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Slide1
Exercises for Adolescent Idiopathic Scoliosis
Romano et al (2012)
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Slide2Exercise for Adolescent Idiopathic Scoliosis
Romano et al (2012)Overview of the study
Objectives To evaluate the efficacy of scoliosis-specific exercises (SSE) for adolescent idiopathic scoliosis (AIS)Methods Evidence current up to 30 March 2011 Population: AIS patients with a Cobb angle of
at least 10°
between
the age of
10 and the end of bone growth* Interventions: all types of SSEs excluding sports, active recreational activities and generalized physiotherapy Outcomes:Primary: Progression of scoliosis, cosmetic issues, quality of life, disability, back pain, psychological effects Secondary: Adverse effects
*
In female adolescents the end of bone growth usually occurs between 15 and 17; in male adolescents, it usually occurs between 16 and 19
Slide32 trials (154 participants)
Results & Conclusions
Interventions
Evidence
Quality
of evidence
Exercise as an adjunct to other conservative treatments
Increases the efficacy of these treatments
Low
SSEs structured within an exercise programme
Can reduce brace prescription, compared to physiotherapy
Very low
Adverse events: were not measured in the studies in this review
There is low to very low quality evidence that SSEs added to other treatments may be more effective than electrical stimulation, traction and posture training to avoid curve progression, but better quality research is needed
Exercise for Adolescent Idiopathic Scoliosis
Romano
et al
(2012)