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Effect of myofascial release on spinal curvature, premenstrual symptoms, and quality of life in scoiliotic females with dysmenorrhea: a randomized controlled trial
Ibrahim LI, ElDeeb AM, Elkozamy HM, Zaki AF, Abdellatif AN
Bulletin of Faculty of Physical Therapy 2024;29(87):1-8
clinical trial
This trial has not yet been rated.

BACKGROUND: Idiopathic scoliosis is a common musculoskeletal disorder that affects spinal and pelvic alignment and exacerbates menstrual discomfort in young females. Studies have reported the importance of involving myofascial components in treating scoliotic patients; however, few studies have been conducted. Therefore, this study aimed to investigate the effect of adding myofascial release (MFR) to corrective stabilizing exercise on spinal curvature, premenstrual symptoms, and health-related quality of life (HRQOL) in young females with idiopathic scoliosis. METHODS: Fifty-two females with idiopathic scoliosis, aged 18 to 25 years, and with a body mass index (BMI) of 18.5 to 24.9 kg/m2 were randomly assigned to two groups equal in number. The control group received corrective stabilizing exercises two sessions per week for 8 weeks. The MFR group received the same exercises and MFR therapy two sessions per week for 8 weeks. The scoliometer was used to evaluate thoracic and lumbar angles, Italian Spine Youth Quality of Life (ISYQOL) to assess HRQOL, and menstrual symptoms questionnaire (MSQ) to evaluate premenstrual symptoms before and after the treatment. RESULTS: There was a significant decrease (p < 0.05) in the thoracic and lumbar angles, menstrual backache, and PMS score and a significant increase (p < 0.05) in the HRQOL score in the control and MFR groups. However, there were no significant differences (p > 0.05) between both groups after treatment. CONCLUSION: Corrective stabilizing exercises with or without MFR effectively improve thoracic and lumbar angles, HRQOL, menstrual backache, and premenstrual symptoms. The addition of MFR to stabilizing exercises produced changes that are clinically important for females with idiopathic scoliosis.

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