Exercises reduce the progression rate of adolescent idiopathic scoliosis: Results of a comprehensive systematic review of the literature

Négrini, Stefano; Fusco, Claudia; Minozzi, Silvia; Atanasio, Salvatore; Zaina, Fabio; Romano, Michele

doi:10.1080/09638280801889568

Cited by 124 publications

(123 citation statements)

References 16 publications

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“…Previous literature reviews [9,10,14] have included several papers published earlier by the authors of these reviews [5,12,13,[15][16][17][18], clearly indicating the need for a more varied source of data incorporating different population groups. The current study is an un-biased review of literature on the effectiveness of exercise therapy in AIS, and has been performed by independent reviewers not affiliated in any way to rehabilitation centres or exercise therapy treatments.…”

Section: Discussionmentioning

confidence: 99%

“…An initial review of 11 papers published by the Italian Scientific Spine Institute, concluded that there was no solid evidence in support of or against the role of exercise therapies in reducing curve progression in AIS [9]. A subsequent up-dated review included 8 more papers and concluded that all studies excepting one, confirmed the efficacy of exercises in AIS [10]. However, the results appear to be influenced by one randomised controlled trial [11] that reported on 80 patients split into two groups with 5 months follow-up.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of exercise therapy for the treatment of adolescent idiopathic scoliosis: a review of the literature

Mordecai

Dabke

2011

Eur Spine J

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Purpose Current evidence regarding the use of exercise therapy in the treatment of adolescent idiopathic scoliosis (AIS) was assessed with a review of published literature. Methods An extensive literature search was carried out with commonly used medical databases. A total of 155 papers were identified out of which only 12 papers were deemed to be relevant. Results There were nine prospective cohort studies, two retrospective studies and one case series. All studies endorsed the role of exercise therapy in AIS but several shortcomings were identified-lack of clarity of patient recruitment and in the method of assessment of curve magnitude, poor record of compliance, and lack of outcome scores. Many studies reported ''significant'' changes in the Cobb angle after treatment, which were actually of small magnitude and did not take into account the reported inter or intra-observer error rate. All studies had poor statistical analysis and did not report whether the small improvements noted were maintained in the long term. Conclusions This unbiased literature review has revealed poor quality evidence supporting the use of exercise therapy in the treatment of AIS. Well-designed randomised controlled studies are required to assess the role of exercise therapy in AIS.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy of exercise therapy for the treatment of adolescent idiopathic scoliosis: a review of the literature

Mordecai

Dabke

2011

Eur Spine J

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“…In addition, a key aspect of understanding the biomechanics of these exercises is the activation of the muscles involved in spinal stabilization, such as the multifidus muscle, the rotator group, and the transverse abdominal muscle, etc., which would help to improve postural balance and muscle function; improvements in muscular endurance tests may also be related to this. 42,43 Findings, collectively, show an improved posture that lies in the ability to maintain self- 14 and may even avoid bracing 11 and surgery. 44 The improvements in functional capacity and quality of life observed after therapeutic exercise in patients with AIS may be attributed to a reduction in symptoms which, together with better postural parameters, may have influenced patients' self-image and personal satisfaction.…”

Section: Discussionmentioning

confidence: 99%

“…The objective of exercise is to reduce symptoms and improve functional capacity and quality of life. [10][11][12][13][14][15] Although braces are mainly used in these patients, the isolated effects of corrective, therapeutic exercise on AIS patients are not clear; 1 actually, the Scientific Society on Scoliosis Orthopaedic Rehabilitation and Treatment (SOSORT) 16 has shown that the evidence of conservative management in these patients is scarce.…”

Section: Introductionmentioning

confidence: 99%

Effects of corrective, therapeutic exercise techniques on adolescent idiopathic scoliosis. A systematic review

Ceballos‐Laita

Cubillo

Gómez

et al. 2018

Arch Argent Pediatr

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The objective of this study was to determine the effects of corrective, therapeutic exercise techniques on subjects with adolescent idiopathic scoliosis. A systematic review was conducted by searching the Cochrane Library Plus, Pubmed, PEDro, and SCOPUS databases. Studies in patients diagnosed with adolescent idiopathic scoliosis that considered corrective, therapeutic exercise as an independent outcome measure and symptoms, functional capacity, Cobb's angle and/or other angles or body asymmetries as dependent outcome measures were included. A total of 9 controlled clinical trials that carried out corrective, therapeutic exercise were included. Corrective, therapeutic exercise appears to have positive effects by reducing symptoms and improving function, as well as various angles and body asymmetries. However, further studies with better methodological quality are required to confirm these outcomes and determine the best therapeutic exercise intervention.

