Effectiveness of Schroth exercises during bracing in adolescent idiopathic scoliosis: results from a preliminary study—SOSORT Award 2017 Winner

Kwan, Kenny; Cheng, Aldous; Koh, Hui Yu; Chiu, Alice Y.Y.; Cheung, Kenneth M.C.

doi:10.1186/s13013-017-0139-6

Cited by 64 publications

(128 citation statements)

References 24 publications

(24 reference statements)

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“…Schroth group had improvement also in other variables of SRS-22r: pain=18.4%, function=28.6%, with decrease of SRS-22r total in 0.08 (p=0.047), also there was improvement in the results of SAQ instrument (Schreiber et al, 2015). Kwan, Cheng, Koh, Chiu and Cheung (2017) also reported that application of Schroth method showed significant improvement in function and in total score, while in other domains they reported that there was signifi cant diff erence in experimental group, while in control group they didn't fi nd signifi cant improvement in none of SRS-22 domains. For evaluation of the QoL, these authors used SRS-22 instrument.…”

Section: Discussionmentioning

confidence: 86%

Quality of Life in Adolescent’s Idiopathic Scoliosis before and after Physical Therapy: A Preliminary Study

Rrecaj-Malaj¹,

Hykolli²,

Lumi³

et al. 2018

Sport Mont

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Adolescent Idiopathic Scoliosis (AIS) accounts for 80% of all types of diagnosed scoliosis, occurring in 2%-3% of growing age population. This disorder is quite complicated and physical therapy is important factor in the treatment. The aim of this study is to evaluate the effi cacy of physical therapy in quality of life in adolescent idiopathic scoliosis. This research was conducted in 56 consecutive adolescent idiopathic scoliosis patients (32 females and 24 males), aged 10-17 years, Cobb angle 10º-45º, at Physical and Rehabilitation Medicine Clinic, University Clinical Center of Kosovo (UCCK), Prishtina, Kosovo, during the period 2016-2017. The physical therapy protocol, including combined Schroth and Pilates exercise were performed during 3 months. The evaluation of Quality of Life (QoL) is done by SRS-22r questionnaire at the beginning and the end of the treatment. Results displayed that supervised combined Schroth and Pilates exercises have provided benefi t to the standard of care by improving QoL before and after physical therapy in all components: the mean for function has improved from 3.15 to 3.45, pain from 3.23 to 5.54, self-image from 3.36 to 5.46, mental health from 3.01 to 3.35, and in overall QoL was improved from 3.30 to 3.68. Quality of life was signifi cantly better after physical therapy (p<0.05). The study shows that physical therapy in scoliosis patients achieves good results in daily living life.

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Section: Discussionmentioning

confidence: 86%

Quality of Life in Adolescent’s Idiopathic Scoliosis before and after Physical Therapy: A Preliminary Study

Rrecaj-Malaj¹,

Hykolli²,

Lumi³

et al. 2018

Sport Mont

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“…The PEDro scale was ranked from 5 to 9, with an average score of 6.9/10 for overall articles (Table 1). Speci cally, the average scores of Schroth studies (35)(36)(37)(38)45), scienti c exercise approach to scoliosis (SEAS) studies (41,47,48), and alternative SSE(40, 46) studies were 6.4 (n=5, score: 5-8), 8 (n=3, score: 8-9), and 6.5 (n=2, score: 6-7), respectively. Criteria 4 (blinding subjects) and 5 (blinding therapists) were not met for 80% (n=8) of studies (35)(36)(37)(38)(45)(46)(47)(48).…”

Section: Evidence Hierarchy and Methodological Appraisalmentioning

confidence: 99%

“…Two studies showed better improvement of ATR in the study group (37,41). For QoL (Table 3), ve studies adopted the SRS-22 questionnaire (38,41,(46)(47)(48), and one study adopted the SRS-23 questionnaire (37). However, a high initial score (mean score: 3.8-4.2) was noted in all studies (Table 3), with three studies reporting better QoL outcomes in terms of function and mental domain, favoring the SSE group (41,46,48).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Three studies (35,40,41) enrolled participants with mild scoliosis (Cobb angle: 10°-27°): Monticone et al reported a decrease of 5.3° with SEAS but an increase of 1.7° with general exercise at skeletal maturity(41); Kim et al found a large curve regression from 23.6 ± 1.5° down to 12.0 ± 4.7° in the Schroth group, whereas a reduction from 24.0 ± 2.6° to 16.0 ± 6.9° was observed in the Pilates group after 3 months of exercises(35); Liu et al grouped participants according to age and revealed that notable curve regressions were favored in patients younger than 13 years (a decrease of Cobb angle: 6.8 ± 5.5° for age <10 years; 3.1 ± 4.2° for age 10-12 years) and with Risser stage 0 (a decrease of Cobb angle: 5.7 ± 5.6°) at 2-year follow-up (40). Another two studies involved brace-wearing patients with moderate scoliosis (38,46). Kwan et al found that 17% of the participants showed improvement with Schroth exercises, whereas only 4% improved with no exercise at 1.5-year follow-up (38).…”

