Comprehensive Rehabilitation Approaches for Spinal Dysfunction Associated with Congenital Scoliosis in Middle-Aged Working Women : A Case Report

Abstract

Congenital scoliosis is a rare spinal deformity caused by vertebral malformations during fetal development. This case report presents a 35-year-old female diagnosed with congenital lumbar scoliosis, experiencing persistent lower back pain and functional limitations. The patient underwent a four-week physiotherapy rehabilitation program focused on active range of motion exercises, core strengthening, abdominal bracing, and manual therapy techniques to improve mobility and reduce pain. Pre- and post-treatment assessments included Manual Muscle Testing (MMT), Range of Motion (ROM), and Visual Analogue Scale (VAS) for pain measurement. Post-treatment results demonstrated significant improvements in pain reduction (VAS from 7/10 to 4/10 at rest, 9/10 to 5/10 on activity), increased muscle strength, and enhanced range of motion in the lumbar spine and lower limbs. This case highlights the effectiveness of physiotherapy interventions in managing congenital scoliosis, reducing pain, and improving functional mobility. Early physiotherapy rehabilitation plays a crucial role in delaying surgical interventions, minimizing complications, and enhancing the patient’s quality of life. Further studies with long-term follow-ups are recommended to assess the sustainability of these improvements.