Benefits of F.E.D. treatment in Scheuermann's disease.

OBJECTIVE

Scheuermann's disease or deforming vertebral osteochondritis affects about 5% of the population. These patients become permanent users of rehabilitation services due to their discomfort. In periods of acute pain patients can only receive palliative and not very effective treatment.

OBJECTIVE

In this study 30 patients who fulfil the criteria for diagnosis of Scheuermann's disease were treated with the F.E.D. device. By using this method, a back pressure of up to 100 kg can be applied at the apex of the kyphosis, stretching the anterior common vertebral ligament in an attempt to diminish complaint.

METHODS

There were 14 men and 16 women with ages ranging from 15 to 35 years old. The mean kyphotic angle was 53 degrees (range, 45-65). Patients had an average Risser of 4.75 (range, 3-5). Schöber's test disclosed a range of values from 0 to 2.5 cm (mean, 0.78). The average period of treatment was 4 months (80 sessions of treatment). SUMMARY OF RESULTS AND FINDINGS: All the 30 patients referred disappearance of thoracic back pain after treatment. This pain relief effect was permanent for the time of follow-up. Kyphotic angle decreased from a mean of 30 degrees Cobb to 45 degrees (16% correction). A home physiotherapy program was recommended to all the patients in order to maintain dorsal elasticity as measured by Schöber's test. After treatment, the mean Schöber test value was 2.92. In cases treated during the growing period, where alterations in the spine were minimal or did not show radiographic alterations, progression of the kyphotic deformity was stopped.

CONCLUSIONS

The F.E.D. device has shown to be a promising method both for the treatment of complaints in stabilised Scheuermann's disease and control of the progression of kyphotic deformity in the growing spine.