Specific exercises reduce the need for bracing in adolescents with idiopathic scoliosis: A practical clinical trial

Annals of Physical and Rehabilitation Medicine
Stefano NegriniFabio Zaina

Abstract

In an ideal experimental setting, 2 randomized controlled trials recently showed the efficacy of physiotherapeutic scoliosis-specific exercises (PSSEs) for adolescents with idiopathic scoliosis (AIS). Now large observational studies are needed to check the generalizability of these results to everyday clinical life. To explore the effectiveness of PSSEs for avoiding bracing or progression of AIS in everyday clinics. This was a longitudinal comparative observational multicenter study, nested in a prospective database of outpatient tertiary referral clinics, including 327 consecutive patients. Inclusion criteria were AIS, age≥10 years old at first evaluation, Risser sign 0-2, and 11-20°Cobbangle. Exclusion criteria were consultations only and brace prescription at baseline. Groups performed PSSE according to the SEAS (Scientific Exercise Approach to Scoliosis) School, usual physiotherapy (UP) and no therapy (controls [CON]). End of treatment was medical discharge, Risser sign 3, or failure (defined by the need for bracing before the end of growth or Cobb angle>29°). The probability of failure was estimated by the risk ratio (RR) and 95% confidence interval (CI). The number needed to treat was estimated. Statistical analysis inclu...Continue Reading

Citations

Aug 4, 2020·The Journal of Orthopaedic and Sports Physical Therapy·Christopher J HoltJackie L Whittaker
Feb 17, 2021·The Spine Journal : Official Journal of the North American Spine Society·Michele RomanoStefano Negrini
Jun 15, 2021·European Journal of Medical Research·Kepeng LiJingan Zhang

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