Effectiveness of scoliosis-specific exercises for alleviating adolescent idiopathic scoliosis: a systematic review.
Adolescent idiopathic scoliosis
Cobb angle
Quality of life
Scoliosis specific exercise
Truncal asymmetry
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
27 Jul 2020
27 Jul 2020
Historique:
received:
30
05
2020
accepted:
20
07
2020
entrez:
29
7
2020
pubmed:
29
7
2020
medline:
15
5
2021
Statut:
epublish
Résumé
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 for 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. 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. 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. There was insufficient evidence to support the positive effects of SSE on 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. 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. INPLASY202050100 .
Sections du résumé
BACKGROUND
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 for 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
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
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. There was insufficient evidence to support the positive effects of SSE on 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
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.
TRIAL REGISTRATION
BACKGROUND
INPLASY202050100 .
Identifiants
pubmed: 32718339
doi: 10.1186/s12891-020-03517-6
pii: 10.1186/s12891-020-03517-6
pmc: PMC7385878
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
495Subventions
Organisme : Sanming Project of Medicine in Shenzhen
ID : SZSM201612055
Références
Clin Orthop Relat Res. 2020 Feb;478(2):334-345
pubmed: 31688210
Scoliosis Spinal Disord. 2016 Aug 04;11:20
pubmed: 27525315
N Engl J Med. 2013 Oct 17;369(16):1512-21
pubmed: 24047455
Lancet. 2008 May 3;371(9623):1527-37
pubmed: 18456103
Scoliosis Spinal Disord. 2017 Oct 16;12:32
pubmed: 29051921
Eur Spine J. 2014 Jun;23(6):1204-14
pubmed: 24682356
J Phys Ther Sci. 2016 Mar;28(3):1012-5
pubmed: 27134403
Spine (Phila Pa 1976). 2019 May 15;44(10):E596-E605
pubmed: 31046000
J Child Orthop. 2013 Feb;7(1):3-9
pubmed: 24432052
J Bone Joint Surg Am. 2016 Jan 6;98(1):9-14
pubmed: 26738898
Arch Physiother. 2019 Aug 23;9:8
pubmed: 31463082
Bone Joint J. 2019 Nov;101-B(11):1370-1378
pubmed: 31674249
Physiotherapy. 2019 Jun;105(2):214-234
pubmed: 30824243
Spine (Phila Pa 1976). 2005 Sep 15;30(18):2068-75; discussion 2076-7
pubmed: 16166897
Spine (Phila Pa 1976). 2018 May 1;43(9):E494-E503
pubmed: 28885287
Eur Spine J. 2019 Mar;28(3):511-525
pubmed: 30607519
Eur J Health Econ. 2019 Jul;20(5):647-656
pubmed: 30600469
Stud Health Technol Inform. 2008;135:228-36
pubmed: 18401093
J Back Musculoskelet Rehabil. 2018;31(4):693-701
pubmed: 29630516
ZFA (Stuttgart). 1979 Dec 10;55(34):1969-76
pubmed: 547573
Spine (Phila Pa 1976). 2018 Jul 15;43(14):971-976
pubmed: 29200174
Scoliosis. 2006 Aug 24;1:14
pubmed: 16930488
J Am Acad Orthop Surg. 2016 Aug;24(8):555-64
pubmed: 27388720
J Pediatr Orthop. 2019 Jul;39(Issue 6, Supplement 1 Suppl 1):S44-S46
pubmed: 31169647
Stud Health Technol Inform. 2008;135:250-61
pubmed: 18401096
Clin Orthop Relat Res. 2019 Sep;477(9):2145-2157
pubmed: 31135558
Hu Li Za Zhi. 2017 Apr;64(2):117-123
pubmed: 28393345
PLoS One. 2017 Apr 17;12(4):e0175847
pubmed: 28414745
S Afr J Physiother. 2019 Jun 03;75(1):904
pubmed: 31206094
Scoliosis Spinal Disord. 2018 Jan 10;13:3
pubmed: 29435499
J Bone Joint Surg Am. 2017 Jun 7;99(11):923-928
pubmed: 28590377
Stud Health Technol Inform. 2008;135:246-9
pubmed: 18401095
BMC Musculoskelet Disord. 2019 Jul 8;20(1):319
pubmed: 31286903
Clin Orthop Relat Res. 2018 Feb;476(2):429-436
pubmed: 29389797
PLoS One. 2016 Dec 29;11(12):e0168746
pubmed: 28033399
Prosthet Orthot Int. 2017 Jun;41(3):303-310
pubmed: 27625122
Scoliosis. 2009 Apr 07;4:8
pubmed: 19351395
Scoliosis. 2015 Feb 05;10:3
pubmed: 25729406
Scoliosis Spinal Disord. 2017 Nov 14;12:26
pubmed: 29164179
PLoS One. 2019 Sep 19;14(9):e0222770
pubmed: 31536575
Spine Deform. 2020 Apr;8(2):149-155
pubmed: 32096136
Bone Joint J. 2016 Dec;98-B(12):1689-1696
pubmed: 27909133
Prosthet Orthot Int. 2019 Jun;43(3):301-308
pubmed: 30628526
Aust J Physiother. 2009;55(2):129-33
pubmed: 19463084
Spine (Phila Pa 1976). 2019 Nov 1;44(21):1507-1514
pubmed: 31634302
Spine (Phila Pa 1976). 2020 Aug 1;45(15):1039-1046
pubmed: 32675606
Chiropr Man Therap. 2017 Apr 20;25:10
pubmed: 28439404
Spine Deform. 2018 Jul - Aug;6(4):435-440
pubmed: 29886916
Bone Joint J. 2020 Feb;102-B(2):254-260
pubmed: 32009436
BMC Musculoskelet Disord. 2014 Aug 06;15:263
pubmed: 25095800
Scoliosis Spinal Disord. 2016 Aug 04;11:19
pubmed: 27525314
Clin Rehabil. 2016 Feb;30(2):181-90
pubmed: 25780260
Curr Probl Diagn Radiol. 2019 Jul - Aug;48(4):402-414
pubmed: 30220572
Eur Spine J. 2018 Feb;27(2):278-285
pubmed: 28993884