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REVIEW PAPER
Role of conservative management in the reduction of Cobb angle among adolescent idiopathic scoliosis. A systematic review
1
Ziauddin College of Rehabilitation Sciences, Ziauddin University, Karachi, Sindh, Pakistan
Submission date: 2020-12-15
Acceptance date: 2021-03-04
Publication date: 2023-06-01
Physiother Quart. 2023;31(2):1-6
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Physiotherapy Scoliosis Specific Exercises (PSSE) is a conservative approach for the management of adolescent idiopathic scoliosis (AIS) designed according to the guidelines of the International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT). Hence the aim of the study is to evaluate the effectiveness of PSSE and conservative management strategies for patients with AIS.
Methods:
A systematic review was conducted and searches were carried out on a virtual database. The primary outcome measure analysed in this paper was Cobb angle and angle of trunk rotation, while the secondary outcome included functional capacity. A total of twelve studies were included in the review, which was analysed to determine the effects of conservative management of spinal scoliosis among adolescent aged children.
Results:
The study was conducted on patients who had developed idiopathic scoliosis and had a Cobb angle of greater than 10°. The significance of the conservative management protocol was estimated based on the reduction of Cobb angle by > 5° post-intervention.
Conclusions:
This review concluded that therapeutic exercises alone have added to the noninvasive standard of care in reducing magnitude of Cobb angle among AIS patients. The studies reviewed in this paper provide significant evidence that a minimum of sixteen weeks of the exercise-based protocol has been able to produce a statistically and clinically significant result in Cobb angle reduction by almost 5° to 8°.
Physiotherapy Scoliosis Specific Exercises (PSSE) is a conservative approach for the management of adolescent idiopathic scoliosis (AIS) designed according to the guidelines of the International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT). Hence the aim of the study is to evaluate the effectiveness of PSSE and conservative management strategies for patients with AIS.
Methods:
A systematic review was conducted and searches were carried out on a virtual database. The primary outcome measure analysed in this paper was Cobb angle and angle of trunk rotation, while the secondary outcome included functional capacity. A total of twelve studies were included in the review, which was analysed to determine the effects of conservative management of spinal scoliosis among adolescent aged children.
Results:
The study was conducted on patients who had developed idiopathic scoliosis and had a Cobb angle of greater than 10°. The significance of the conservative management protocol was estimated based on the reduction of Cobb angle by > 5° post-intervention.
Conclusions:
This review concluded that therapeutic exercises alone have added to the noninvasive standard of care in reducing magnitude of Cobb angle among AIS patients. The studies reviewed in this paper provide significant evidence that a minimum of sixteen weeks of the exercise-based protocol has been able to produce a statistically and clinically significant result in Cobb angle reduction by almost 5° to 8°.
REFERENCES (27)
1.
Negrini S, Aulisa AG, Aulisa L, Circo AB, de Mauroy JC, Durmala J, et al. 2011 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis. 2012;7:3; doi: 10.1186/1748-7161-7-3.
2.
Berdishevsky H, Lebel VA, Bettany-Saltikov J, Rigo M, Lebel A, Hennes A, et al. Physiotherapy scoliosis-specific exercises – a comprehensive review of seven major schools. Scoliosis Spinal Disord. 2016;11:20; doi: 10.1186/s13013-016-0076-9.
3.
Yılmaz H, Zateri C, Ozkan AK, Kayalar G, Berk H. Prevalence of adolescent idiopathic scoliosis in Turkey: an epidemiological study. Spine J. 2020;20(6):947–955; doi: 10.1016/j.spinee.2020.01.008.
4.
Bettany-Saltikov J, Weiss H-R, Chockalingam N, Kandasamy G, Arnell T. A comparison of patient-reported outcome measures following different treatment approaches for adolescents with severe idiopathic scoliosis: a systematic review. Asian Spine J. 2016;10(6):1170–1194; doi: 10.4184/asj.2016.10.6.1170.
5.
Konieczny MR, Senyurt H, Krauspe R. Epidemiology of adolescent idiopathic scoliosis. J Child Orthop. 2013;7(1):3–9; doi: 10.1007/s11832-012-0457-4.
6.
Dufvenberg M, Adeyemi F, Rajendran I, Öberg B, Abbott A. Does postural stability differ between adolescents with idiopathic scoliosis and typically developed? A systematic literature review and meta-analysis. Scoliosis Spinal Disord. 2018;13:19; doi: 10.1186/s13013-018-0163-1.
7.
Kumar A, Kumar S, Sharma V, Srivastava RN, Gupta AK, Parihar A, et al. Efficacy of task-oriented exercise program based on ergonomics on Cobb’s angle and pulmonary function improvement in adolescent idiopathic scoliosis-a randomized control trial. J Clin Diagn Res. 2017;11(8):YC01–YC04; doi: 10.7860/JCDR/2017/27497.10335.
8.
Chin KR, Price JS, Zimbler S. A guide to early detection of scoliosis. Contemp Pediatr. 2001;18(9):77.
9.
Kwan KYH, Cheng ACS, Koh HY, Chiu AYY, Cheung KMC. Effectiveness of Schroth exercises during bracing in adolescent idiopathic scoliosis: results from a preliminary study – SOSORT Award 2017 Winner. Scoliosis Spinal Disord. 2017;12:32; doi: 10.1186/s13013-017-0139-6.
