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Could the Clinical Effectiveness Be Improved Under the Integration of Orthotic Intervention and Scoliosis-Specific Exercise in Managing Adolescent Idiopathic Scoliosis?

A Randomized Controlled Trial Study

Gao, Chengfei MD, PhD; Zheng, Yu MD, PhD; Fan, Chunjiang MA; Yang, Yan MA, MPhil; He, Chengqi MD; Wong, Mansang PhD

American Journal of Physical Medicine & Rehabilitation: August 2019 - Volume 98 - Issue 8 - p 642–648
doi: 10.1097/PHM.0000000000001160
Original Research Articles
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Objective The aim of the study was to compare the effectiveness of the integration of orthotic intervention and scoliosis-specific exercise with orthotic intervention only via assessing the spinal deformity, back muscle endurance, and pulmonary function of the patients with adolescent idiopathic scoliosis.

Design It is a prospective randomized controlled study. Patients who fulfilled the SRS criteria for orthotic intervention were randomly assigned to the orthosis combined with exercise group (combined orthotic and exercise intervention) or the orthotic intervention group (orthotic intervention only). All the subjects were prescribed with a rigid thoracolumbosacral orthosis and scoliosis-specific exercise program was provided to the subjects in the orthosis combined with exercise group. Cobb angle, back muscle endurance, and pulmonary function of subjects were measured at baseline, 1-mo, and 6-mo follow-up visits.

Results After 6 mos of intervention, the subjects in the orthosis combined with exercise group showed better Cobb angle correction than those in the orthotic intervention group. The back muscle endurance and pulmonary function decreased in the subjects of the orthotic intervention group, whereas some improvement happened in the subjects of the orthosis combined with exercise group. Between-group statistical significance was detected at the 6-mo follow-up among back muscle endurance time and parameters of pulmonary function.

Conclusions In this study, orthotic intervention combined with scoliosis-specific exercise offered better Cobb angle correction and improvement of the respiratory parameters and back muscle endurance of the patients with adolescent idiopathic scoliosis as compared with orthotic intervention only.

From the Center of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China (CG, CH); Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China (CG, MW); Institute for Disaster Management and Reconstruction, Sichuan University-The Hong Kong Polytechnic University, Chengdu, Sichuan Province, China (CG, CH, MW); Department of Rehabilitation Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China (YZ); and Department of Rehabilitation Medicine, Wuxi Rehabilitation Hospital, Wuxi, Jiangsu Province, China (CG, YZ, CF, YY, MW).

All correspondence should be addressed to: Chengqi He, MD, Center of Rehabilitation Medicine, West China Hospital, Sichuan University, No. 37, Guo Xue Xiang, Chengdu, 610041, China; Mansang Wong, PhD, Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, 999077, China.

CG and YZ contributed equally to this work.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.ajpmr.com).

Online date: , 2019

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