A United States multi-site randomized control trial of Schroth-based therapy in adolescents with mild idiopathic scoliosis

Zapata, Karina A.; Dieckmann, Rebecca J.; Hresko, M. Timothy; Sponseller, Paul D.; Vitale, Michael G.; Glassman, Steven D.; Smith, Brian G.; Jo, Chan-Hee; Sucato, Daniel J.

doi:10.1007/s43390-023-00665-2

Cited by 4 publications

(6 citation statements)

References 27 publications

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“…Furthermore, future research should comprises methods for objectively monitoring exercise adherence and motor learning, such as group supervised exercise sessions, which is combined with telerehabilitation. A study has demonstrated that patients significantly favoured the weekly digital REDCap survey is preferred to the paper log ( 40 , 41 ). Exercise therapy has been considered helpful in reducing scoliosis progression in AIS patients, enhancing the control of spinal nerve movement, and playing a positive role in cardiopulmonary function, even regulating psychological problems such as depression and anxiety ( 42 ).…”

Section: Discussionmentioning

confidence: 99%

Exercise therapy for adolescent idiopathic scoliosis rehabilitation: a bibliometric analysis (1999–2023)

Ma,

Wu,

et al. 2024

Front. Pediatr.

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BackgroundAmong the conservative treatments for rehabilitation of adolescent idiopathic scoliosis (AIS), exercise therapy has attracted a large number of studies as its advantages of good clinical effect, high operability, high compliance, few side effects and low cost. We conduct a bibliometric analysis of previous research to identify prevalent areas of study and inform research for the future directions in this paper.MethodsRelevant publications and reviews were collected using the Science Citation Index Expanded from the Web of Science Core Collection. Information from the included studies was analyzed systematically using VOSviewer and Citespace software to identify patterns regarding publications, keywords, authors, citations, countries, institutions and journals.ResultsA total of 172 articles published from 1999 to 2023 were identified. Over the last decade, the number of publications has gradually increased, reaching a peak of 21 publications in 2021. China, North America and Western European countries and institutions are leading the way as far as the quantity of publications and the total number of citations are concerned. The current areas of focus are the efficacy of exercise therapy in relation to enhancing the quality of life of adolescents during rehabilitation.ConclusionsThis is the first bibliometric analysis that provides a comprehensive review of the research trends and advances in exercise therapy for the rehabilitation of AIS. The study identifies latest research frontiers and hot directions, providing a valuable reference for scholars in the field of exercise therapy.

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Section: Discussionmentioning

confidence: 99%

Exercise therapy for adolescent idiopathic scoliosis rehabilitation: a bibliometric analysis (1999–2023)

Ma,

Wu,

et al. 2024

Front. Pediatr.

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“…Patients in this group completed at least 8 hours of one-on-one outpatient physical therapy sessions from a Schroth-based (Barcelona Scoliosis Physical Therapy School) certified physical therapist at this institution within 6 months who used a standardized exercise prescription algorithm. Patients committed to performing a home exercise program for a minimum of 15 minutes a day, 5 days a week (75 min/wk) for at least 1 year 11,15. Patients were also instructed to maintain a corrective posture throughout the day during activities of daily living.…”

Section: Methodsmentioning

confidence: 99%

“…Patients committed to performing a home exercise program for a minimum of 15 minutes a day, 5 days a week (75 min/wk) for at least 1 year. 11,15 Patients were also instructed to maintain a corrective posture throughout the day during activities of daily living. Exercise adherence was tracked using a paper log initialed by the caregiver in addition to a weekly e-mail using Research Electronic Data Capture (REDCap), a secure web-based application to support data capture for research studies.…”

Section: Psse Groupmentioning

confidence: 99%

The Addition of Daytime Physiotherapeutic Scoliosis-specific Exercises to Adolescent Idiopathic Scoliosis Nighttime Bracing Reduces Curve Progression