10.
Płaszewski M, Bettany-Saltikov J. Non-surgical interventions for adolescents with idiopathic scoliosis: an overview of systematic reviews. PloS One. 2014;9(10):e110254; doi: 10.1371/journal.pone.0110254.
11.
Bettany-Saltikov J, Parent E, Romano M, Villagrasa M, Negrini S. Physiotherapeutic scoliosis-specific exercises for adolescents with idiopathic scoliosis. Eur J Phys Rehabil Med. 2014;50:111–121.
12.
Płaszewski M, Bettany-Saltikov J. Are current scoliosis school screening recommendations evidence-based and up to date? A best evidence synthesis umbrella review. Eur Spine J. 2014;23(12):2572–2585; doi: 10.1007/00586-014-3307-x.
13.
Marti CL, Glassman SD, Knott PT, Carreon LY, Hresko MT. Scoliosis Research Society members attitudes towards physical therapy and physiotherapeutic scoliosis specific exercises for adolescent idiopathic scoliosis. Scoliosis. 2015;10(1):16; doi: 10.1186/s13013-015-0041-z.
14.
Skaggs K, Lin AJ, Andras LM, Illingworth KD, Skaggs DL. Standing in Schroth trained position significantly changes Cobb angle and leg length discrepancy: a pilot study. Spine Deform. 2020;8(6):1185–1192; doi: 10.1007/s43390-020-00157-7.
15.
Rrecaj-Malaj S, Beqaj S, Krasniqi V, Qorolli M, Tufekcievski A. Outcome of 24 weeks of combined Schroth and Pilates exercises on Cobb angle, angle of angle of trunk rotation, chest expansion, flexibility and quality of life in adolescents with idiopathic scoliosis. Med Sci Monit Basic Res. 2020;26:e920449-1; doi: 10.12659/MSMBR.920449.
16.
Yagci G, Yakut Y. Core stabilization exercises versus scoliosis-specific exercises in moderate idiopathic scoliosis treatment. Prosthet Orthot Int. 2019;43(3):301–308; doi: 10.1177/0309364618820144.
17.
Hedayati Z, Ahmadi A, Kamyab M, Babaee T, Ganjavian MS. Effect of group exercising and adjusting the brace at shorter intervals on Cobb angle and quality of life of patients with idiopathic scoliosis. Am J Phys Med Rehabil. 2018;97(2):104–109; doi: 10.1097/PHM.0000000000000812.
18.
Yagci G, Ayhan C, Yakut Y. Effectiveness of basic body awareness therapy in adolescents with idiopathic scoliosis: a randomized controlled study. J Back Musculoskelet Rehabil. 2018;31(4):693–701; doi: 10.3233/BMR-170868.
19.
Stępień A, Fabian K, Graff K, Podgurniak M, Wit A. An immediate effect of PNF specific mobilization on the angle of angle of trunk rotation and the Trunk-Pelvis-Hip Angle range of motion in adolescent girls with double idiopathic scoliosis – a pilot study. Scoliosis Spinal Disord. 2017;12:29; doi: 10.1186/s13013-017-0132-0.
20.
Schreiber S, Parent EC, Khodayari Moez E, Hedden DM, Hill DL, Moreau M, et al. Schroth physiotherapeutic scoliosis-specific exercises added to the standard of care lead to better Cobb angle outcomes in adolescents with idiopathic scoliosis – an assessor and statistician blinded randomized controlled trial. PloS One. 2016;11(12):e0168746; doi: 10.1371/journal.pone.0168746.
21.
Kuru T, Yeldan İ, Dereli EE, Özdinçler AR, Dikici F, Çolak İ. The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial. Clin Rehabil. 2016;30(2):181–190; doi: 10.1177/0269215515575745.
22.
Weiss HR, Moramarco K, Moramarco M. Scoliosis bracing and exercise for pain management in adults – a case report. J Phys Ther Sci. 2016;28(8):2404–2407; doi: 10.1589/jpts.28.2404.
23.
Monticone M, Ambrosini E, Cazzaniga D, Rocca B, Ferrante S. 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. Eur Spine J. 2014;23(6):1204–1214; doi: 10.1007/s00586-014-3241-y.
24.
Bas P, Romagnoli M, Gomez-Cabrera M-C, Bas JL, Aura JV, Franco N, et al. Beneficial effects of aerobic training in adolescent patients with moderate idiopathic scoliosis. Eur Spine J. 2011;20(Suppl 3):415–419; doi: 10.1007/s00586-011-1902-7.
25.
Otman S, Kose N, Yakut Y. The efficacy of Schroth’s 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey. Neurosciences. 2005;10(4):277–283.
26.
Zaina F, Poggio M, Donzelli S, Negrini S. Can bracing help adults with chronic back pain and scoliosis? Short-term results from a pilot study. Prosthet Orthot Int. 2018;42(4):410–414; doi: 10.1177/0309364618757769.
27.
Negrini S, Atanasio S, Fusco C, Zaina F. Effectiveness of complete conservative treatment for adolescent idiopathic scoliosis (bracing and exercises) based on SOSORT management criteria: results according to the SRS criteria for bracing studies – SOSORT Award 2009 Winner. Scoliosis. 2009;4:19; doi: 10.1186/1748-7161-4-19.
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