Volume 43 Issue 11
Nov.  2022
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LI Fenghua, YANG Junlin, YANG Yunlin, YU Xuexiang, XUAN Xiaoling, LI Xinyue, HUANG Zifang. Efficacy of specific exercise intervention on the children with skeletally immature idiopathic scoliosis[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1737-1739. doi: 10.16835/j.cnki.1000-9817.2022.11.033
Citation: LI Fenghua, YANG Junlin, YANG Yunlin, YU Xuexiang, XUAN Xiaoling, LI Xinyue, HUANG Zifang. Efficacy of specific exercise intervention on the children with skeletally immature idiopathic scoliosis[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1737-1739. doi: 10.16835/j.cnki.1000-9817.2022.11.033

Efficacy of specific exercise intervention on the children with skeletally immature idiopathic scoliosis

doi: 10.16835/j.cnki.1000-9817.2022.11.033
  • Received Date: 2022-04-18
  • Rev Recd Date: 2022-08-30
  • Available Online: 2022-11-30
  • Publish Date: 2022-11-25
  •   Objective  This study aims to evaluate the efficacy of specific exercise therapy for the treatment of skeletally immature idiopathic scoliosis (IS).  Methods  A total of 51 mild IS patients receiving specific exercise therapy in Guangdong Xinmiao Scoliosis Prevention Center from October 2017 to September 2021 were recruited in this study. Treatment outcome were evaluated at 1-year follow-up. All the participants were divided into two groups: open (n=32) and closed triradiate cartilage group (n=19), and outcome of treatment were compared within the two groups.  Results  After (26.5±9.8) months of treatment, the Cobb angle of the major curve was corrected from an average of (15.5±4.2)° to (11.3±6.7)°, with an average correction of (4.5±5.7)°. Among them, 58.9% patients achieved improvement in the major curve Cobb angle, 33.3% achieved stabilization, and 7.8% progressed. There was no significant difference in the major curve Cobb angle between the closed and open triradiate cartilage groups before treatment(t=-0.73, P=0.47), whereas there was a significant difference in the correction of the major curve after treatment(t=-2.73, P < 0.05).  Conclusion  Specific exercise therapy effectively prevents the progression or corrects the scoliosis in patients with skeletally immature idiopathic scoliosis. It's more effective in patients with open triradiate cartilage than in those with closed triradiate cartilage.
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  • [1]
    NEGRINI S, DONZELLI S, AULISA A G, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth[J]. Scoliosis Spinal Disord, 2018, 13: 3. doi: 10.1186/s13013-017-0145-8
    [2]
    WEINSTEIN S L. The natural history of adolescent idiopathic scoliosis[J]. J Pediatr Orthop, 2019, 39: S44-S46. doi: 10.1097/BPO.0000000000001350
    [3]
    DUNN J, HENRIKSON N B, MORRISON C C, et al. Screening for adolescent idiopathic scoliosis: evidence report and systematic review for the US Preventive Services Task Force[J]. JAMA, 2018, 319(2): 173-187. doi: 10.1001/jama.2017.11669
    [4]
    DAY J M, FLETCHER J, COGHLAN M, et al. Review of scoliosis-specific exercise methods used to correct adolescent idiopathic scoliosis[J]. Arch Physiother, 2019, 9: 8. doi: 10.1186/s40945-019-0060-9
    [5]
    BERDISHEVSKY H, LEBEL V A, BETTANY-SALTIKOV J, et al. Physiotherapy scoliosis-specific exercises: a comprehensive review of seven major schools[J]. Scoliosis Spinal Disord, 2016, 11: 20. doi: 10.1186/s13013-016-0076-9
    [6]
    MONTICONE M, AMBROSINI E, CAZZANIGA D, et al. 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[J]. Eur Spine J, 2014, 23: 1204-1214. doi: 10.1007/s00586-014-3241-y
    [7]
    NEGRINI S, ZAINA F, ROMANO M, et al. Specific exercises reduce brace prescription in adolescent idiopathic scoliosis: a prospective controlled cohort study with worst-case analysis[J]. J Rehabil Med, 2008, 40: 451-455. doi: 10.2340/16501977-0195
    [8]
    RYAN P M, PUTTLER E G, STOTLER W M, et al. Role of the triradiate cartilage in predicting curve progression in adolescent idiopathic scoliosis[J]. J Pediatr Orthop, 2007, 27(6): 671-676. doi: 10.1097/BPO.0b013e3181373ba8
    [9]
    SPONSELLER P D, BETZ R, NEWTON P O, et al. Differences in curve behavior after fusion in adolescent idiopathic scoliosis patients with open triradiate cartilages[J]. Spine(Phila Pa 1976), 2009, 34(8): 827-831. doi: 10.1097/BRS.0b013e31819139ef
    [10]
    ZHENG Y P, LEE T T, LAI K K, et al. A reliability and validity study for Scolioscan: a radiation-free scoliosis assessment system using 3D ultrasound imaging[J]. Scoliosis Spinal Disord, 2016, 11: 13. doi: 10.1186/s13013-016-0074-y
    [11]
    FAN H, WANG Q, HUANG Z, et al. Comparison of functional outcome and quality of life in patients with idiopathic scoliosis treated by spinal fusion[J]. Medicine, 2016, 95(19): e3289. doi: 10.1097/MD.0000000000003289
    [12]
    SARWARK J F, DAVIS M M. Evolving recommendations for scoliosis screening: a compelling need for further research[J]. JAMA, 2018, 319: 127-129. doi: 10.1001/jama.2017.20190
    [13]
    ZAPATA K A, SUCATO D J, JO C H. Physical therapy scoliosis-specific exercises may reduce curve progression in mild adolescent idiopathic scoliosis curves[J]. Pediatr Phys Ther, 2019, 31: 280-285. doi: 10.1097/PEP.0000000000000621
    [14]
    BETTANY-SALTIKOV J, PARENT E, ROMANO M, et al. Physiotherapeutic scoliosis-specific exercises for adolescents with idiopathic scoliosis[J]. Eur J Phys Rehabil Med, 2014, 50: 111-121.
    [15]
    MORAMARCO M, MORAMARCO K, FADZAN M. Cobb angle reduction in a nearly skeletally mature adolescent (risser 4) after pattern-specific scoliosis rehabilitation(PSSR)[J]. Open Orthop J, 2017, 11: 1490-1499. doi: 10.2174/1874325001711011490
    [16]
    LIU D, YANG Y, YU X, et al. Effects of specific exercise therapy on adolescent patients with idiopathic scoliosis: a prospective controlled cohort study[J]. Spine (Phila Pa 1976), 2020, 45(15): 1039-1046. doi: 10.1097/BRS.0000000000003451
    [17]
    STOKES I A, BURWELL R G, DANGERFIELD P H. Biomechanical spinal growth modulation and progressive adolescent scoliosis: a test of the "vicious cycle" pathogenetic hypothesis: summary of an electronic focus group debate of the IBSE[J]. Scoliosis, 2006, 1: 16. doi: 10.1186/1748-7161-1-16
    [18]
    LONSTEIN J E, CARLSON J M. The prediction of curve progression in untreated idiopathic scoliosis during growth[J]. J Bone Joint Surg Am, 1984, 66(7): 1061-1071. doi: 10.2106/00004623-198466070-00013
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