Zapata

McIntosh

et al. 2023

Journal of Pediatric Orthopaedics

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Background: The effectiveness of physiotherapeutic scoliosis-specific exercises (PSSE) in addition to nighttime bracing compared with nighttime bracing alone is unknown. The purpose of this prospective comparative study was to evaluate the effectiveness of PSSE in skeletally immature patients with adolescent idiopathic scoliosis treated with nighttime bracing (PSSE group) compared with the standard of care of nighttime bracing alone (control group). Methods: Patients with adolescent idiopathic scoliosis thoracolumbar or lumbar primary curves <35 degrees at Risser stage 0 who wore a Providence brace were prospectively enrolled into the PSSE or control group. A temperature sensor recorded the number of hours of brace wear. The PSSE group was instructed in the Schroth-based physical therapy method and a home exercise program for at least 15 minutes per day, 5 days per week, for 1 year. Results: Seventy-four patients (37 PSSE, 37 controls) were followed until the final visit of skeletal maturity or surgery. The PSSE and control groups had similar baseline Cobb angles (24 vs. 25 degrees) and average hours of brace wear (8.0 vs. 7.3 h). The PSSE group had no change in curve magnitude at the final visit compared with curve progression in the control group (1 vs. 7 degrees, P<0.01). Furthermore, the PSSE group had a lower rate of curve progression >5 degrees at the final visit (14% vs. 43%, P<0.01). The PSSE group also had less conversion to full-time bracing after 1 year (5% vs. 24%, P=0.046), but differences were no longer significant at the final visit (14% vs. 27%). Conclusions: In this prospective series of patients in nighttime Providence braces, the addition of Schroth-based physical therapy reduced curve progression after 1 year and at skeletal maturity. These findings can educate motivated families interested in PSSE. Level of Evidence: Level II.

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“…Hanging exercises are also defined in the original and the Intermediate Schroth exercise programs and are widely used by physiotherapists worldwide [3]. Hanging exercises continue to be applied, such as "The Circle" and "Semi-hanging", within the ISST (International Schroth three-dimensional Scoliosis Therapy ® ) method and BSPTS method (Barcelona Scoliosis Physical Therapy School) [14,15], but these approaches do not involve the application of the Schroth Best Practice method. In the semi-hanging exercise, with the hands on a wall bar above the head, pelvic orientation is achieved with the pelvic corrections described by the Intermediate Schroth method.…”

Section: Introductionmentioning

confidence: 99%

“…In the semi-hanging exercise, with the hands on a wall bar above the head, pelvic orientation is achieved with the pelvic corrections described by the Intermediate Schroth method. According to the principles of correction, lateral, dorsal and caudal correction of the pelvis are achieved, expanding all concave parts of the trunk and correcting them through rotational breathing with each rotation [3,14,15].…”

Section: Introductionmentioning

confidence: 99%

The Immediate Effect of Hanging Exercise and Muscle Cylinder Exercise on the Angle of Trunk Rotation in Adolescent Idiopathic Scoliosis

Akçay,

Çolak,

Apti

et al. 2024

Healthcare

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(1) Background: Semi-hanging and muscle cylinder exercises have been defined as scoliosis-specific corrective exercises. The aim of this study was to evaluate the immediate effect of muscle cylinder and semi-hanging exercises on the angle of trunk rotation in patients with adolescent idiopathic scoliosis (AIS). (2) Methods: Twenty-seven patients with AIS with a mean age of 18.6 years were retrospectively analyzed. The angle of trunk rotation (ATR) values were measured before and after performing semi-hanging and standing muscle cylinder exercises. Both exercises were performed for three to five respiratory cycles. The semi-hanging exercise was performed first, followed by the muscle cylinder exercise, in this order, in all participants. For statistical analysis, the Wilcoxon signed-rank test was used to analyze ATR changes after the exercises, and the Kruskal–Wallis test was used to compare ATR changes according to the main curve location. (3) Results: The thoracic, thoracolumbar and lumbar maximum ATR values were significantly increased after the semi-hanging exercise (p < 0.001) and decreased after the muscle cylinder exercise (p < 0.001). The ATR change was greater in the lumbar region than in the thoracic and thoracolumbar regions. (4) Conclusion: The results of this study of a small group of patients emphasized that one of the scoliosis-specific corrective exercises, the standing muscle cylinder exercise, improved ATR, while the other, the semi-hanging exercise, worsened ATR in patients with AIS. It is recommended that each scoliosis-specific corrective exercise be evaluated and redesigned to maximize the three-dimensional corrective effect, considering the biomechanics of the spine and the pathomechanics of scoliosis.

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A United States multi-site randomized control trial of Schroth-based therapy in adolescents with mild idiopathic scoliosis

Cited by 4 publications

References 27 publications

Exercise therapy for adolescent idiopathic scoliosis rehabilitation: a bibliometric analysis (1999–2023)

Exercise therapy for adolescent idiopathic scoliosis rehabilitation: a bibliometric analysis (1999–2023)

The Addition of Daytime Physiotherapeutic Scoliosis-specific Exercises to Adolescent Idiopathic Scoliosis Nighttime Bracing Reduces Curve Progression

The Immediate Effect of Hanging Exercise and Muscle Cylinder Exercise on the Angle of Trunk Rotation in Adolescent Idiopathic Scoliosis

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