Post-surgical Lumbopelvic Rehabilitation of Severe Scoliosis, using the Adapted Training System

Case Study

Abstract

This case study evaluated the efficacy of an Adapted Training System (ATS) based on Therapeutic Physical Culture (TFC) for post-surgical lumbopelvic rehabilitation in a patient with severe scoliosis. The intervention, implemented over 24 weeks, integrated functional training principles, neuromuscular control and biofeedback technologies designed to address biomechanical and psychosocial limitations resulting from spinal fusion. The methodology combined pre-post intervention assessments using electromyography, kinematic analysis, and validated quality of life and pain scales, allowing objective quantification of functional changes. The results demonstrated significant improvements in deep muscle activation, joint mobility and postural stability, accompanied by a marked reduction in pain perception and an increase in physical and emotional well-being. These findings suggest that EES not only optimizes neuromuscular recovery, but also mitigates common iatrogenic sequelae in post-surgical patients. The integration of emerging technologies, such as inertial sensors and force platforms, enabled a personalized and adaptive approach, highlighting its potential for resource-limited clinical settings. The objective of the research was to evaluate the effectiveness of the Adaptive Training System in improving lumbopelvic stability, motor function and quality of life in a 22-year-old patient with severe post-surgical scoliosis, through the implementation of a transdisciplinary rehabilitation program that integrated kinesiotherapy, electromyographic biofeedback and functional progressions.

Keywords: Severe scoliosis, Functional rehabilitation, Therapeutic physical culture, Functional training

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Author Biography

Daniel Josue Kirby Gomez,

I have a strong background in planning, guiding, executing, and supervising individual or group physical activity programs, considering the requirements or needs of the subject in accordance with the requirements and populations served; evaluating, providing feedback, and controlling through constant monitoring and inspection the correct execution of the various exercises, the impact on individuals, and expected physical changes according to previously established objectives. I can also propose improvements or adjustments to the program or routine based on the subject's response and performance, ensuring the well-being, safety, and health of the individuals. I am trained to generate projects in physical activity using administrative and management tools. I consider myself highly technical and pride myself on being an individual of integrity, able to collaborate with teams by creating spaces for reflection and learning according to established goals.

Founder and Director of Human Performance Studio HPS.KC S.A.S.®, a company that offers training programs with national and international certification, 100% theoretical and practical. Our certifications are high-impact programs focused on providing each student with the knowledge and competencies necessary to achieve a high professional level and incorporate world-class tools.

Published
2026-01-04
How to Cite
Kirby Gomez, D. J. (2026). Post-surgical Lumbopelvic Rehabilitation of Severe Scoliosis, using the Adapted Training System: Case Study. Lecturas: Educación Física Y Deportes, 30(332), 89-112. https://doi.org/10.46642/efd.v30i332.8432
Section
Research Articles