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Physical exercises in the treatment of adolescent idiopathic scoliosis

FUSCO J DE; ZAINA F; ATANASIO S; ROMANO M; NEGRINI S; NEGRINI S
PHYSIOTHER THEORY PRACT , 2011, vol. 27, n° 1, p. 80-114
Doc n°: 149840
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09593985.2010.533342
Descripteurs : CB222 - SCOLIOSE IDIOPATHIQUE

Two years ago we published an update of another of our previous systematic
reviews about the effectiveness of physical exercises (PEs),
and we found that
the evidence on exercises for AIS was of level 1b. Now we have updated these
results in the field of exercises for AIS with the final aim to find the
strongest evidence as possible about PEs. Our goal was to verify if treatment
with specific exercises for AIS has changed in these years.
The study design was
a systematic review. A bibliographic search with strict inclusion criteria
(patients treated exclusively with exercises, outcome Cobb degrees, all study
designs) has been performed on the main electronic databases. We found a new
paper about active autocorrection (Negrini et al, 2008 b), a prospective
controlled cohort observational study on patients never treated before so the
number of manuscripts considered in the systematic review was 20. The highest
quality study (RCT) compared 2 groups of 40 patients, showing an improvement of
the curve in all treated patients after 6 months. All studies confirmed the
efficacy of exercises in reducing the progression rate (mainly in early puberty)
and/or improving the Cobb angles (around the end of growth). Exercises were also
shown to be effective in reducing brace prescription.
Appendices of the popular
exercise protocols that have been used in the research studies that are examined
are included with detailed description and illustrations.
This study (like the
previously published systematic reviews) showed that PEs can improve the Cobb
angles of individuals with AIS and can improve strength, mobility, and balance.
The level of evidence remains 1b according to the Oxford Centre for
Evidence-based Medicine, as previously documented.

Langue : ANGLAIS

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