Z Orthop Unfall
DOI: 10.1055/a-0881-3430
Review/Übersicht
Georg Thieme Verlag KG Stuttgart · New York

The FED-Method (Fixation, Elongation, Derotation) – a Machine-supported Treatment Approach to Patients with Idiopathic Scoliosis – Systematic Review

Article in several languages: English | deutsch
Jenny Nisser
1  Institut für Physiotherapie, Universitätsklinikum Jena
,
Ulrich Smolenski
1  Institut für Physiotherapie, Universitätsklinikum Jena
,
Grzegorz Eugeniusz Sliwinski
2  Institut für Biomedizinische Technik, Technische Universität Dresden
,
Paula Schumann
2  Institut für Biomedizinische Technik, Technische Universität Dresden
,
Andreas Heinke
2  Institut für Biomedizinische Technik, Technische Universität Dresden
,
Hagen Malberg
2  Institut für Biomedizinische Technik, Technische Universität Dresden
,
Michael Werner
3  Abteilung Medizintechnik, Fraunhofer-Institut für Werkzeugmaschinen und Umformtechnik, Dresden
,
Sophia Elsner
3  Abteilung Medizintechnik, Fraunhofer-Institut für Werkzeugmaschinen und Umformtechnik, Dresden
,
Welf-Guntram Drossel
3  Abteilung Medizintechnik, Fraunhofer-Institut für Werkzeugmaschinen und Umformtechnik, Dresden
,
Zbigniew Sliwinski
4  Faculty of Medicine and Health Science, Uniwersytet Jana Kochanowskiego w Kielcach, Kielce, Poland
,
Steffen Derlien
1  Institut für Physiotherapie, Universitätsklinikum Jena
› Author Affiliations
Further Information

Publication History

Publication Date:
12 August 2019 (eFirst)

Abstract

Background The FED method (Fixation, Elongation, Derotation) is a treatment method approach to Patients with scoliosis. The FED method is especially established in Spain and Poland, whereby in Germany it is less well-known. Nevertheless the FED method is within the scope of a research project (Project Number: 19200 BR/3). The purpose of the paper is to characterize the FED method and to highlight the specificities in contrast to the Schroth method, which is international established and especially in Germany.

Methods This systematic literature research was conducted in Nov 2017–Jan 2018. Therefore common medical and physiotherapeutic databases were used. Furthermore there was a hand search in selected scientific journals. Only a small number of relevant references were identified. That is why the respective authors were asked to provide the full-texts of their papers and to recommend further references.

Results A total of 378 references were identified. After removing duplicates and the content-related selection, 19 references were deemed to be relevant. Based on the analysis of this relevant literature, the FED method was comprehensively characterized. First of all the general structure of the FED method and the scientific evidence for its effectiveness was described. And as a result of the literature research, the operating principles of the FED method were pointed out. Then these operating principles were discussed in comparison with the Schroth method. The Schroth method based on sensomotoric and kinesthetic principles and the correction of the pathologic posture was performed by selective muscle activation and breathing-pattern. Thus, the posture correction will be performed by the patients (auto correction). Compared to the Schroth method, the FED method implements the posture correction by the FED-device. This correction is influenced by mechanical forces with a comparatively high strength and intensity. The repetitive mechanical correction stimulates the sensomotoric system. And due to trophic/biochemical adaptations, the physiological bone growth will be stimulated.

Conclusion In total the authors want to clarify, that both treatment methods (Schroth method, FED method) supposed to be applied in consideration of the preconditions of the patients and the pursue of the different treatment goals. Thus, the implementation of treatment methods should be used according to the individual treatment demand and on different stages in the treatment process.