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“…It is claimed that a conservative approach, including exercise, a brace, and physical therapy is sufficient in 90% of scoliosis patients (3)(4)(5). Other than improvement in quality of life, exercises provide increased neuromotor control, strength, postural recovery, and increased respiratory function (6,7). Various types of exercises have been proposed for AIS.…”

Section: Discussionmentioning

confidence: 99%

To What Extent Can Adolescent Scoliosis Be Improved in Four Weeks?

Ağırman¹,

Saral²,

Durmuş³

et al. 2016

Haseki

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ÖzSkolyoz, adolesan dönemde ağır özürlülüğe ve kozmetik bozukluğa neden olabilen bir durumdur. Bu yazıda fizik tedavi uygulamalarının önemini vurgulamak için, adolesan idiyopatik skolyozu olan ve dört haftada belirgin iyileşme gösteren bir olgu grafileri ile birlikte sunulmuştur. On üç yaşındaki erkek hastamızın duruş bozukluğu ve hafif bel ağrısı şikayeti bulunmaktaydı. Hastamız iki yıldır skolyoz tanısıyla takip edilmekteydi ve hastaya skolyoza özel egzersizler önerilmişti. Fizik muayenede paravertebral kas spazmı ve belirgin torakolomber asimetrisi vardı. Nörolojik muayene ve laboratuvar testleri normaldi. X-ray grafisinde konveksitesi sola bakan torakolomber skolyozu (cobb açısı: 24°) tespit edildi. Hastaya haftada beş gün, dört hafta boyunca elektrik stimülasyonu (konveks ve konkav tarafa eş zamanlı olarak 30 dakika süre ile) ve terapist eşliğinde egzersiz programı uygulandı. Stimülasyonun amplitüdü hastanın rahatsızlık duymayacağı maksimum uyarı şiddetindeydi. Analjezik ve miyorelaksan ilaç ihtiyacı olmadı ve breys kullanılmadı. Tedavi sonunda yapılan değerlendirmede hastanın postüründe ve radyografisinde belirgin düzelme elde edildi (cobb açısı: 10°). Sonuç olarak, bu olgu iyi planlanmış fizik tedavi programının adolesan idiyopatik skolyoz tedavisinde hızlı ve etkin bir seçenek olduğunu göstermektedir. Anahtar Sözcükler: Elektrik stimülasyonu, egzersiz tedavisi, skolyoz Abs tractScoliosis is a condition that leads to severe disability and an impaired cosmetic appearance in adolescence. This article presents x-ray images of a patient with adolescent idiopathic scoliosis (AIS) in whom the pain and posture improved dramatically over four weeks, emphasizing the importance of physical therapy. A 13-year-old male was admitted because of posture deformity and mild back and lower back pain. He was being followed with the diagnosis of scoliosis for two years and specific exercises were proposed for scoliosis. On physical examination, we observed paravertebral muscle spasm and significant asymmetry of the thoracolumbar region. Neurological examination and laboratory tests were normal. X-ray showed arcuate thoracolumbar scoliosis (cobb angle: 24°) with a leftward convexity. Electrical stimulation was applied to the convex and concave sides for 30 minutes, five times a week for four weeks and an exercise program was performed under the supervision of a therapist. The stimulation amplitude was the maximum stimulation intensity with which the patient was comfortable. Analgesic and myorelaxant drugs were not required, and no brace was used. After the treatment, significant improvements were observed in the patient's posture and radiography (cobb angle: 10°). This work demonstrates that well-planned physical therapy is a rapid and effective option for treating AIS.

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Exercises reduce the progression rate of adolescent idiopathic scoliosis: Results of a comprehensive systematic review of the literature

Cited by 124 publications

References 16 publications

Efficacy of exercise therapy for the treatment of adolescent idiopathic scoliosis: a review of the literature

Efficacy of exercise therapy for the treatment of adolescent idiopathic scoliosis: a review of the literature

Effects of corrective, therapeutic exercise techniques on adolescent idiopathic scoliosis. A systematic review

To What Extent Can Adolescent Scoliosis Be Improved in Four Weeks?

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