Empfehlungen zur Sportausübung bei Patienten mit idiopathischer Skoliose

Liljenqvist, Ulf; Witt, Kai–Axel; Bullmann, Viola; Steinbeck, Jörn; Völker, Klaus

doi:10.1055/s-2005-859029

Cited by 12 publications

(5 citation statements)

References 13 publications

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“…These findings had similar views with the physiotherapist from Turkey (AKGÜL et al, 2022). Although previous studies have reported that swimming is a beneficial physical activity for treating scoliosis (Liljenqvist et al, 2006), studies are showing that swimming may increase trunk asymmetry (Aydın et al, 2020;Negrini et al, 2018). Our finding also showed that most of the physiotherapists (82.5%) believed that Physiotherapeutic Scoliosis Specific Exercise (PSSE) is the most effective conservative management for IS.…”

Section: Level Of Knowledge Of Registered Physiotherapists In Malaysiasupporting

confidence: 85%

Assessing Idiopathic Scoliosis Knowledge Levels Among Malaysian Physiotherapists and Associating Their Clinical Experience

Aisha,

Hairol Azman,

Abdul Latiff

et al. 2023

E-BPJ

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Physiotherapists play a significant role in the conservative management of idiopathic scoliosis (IS) patients. This study aimed to determine the level of knowledge on IS among practising physiotherapists and the association between years of clinical experience and the level of knowledge. A total of 63 physiotherapists responded to the International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SORSOT) questionnaire. The findings demonstrated that the level of knowledge among the physiotherapists was poor, particularly regarding the prevalence, diagnosis, and treatment of IS. There was a significant association between years of clinical experience and the level of knowledge.

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Section: Level Of Knowledge Of Registered Physiotherapists In Malaysiasupporting

confidence: 85%

Assessing Idiopathic Scoliosis Knowledge Levels Among Malaysian Physiotherapists and Associating Their Clinical Experience

Aisha,

Hairol Azman,

Abdul Latiff

et al. 2023

E-BPJ

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“…It has been suggested that patients with scoliosis should actively take part in sport activities [ 353 ]. Psychological and social aspects are shown to be related to the patients’ self-image [ 354 ].…”

Section: Conservative Treatments Other Than Bracingmentioning

confidence: 99%

“…Psychological and social aspects are shown to be related to the patients’ self-image [ 354 ]. It has also been reported that persons with scoliosis who exercise regularly, show higher self-esteem and have better psychological outcomes [ 353 ]. Therefore, SOSORT also recommends patients with scoliosis to remain active in sports activities [ 2 ], especially since participation does not seem to affect the occurrence or degree of scoliosis [ 355 ].…”

Section: Conservative Treatments Other Than Bracingmentioning

confidence: 99%

2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth

et al. 2018

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BackgroundThe International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) produced its first guidelines in 2005 and renewed them in 2011. Recently published high-quality clinical trials on the effect of conservative treatment approaches (braces and exercises) for idiopathic scoliosis prompted us to update the last guidelines’ version. The objective was to align the guidelines with the new scientific evidence to assure faster knowledge transfer into clinical practice of conservative treatment for idiopathic scoliosis (CTIS).MethodsPhysicians, researchers and allied health practitioners working in the area of CTIS were involved in the development of the 2016 guidelines. Multiple literature reviews reviewing the evidence on CTIS (assessment, bracing, physiotherapy, physiotherapeutic scoliosis-specific exercises (PSSE) and other CTIS) were conducted. Documents, recommendations and practical approach flow charts were developed using a Delphi procedure. The process was completed with the Consensus Session held during the first combined SOSORT/IRSSD Meeting held in Banff, Canada, in May 2016.ResultsThe contents of the new 2016 guidelines include the following: background on idiopathic scoliosis, description of CTIS approaches for various populations with flow-charts for clinical practice, as well as literature reviews and recommendations on assessment, bracing, PSSE and other CTIS. The present guidelines include a total of 68 recommendations divided into following topics: bracing (n = 25), PSSE to prevent scoliosis progression during growth (n = 12), PSSE during brace treatment and surgical therapy (n = 6), other conservative treatments (n = 2), respiratory function and exercises (n = 3), general sport activities (n = 6); and assessment (n = 14). According to the agreed strength and level of evidence rating scale, there were 2 recommendations on bracing and 1 recommendation on PSSE that reached level of recommendation “I” and level of evidence “II”. Three recommendations reached strength of recommendation A based on the level of evidence I (2 for bracing and one for assessment); 39 recommendations reached strength of recommendation B (20 for bracing, 13 for PSSE, and 6 for assessment).The number of paper for each level of evidence for each treatment is shown in Table 8.ConclusionThe 2016 SOSORT guidelines were developed based on the current evidence on CTIS. Over the last 5 years, high-quality evidence has started to emerge, particularly in the areas of efficacy of bracing (one large multicentre trial) and PSSE (three single-centre randomized controlled trials). Several grade A recommendations were presented. Despite the growing high-quality evidence, the heterogeneity of the study protocols limits generalizability of the recommendations. There is a need for standardization of research methods of conservative treatment effectiveness, as recognized by SOSORT and the Scoliosis Research Society (SRS) non-operative management Committee.Electronic supplementary materialThe online version o...

