Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomised controlled trial

Purpose To evaluate the effect of a programme of active self-correction and task-oriented exercises on spinal deformities and health-related quality of life (HRQL) in patients with mild adolescent idiopathic scoliosis (AIS) (Cobb angle <25°). Methods This was a parallel-group, randomised, superio...

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Vydané v:European spine journal Ročník 23; číslo 6; s. 1204 - 1214
Hlavní autori: Monticone, Marco, Ambrosini, Emilia, Cazzaniga, Daniele, Rocca, Barbara, Ferrante, Simona
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Berlin/Heidelberg Springer Berlin Heidelberg 01.06.2014
Springer Nature B.V
Predmet:
Adolescent
Child
Ergonomics
Exercise Therapy - methods
Female
Humans
Linear Models
Male
Medicine
Medicine & Public Health
Neurosurgery
Original Article
Patient Education as Topic
Quality of Life
Radiography
Scoliosis - diagnostic imaging
Scoliosis - rehabilitation
Single-Blind Method
Surgical Orthopedics
Task-oriented exercises
Rehabilitation
Education
Adolescent idiopathic scoliosis
Self-correction
ISSN:0940-6719, 1432-0932, 1432-0932
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Shrnutí:Purpose To evaluate the effect of a programme of active self-correction and task-oriented exercises on spinal deformities and health-related quality of life (HRQL) in patients with mild adolescent idiopathic scoliosis (AIS) (Cobb angle <25°). Methods This was a parallel-group, randomised, superiority-controlled study in which 110 patients were randomly assigned to a rehabilitation programme consisting of active self-correction, task-oriented spinal exercises and education (experimental group, 55 subjects) or traditional spinal exercises (control group, 55 subjects). Before treatment, at the end of treatment (analysis at skeletal maturity), and 12 months later (follow-up), all of the patients underwent radiological deformity (Cobb angle), surface deformity (angle of trunk rotation) and HRQL evaluations (SRS-22 questionnaire). A linear mixed model for repeated measures was used for each outcome measure. Results There were main effects of time ( p  < 0.001), group ( p  < 0.001) and time by group interaction ( p  < 0.001) on radiological deformity: training in the experimental group led to a significant improvement (decrease in Cobb angle of >5°), whereas the control group remained stable. Analysis of all of the secondary outcome measures revealed significant effects of time, group and time by group interaction in favour of the experimental group. Conclusions The programme of active self-correction and task-oriented exercises was superior to traditional exercises in reducing spinal deformities and enhancing the HRQL in patients with mild AIS. The effects lasted for at least 1 year after the intervention ended.
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ISSN:0940-6719
1432-0932
1432-0932
DOI:10.1007/s00586-014-3241-y