A Review of Non-Invasive Treatment Interventions for Spinal Deformities

Lewis, Clare

doi:10.5772/38863

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…The main goals of conservative treatment of AIS are the prevention of curve progression and the cosmetic improvement of the trunk (Vasiliadis & Grivas 2008). The most common interventions used in conservative treatment of AIS are bracing, exercise therapy and manual therapy (Lewis 2012). Bracing is the application of external support to the trunk, and it is used to straighten the spine and de-rotate the pelvis and shoulders to try to achieve normal alignment of the entire body (Rigo et al 2006).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis: A systematic review and meta-analysis

Burger

Coetzee

Geldenhuys

et al. 2019

South African Journal of Physiotherapy

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Background Adolescent idiopathic scoliosis (AIS) is one of the most common structural spinal deformities in adolescents, becoming apparent around the time of puberty. Schroth scoliosis-specific exercises have demonstrated promising results in reducing the progression of AIS. Objectives The aim of this study was to identify, critically appraise and establish the best available evidence for the effectiveness of Schroth exercises in comparison to non-surgical management to reduce the progression of AIS. Methodology Seven databases were searched in April 2018. Main key search terms included AIS, Schroth exercises, physiotherapy, exercise, electrical stimulation, yoga, Pilates, tai chi and bracing . The quality of the trials was critically appraised according to the PEDro scale. Revman© Review Manager Software was used to pool the quality of life (QOL) results. Results Four randomised control trials with an average PEDro score of 6.75/10 were included in this study. Results indicated that Schroth exercises had a significant effect in decreasing the Cobb angle ( p < 0.05) in comparison to non-surgical management. The pooled effect on QOL showed a significant result in favour of Schroth exercises at 12 weeks ( p < 0.002) and at 24 weeks ( p < 0.0004). Conclusion Level II evidence suggests that Schroth exercises have a significant effect on reducing the Cobb angle and improving QOL in adolescents with idiopathic scoliosis. Clinical implications This review’s findings should be considered with caution for physiotherapy practice because of the limited number of identified articles and their methodologic limitations. Based on the current available and limited evidence, clinicians could combine supervised Schroth exercises with conventional physiotherapy care (observation, exercise, bracing and manual therapy) when treating adolescents with idiopathic scoliosis.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis: A systematic review and meta-analysis

Burger

Coetzee

Geldenhuys

et al. 2019

South African Journal of Physiotherapy

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“…Among, conservative therapies, interventions such as brace, casting, specific scoliosis exercise, and core stabilization exercises have been used to alleviate pain, prevent curvature progression in AIS, and improve quality of life [2,11]. In particular, therapeutic and specific exercises for scoliosis, such as Schroth exercise, pilates, and tai chi, could assist in the stabilization of curves, correct spinal alignment, and increase muscle strength and endurance [2,[25][26][27]. Exercises are commonly used alone or incorporated with a brace that facilitates self-correction of posture and improves self-awareness of general body alignment [1,28,29].…”

Section: Introductionmentioning

confidence: 99%

A scoping review of the different types of exercise programs proposed for the improvement of postural balance in adolescents with idiopathic scoliosis

Baik

Kim

Lee

2023

BMR

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BACKGROUND: Adolescent idiopathic scoliosis (AIS), which is the most common type of scoliosis, is a progressive disease that occurs in children aged 10–16 years. Abnormal curvature in AIS provokes spinal asymmetry of the upper body alignment and might deteriorate postural balancing and control ability. OBJECTIVE: To evaluate the effect of exercise interventions on balance and postural stability in patients with adolescent idiopathic scoliosis. METHODS: Embase, Scopus, Pubmed (Medline) and Web of Science databases were searched using the terms idiopathic scoliosis, physiotherapy, and balance. The articles selected were published in English in peer-reviewed journals from 2012 to July 2022. RESULTS: Ten studies met the inclusion criteria. The PEDro scale values ranged from 2 to 6 (mean, 3.6), indicating a low level of scientific rigor. In the sample studies, spinal stabilization exercises were most often trialed (n= 3), followed by Schroth’s exercise (n= 2), stretching and self-elongation exercise (n= 2), the exercise protocol of Blount and Moe, physiotherapeutic scoliosis-specific exercise, and proprioceptive neuromuscular facilitation exercise (all n= 1). CONCLUSIONS: Physical therapists will be able to apply hippotherapy, Schroth exercise, physiotherapy scoliosis-specific exercise, trunk stabilization, proprioceptive neuromuscular facilitation exercise, spinal stabilization exercise, core stabilization exercise, and body awareness therapy to manage balance impairments in patients with adolescent idiopathic scoliosis, and further studies are needed to provide stronger evidence.

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A Review of Non-Invasive Treatment Interventions for Spinal Deformities

Cited by 2 publications

References 12 publications

The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis: A systematic review and meta-analysis

The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis: A systematic review and meta-analysis

A scoping review of the different types of exercise programs proposed for the improvement of postural balance in adolescents with idiopathic scoliosis

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