Year: 2025 | Month: December | Volume: 15 | Issue: 12 | Pages: 100-111
DOI: https://doi.org/10.52403/ijhsr.20251213
Effect of Matrix Rhythm Therapy and 3D Schroth Exercises on Postural Alignment in Idiopathic Scoliosis: A 4D Analysis Using DIERS Formetric System- A Case Report
Akshata Shinde1, Nandit Passey2, Sharanjeet Kaur3, Divya Midha4,2, Narkeesh Arumugam5
1Post-graduate student, Department of Physiotherapy, Desh Bhagat University, Mandi Gobindgarh, Punjab
2Clinical Therapist, Osteocare, Patiala, Punjab
3Research fellow, Punjabi University, Patiala, Punjab
4HOD, Department of Physiotherapy, Desh Bhagat University, Mandi Gobindgarh, Punjab
5Professor, Punjabi University, Patiala, Punjab
Corresponding Author: Akshata Shinde
ABSTRACT
Introduction: Scoliosis is a condition characterized by an abnormal spinal curvature that deviates the spine across all three anatomical planes. It leads to structural changes in the vertebrae, trunk, and intervertebral discs. Scoliosis can emerge at any age, but adolescent idiopathic scoliosis (AIS)—which has no identifiable cause—is the most prevalent form.
Objective: To examine the combined effect of Matrix Rhythm Therapy and 3D spinal corrective exercises on 4D postural analysis in idiopathic structural scoliosis.
Methods: An 18-year-old male with a 4-year history of idiopathic scoliosis presented with thoracic levoscoliosis and lumbar dextroscoliosis (Cobb’s angle: 35º). Physical findings included uneven shoulders, right scapular winging, prominent left hip, and trunk deviation. He received a total of 20 sessions, each lasting 90 minutes—comprising 25-30 minutes of Matrix Rhythm Therapy followed by 20 minutes of 3D Schroth Method exercises and 30 minutes manual therapy—administered five days a week over a 30-day period. Objective (4D postural analysis) and subjective (Italian Spine-Related Quality of Life (ISYQOL) questionnaire) assessments were conducted on day 0 and day 30.
Results: Significant change was found in lumbar lordosis angle (46º -31º), sagittal imbalance (6º - 2º), pelvic torsion (4º- 2º), vertebral rotation (2ºR -13ºL), apical deviation (49mm – 21mm), lumbar lordosis depth (32mm- 30mm) and in Cobb’s angle from 35º to 25º, along with difference in ISYQOL questionnaire from 37% to 39%.
Conclusion: The effectiveness of a structured and integrative rehabilitation approach that combines Matrix Rhythm Therapy with 3D Schroth exercises, monitored via 4D postural analysis, in the managing idiopathic scoliosis.
Key words: Scoliosis; 3D Schroth Method; Matrix Rhythm Therapy; 4D Postural Analysis.