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
- 2.9k Downloads
To evaluate the effect of a programme of active self-correction and task-oriented exercises on spinal deformities and health-related quality of life (HRQL) in patients with mild adolescent idiopathic scoliosis (AIS) (Cobb angle <25°).
This was a parallel-group, randomised, superiority-controlled study in which 110 patients were randomly assigned to a rehabilitation programme consisting of active self-correction, task-oriented spinal exercises and education (experimental group, 55 subjects) or traditional spinal exercises (control group, 55 subjects). Before treatment, at the end of treatment (analysis at skeletal maturity), and 12 months later (follow-up), all of the patients underwent radiological deformity (Cobb angle), surface deformity (angle of trunk rotation) and HRQL evaluations (SRS-22 questionnaire). A linear mixed model for repeated measures was used for each outcome measure.
There were main effects of time (p < 0.001), group (p < 0.001) and time by group interaction (p < 0.001) on radiological deformity: training in the experimental group led to a significant improvement (decrease in Cobb angle of >5°), whereas the control group remained stable. Analysis of all of the secondary outcome measures revealed significant effects of time, group and time by group interaction in favour of the experimental group.
The programme of active self-correction and task-oriented exercises was superior to traditional exercises in reducing spinal deformities and enhancing the HRQL in patients with mild AIS. The effects lasted for at least 1 year after the intervention ended.
KeywordsAdolescent idiopathic scoliosis Rehabilitation Self-correction Task-oriented exercises Education
The authors would like to thank Kevin Smart for his help in preparing the English version of this paper.
Conflict of interest
- 15.Durmala J, Dobosiewicz K, Kotwicki T, Jendrzejek H (2003) Influence of asymmetric mobilisation of the trunk on the Cobb angle and rotation in idiopathic scoliosis in children and adolescents. Ortop Traumatol Rehab 5(1):80–85Google Scholar
- 18.Wan L, G-x Wang, Bian R (2005) Exercise therapy in treatment of essential S-shaped scoliosis: evaluation of Cobb angle in breast and lumbar segment through a follow-up of half a year. Zhongguo Linchuang Kangfu 9:82–84Google Scholar
- 24.Matthews JNS (2006) Methods of allocation. In: Introduction to randomized controlled clinical trials, 2nd edn. Chapman and Hall/CRC, New York, pp 43–64Google Scholar
- 32.Monticone M, Baiardi P, Calabrò D, Calabrò F, Foti C (2010) Development of the Italian version of the revised Scoliosis Research Society-22 Patient Questionnaire, SRS-22r-I. Cross-cultural adaptation, factor analysis, reliability and validity. Spine (Phila Pa 1976) 35(24):E1412–E1417CrossRefGoogle Scholar
- 36.Burton AK, Balagué F, Cardon G, Eriksen HR, Henrotin Y, Lahad A, Leclerc A, Müller G, van der Beek AJ, COST B13 Working Group on Guidelines for Prevention in Low Back Pain (2006) Chapter 2. European guidelines for prevention in low back pain: November 2004. Eur Spine J 15(2):S136–S168PubMedCentralPubMedCrossRefGoogle Scholar