30 healthy females all between 20 and 40 years of age, of similar height and weight, voluntarily participated in this study. Patients underwent a three-month therapeutic exercise program. The disability and back pain of the patients were measured using the Oswestry and Quebec questionnaires, respectively. A dynamic stability platform system [Biodex] was used to evaluate the postural imbalances in both groups. All measurements of the experimental group were repeated after the therapy. Overall deviation of center of gravity [COG] from COBOS in patients and controls were 3 [ +/- 0.3] and 1.3 [ +/- 0.2], respectively. Thus, postural imbalances were 2.3 times greater in the patients than those of the controls. After the treatment, the disability and pain of the patients were diminished by 53% and 58%, respectively. Furthermore, with the improvement of the patients COG deviation, both groups had similar posture. The postural orientation of CLBP patients was significantly improved by the therapeutic exercise program. The applied exercise therapy significantly reduced both the pain and the disability of the patients. Based on these conclusions, we recommend that postural correction be included in regular therapeutic exercise programs