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“…Patients were allowed to and encouraged to perform sports and exercises during the time of brace treatment without any restrictions [17]. In addition, they had physiotherapy once a week on a regular basis [9,43,44].…”

Section: Methodsmentioning

confidence: 99%

Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment

et al. 2011

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Bracing is an established method of conservative treatment for adolescent idiopathic scoliosis and kyphosis. Compliance among adolescents is frequently inadequate due to the discomfort of wearing a brace, cosmetic issues, and fear on the part of patients and parents that bracing may reduce everyday physical activities. The aim of this prospective, controlled study was to objectify the impact of spinal bracing on daily step activity in patients receiving conservative treatment for adolescent idiopathic scoliosis (AIS) or adolescent kyphosis (AK). Forty-eight consecutive patients (mean age 13.4 ± 2.3 years), consisting of 38 AIS patients (33 girls, 5 boys) and 10 AK patients (6 girls, 4 boys) were included. Once the decision to carry out bracing had been taken and while the patients were waiting for the individual brace to be built, step activity was assessed without braces by means of step activity monitoring (SAM) for seven consecutive days. After 8 weeks of brace wearing, step activity was assessed during regular brace treatment, again for seven consecutive days. In addition, brace-wearing times were simultaneously recorded using temperature probes implanted in the braces to measure compliance. Before and during brace treatment, patients completed the Scoliosis Research Society (SRS-22) questionnaire. The SAM was worn for an average of 12.7 ± 1.5 h/day during the first measurement and 12.3 ± 1.9 h on average during the second measurement. The mean gait cycles (GCs) per day and per hour before treatment were 5,036 ± 1,465 and 395 ± 105, respectively. No significant reduction in step activity was found at the follow-up measurement during bracing, at 4,880 ± 1,529 GCs/day and 403 ± 144 GCs/h. Taking the 23-h recommended time for brace wearing as a basis (100%), patients wore the brace for 72.7 ± 27.6% of the prescribed time, indicating an acceptable level of compliance. Girls showed a higher compliance level (75.6 ± 25.6%) in comparison with boys (56.7 ± 31.9%), although the difference was not significant (P = 0.093). The SRS-22 total score showed no differences between the two measurements (2.57 ± 0.23 vs. 2.56 ± 0.28). Implementing a simultaneous and objective method of assessing step activity and brace-wearing times in everyday life proved to be feasible, and it expands the information available regarding the impact of bracing on patients' quality of life. The results clearly show that brace treatment does not negatively interfere with daily step activity in AIS and AK patients. This is an important finding that should help reduce patients' and parents' worries concerning bracing.

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Empfehlungen zur Sportausübung bei Patienten mit idiopathischer Skoliose

Cited by 12 publications

References 13 publications

Assessing Idiopathic Scoliosis Knowledge Levels Among Malaysian Physiotherapists and Associating Their Clinical Experience

Assessing Idiopathic Scoliosis Knowledge Levels Among Malaysian Physiotherapists and Associating Their Clinical Experience

2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth

Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment

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