FEATURES OF COMBINED GENERAL AND SPECIALIZED EXERCISE FOR REDUCING GRADE III SCOLIOSIS IN ADULTS

Abstract

Aim. This paper aims to experimentally justify the effectiveness of a developed three-stage method that combines active spine self-correction, autogenic training, and resistance exercise for reducing scoliotic curves and improving functional performance in adult patients. Materials and methods. This two-year pedagogical experiment involved adults aged 30–35 years with grade III idiopathic scoliosis (Cobb angle 35–48°), divided into a control group (n = 33) and an experimental group (n = 34). The experimental group followed a program that included theoretical training, instruction in three-dimensional self-correction without equipment, autogenic training, and graded strength exercises at a gym. The control group followed a standard adaptive physical education program. Findings were evaluated using X-ray (Cobb angle), scoliometry, spirometry (vital capacity), and hand dynamometry. Results. The experimental group showed a statistically significant (p < 0.001) reduction in Cobb angle by 8.2° (from 41.0 ± 3.4° to 33.3 ± 3.8°) and a 4.8° decrease in trunk rotation. No significant changes were observed in the control group. The experimental group also demonstrated a 0.4 L increase in vital capacity (p < 0.01) and a 6.9 kg improvement in handgrip strength (p < 0.001). Conclusion. The developed comprehensive method, which integrates manual correction, mental training, and strength exercise, demonstrated high efficacy in reducing structural deformity and improving functional capacity in adults with grade III scoliosis, supporting its use in rehabilitation practice.