Section: Proposed Questions 1 Can Sse Improve Scoliotic Deformity?mentioning

confidence: 99%

“…Another two studies involved brace-wearing patients with moderate scoliosis (38,46). Kwan et al found that 17% of the participants showed improvement with Schroth exercises, whereas only 4% improved with no exercise at 1.5-year follow-up (38). Yagci et al adopted body awareness exercise with bracing and revealed a signi cant Cobb angle reduction (−7.33 ± 2.78° vs 0.63 ± 4.34°, p < 0.05) of the thoracic curvature between the groups (46).…”

Section: Proposed Questions 1 Can Sse Improve Scoliotic Deformity?mentioning

confidence: 99%

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Effectiveness of Scoliosis-Specific Exercise for Alleviating Adolescent Idiopathic Scoliosis: A Systematic Review

Fan

Ren

2020

Preprint

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Abstract Background: Adolescent idiopathic scoliosis (AIS) is the most common pediatric spinal deformity with reported complications including pain, mental health concern and respiratory dysfunction. The Scoliosis-specific exercise (SSE) is prescribed throughout pubertal growth to slow progression although effects are unclear. This review aims to establish the effectiveness of SSE in alleviating AIS in terms of reducing Cobb angle, improving trunk asymmetry and quality of life (QoL). Additionally, it aims to define the effects of age, skeletal maturity, curve magnitude and exercise compliance on the outcomes of SSE. Methods: A systematic reviewed was conducted to net SSE articles. Searched databases included PubMed, MEDLINE, Cochrane Library, Scopus, CINAHL and Google scholar. The quality of study was critically appraised according to the PEDro scale. Results: A total of ten trials with an average PEDro score of 6.9/10 were examined in this study. Two randomized controlled trials (RCTs) and two clinical controlled trials suggested that SSE alone and with bracing or traditional exercise had clinical significance in reducing Cobb angle more than 5°. One RCT specifically implicated no comparable effects between bracing and SSE in prevention of curve progression for moderate scoliosis. Insufficient evidence demonstrated the positive effects of SSE in improving truck asymmetry (n=4) and QoL (n=3). Five studies evaluated the interaction effects of age (n=2), skeletal maturity (n=1) and curve magnitude (n=2) with SSE in reducing Cobb angle yet without drawing any firm conclusions. Conclusions: Insufficient evidence is available to prove that SSE with or without other conservative treatments can reduce Cobb angle, improve trunk balance and QoL. The interaction effects of age, skeletal maturity, curve magnitude, and exercise compliance with SSE in reducing Cobb angle are not proven. Future studies should investigate the relationship of influencing factors and SSE in treating AIS but not only testing its effectiveness.

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Defining “successful” treatment outcomes in adolescent idiopathic scoliosis: a scoping review

Joarder

Taniguchi

Mendoza³

et al. 2023

Eur Spine J

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Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis that affects children aged 10 to 18 years old, manifesting in a three dimensional spinal deformity. This study aimed to explore outcome measures used in de ning AIS treatment success. Particularly, analyzing the extent of radiographic and quality of life domains used and whether AIS treatment approaches (surgical, bracing, physiotherapy etc.) in uences outcomes used as proxies of treatment success. MethodsEMBASE and MEDLINE databases were used to conduct a systematic scoping review with 158 papers screened for data extraction. Extractable variables included: study characteristics, study participant characteristics, type of study, type of intervention approach and outcome measures. ResultsAll 158 studies measured quantitative outcomes. 61.38% of papers used radiographic outcomes whilst 38.62% of papers used quantitative quality of life outcomes to evaluate treatment success. Irrespective of treatment intervention utilized, the type of quantitative outcome measure recorded did not differ signi cantly. Moreover, of the radiographic outcome measures, the subcategory Cobb angle was predominantly used across all intervention approaches. For quantitative quality of life measures, questionnaires investigating multiple domains such as SRS were primarily used as proxies of AIS treatment success across all intervention approaches. ConclusionThis study identi ed that no articles employed qualitative measures of describing the psychosocial implications of AIS in de ning treatment success. Although quantitative measures have merit in clinical diagnoses and management, there is increasing value in using qualitative methods such as thematic analysis in guiding clinicians to develop a biopsychosocial approach for patient care.

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Effectiveness of Schroth exercises during bracing in adolescent idiopathic scoliosis: results from a preliminary study—SOSORT Award 2017 Winner

Cited by 64 publications

References 24 publications

Quality of Life in Adolescent’s Idiopathic Scoliosis before and after Physical Therapy: A Preliminary Study

Quality of Life in Adolescent’s Idiopathic Scoliosis before and after Physical Therapy: A Preliminary Study

Effectiveness of Scoliosis-Specific Exercise for Alleviating Adolescent Idiopathic Scoliosis: A Systematic Review

Defining “successful” treatment outcomes in adolescent idiopathic scoliosis: a scoping review

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