The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: A single-blind, randomized-controlled trial

Abstract

Objectives The purpose of this study was to compare the efficacy of two different types of exercise methods in patients with adolescent idiopathic scoliosis. Methods In total, 28 subjects with adolescent idiopathic scoliosis with a mild curve magnitude (10°–26°) were randomly divided into two groups: the Schroth group (n = 14) and the core group (n = 14). The patients in the Schroth group were treated with supervised Schroth exercises, and the patients in the core group were treated with supervised core stabilization exercises; both groups performed the exercises for three days per week for a total of 10 weeks, and both were given additional traditional exercises to perform. Assessment included Cobb angle (Radiography), trunk rotation (Adam’s test), cosmetic trunk deformity (Walter Reed Visual Assessment Scale), spinal mobility (Spinal Mouse), peripheral muscle strength (Biodex System 4-Pro), and quality of life (Scoliosis Research Society-22 questionnaire). Results It was found that patients in the Schroth group showed greater improvement in Cobb angles, thoracic trunk rotation angle, cosmetic trunk deformity, spinal mobility, and quality of life than those in the core group (p<0.05), except for in lumbar trunk rotation angle. Peripheral muscle strength improvement was greater in the core group than in the Schroth group (p<0.05). Conclusion Schroth exercises are more effective than core stabilization exercises in the correction of scoliosis and related problems in mild adolescent idiopathic scoliosis, and core stabilization exercises are more effective than Schroth exercises in the improvement of peripheral muscle strength. Trial registration NCT04421157

Physiotherapeutic Scoliosis-Specific Exercise Methodologies Used for Conservative Treatment of Adolescent Idiopathic Scoliosis, and Their Effectiveness: An Extended Literature Review of Current Research and Practice

“…An overview of randomized and nonrandomized controlled clinical trials over the past 5 years is presented in Table 2 and Table 3 . Eight publications [ 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ] examined the effectiveness of Schroth, four [ 39 , 45 , 46 , 47 ] examined SEAS, one [ 48 ] examined BSPTS, and one [ 25 ] examined FED using the FITS methodology in the control group. In other studies, observation, traditional physiotherapy, Pilates exercises, core stabilization exercises, or corset wear without physical exercise intervention were used in the control groups.…”

“…Among the most recent controlled clinical trials ( Table 3 ), six recorded a change in ATR [ 37 , 38 , 41 , 43 , 45 , 46 ]. In two trials, in which bracing was used in the control group, no statistically significant changes in ATR were observed [ 41 , 46 ].…”

“…However, the difference between the groups was insignificant. Kocaman and co-authors conducted a short-term (10 week) study on a small sample receiving Schroth intervention ( n = 28) and observed a significant ( p < 0.001) change in ATR in the thoracic scoliosis group, but an insignificant change in the lumbar scoliosis group ( p > 0.05) [ 38 ]. A lumbar muscle stabilization program was used in the control group.…”

Schroth Metodo Veiksmingumas Laikysenos Pokyčiams Sergant Idiopatine Skolioze: Atvejo Analizė

“…Atliekami stuburo kreivių stabilizavimo ir stuburo mobilizacijos, laikysenos ištiesinimo, derotacijos, raumenų jėgos ir ištvermės pratimai [19]. Užsiėmimų metu asmenys mokomi koreguoti laikyseną kasdienėje veikloje, nuolat lavinant raumenų jėgą ir ištvermę [12].…”

Schroth Metodu: Adolesan İdi̇opati̇k Skolyozda Kanita Dayali Uygulamalar

“…Farklı egzersiz metotlarıyla yapılan çalışmalarda Schroth ve pilates egzersizleri karşılaştırıldığında, Schroth egzersizlerinin Cobb açısı, gövde rotasyon açısı, spinal mobilite, yaşam kalitesi ve vücut ağırlık dağılımı üzerinde pilates egzersizlerine göre daha anlamlı sonuç verdiği kaydedilmiştir (20,21).…”