Schroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients

Abstract. Background:. Finding an optimal treatment strategy for adolescent idiopathic scoliosis (AIS) patients remains challenging because of its intrinsic complexity. For mild to moderate scoliosis patients with lower skeletal growth potential (Risser 3–5), most clinicians agree with observation t...

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Autores principales:	Ang Gao, Jun-Yu Li, Rui Shao, Tong-Xuan Wu, Yong-Qiang Wang, Xiao-Guang Liu, Miao Yu, Ning-Ning Wang
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/dbbac02aa5a24031a0fcf57988b7d407
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spelling	oai:doaj.org-article:dbbac02aa5a24031a0fcf57988b7d4072021-11-25T07:57:20ZSchroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients0366-69992542-564110.1097/CM9.0000000000001799https://doaj.org/article/dbbac02aa5a24031a0fcf57988b7d4072021-11-01T00:00:00Zhttp://journals.lww.com/10.1097/CM9.0000000000001799https://doaj.org/toc/0366-6999https://doaj.org/toc/2542-5641Abstract. Background:. Finding an optimal treatment strategy for adolescent idiopathic scoliosis (AIS) patients remains challenging because of its intrinsic complexity. For mild to moderate scoliosis patients with lower skeletal growth potential (Risser 3–5), most clinicians agree with observation treatment; however, the curve progression that occurs during puberty, the adolescent period, and even in adulthood, remains a challenging issue for clinicians. The aim of the study is to investigate the efficacy of Schroth exercise in AIS patients with lower skeletal growth potential (Risser 3–5) and moderate scoliosis (Cobb angle 20°–40°). Methods:. From 2015 to 2017, data of 64 patients diagnosed with AIS in Peking University Third Hospital were reviewed. Forty-three patients underwent Schroth exercise were classified as Schroth group, and 21 patients underwent observation were classified as observation group. Outcomes were measured by health-related quality of life (HRQOL) and radiographic parameters. HRQOL was assessed using the visual analog scale (VAS) scores for back, Scoliosis Research Society-22 (SRS-22) patient questionnaire. Radiographic spinopelvic parameters were obtained from anteroposterior and lateral X-rays. The pre-treatment and post-treatment HRQOL and radiographic parameters were tested to validate Schroth exercise efficacy. The inter-rater reliability of the radiographic parameters was tested using the interclass correlation coefficient (ICC). The paired t test was used to examine HRQOL and radiographic parameters. Clinical relevance between C2-C7 sagittal vertical axis (SVA) and thoracic kyphosis was analyzed using Spearman correlation. Results:. In Schroth group, VAS back score, SRS-22 pain, and SRS-22 self-image domain were significantly improved from pre-treatment 3.0 ± 0.8, 3.6 ± 0.5, and 3.5 ± 0.7 to post-treatment 1.6 ± 0.6 (t = 5.578, P = 0.013), 4.0 ± 0.3 (t = −3.918, P = 0.001), and 3.7 ± 0.4 (t = −6.468, P < 0.001), respectively. No significant improvements of SRS-22 function domain (t = −2.825, P = 0.088) and mental health domain (t = −3.174, P = 0.061) were observed. The mean Cobb angle decreased from 28.9 ± 5.5° to 26.3 ± 5.2° at the final follow-up, despite no statistical significance was observed (t = 1.853, P = 0.102). The mean C2-C7 SVA value decreased from 21.7 ± 8.4 mm to 17.0 ± 8.0 mm (t = −1.224 P = 0.049) and mean T1 tilt decreased from 4.9 ± 4.2 ° to 3.5 ± 3.1° (t = 2.913, P = 0.011). No significant improvement of radiographic parameters and HRQOL were observed in observation group. Conclusions:. For AIS patients with a Risser 3–5 and a Cobb angle 20°–40°, Schroth exercises improved HRQOL and halted curve progression during the follow-up period. Both cervical spine alignment and shoulder balance were also significantly improved after Schroth exercises. We recommend Schroth exercises for patients with AIS.Ang GaoJun-Yu LiRui ShaoTong-Xuan WuYong-Qiang WangXiao-Guang LiuMiao YuNing-Ning WangWolters KluwerarticleMedicineRENChinese Medical Journal, Vol 134, Iss 21, Pp 2589-2596 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Ang Gao Jun-Yu Li Rui Shao Tong-Xuan Wu Yong-Qiang Wang Xiao-Guang Liu Miao Yu Ning-Ning Wang Schroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients
description	Abstract. Background:. Finding an optimal treatment strategy for adolescent idiopathic scoliosis (AIS) patients remains challenging because of its intrinsic complexity. For mild to moderate scoliosis patients with lower skeletal growth potential (Risser 3–5), most clinicians agree with observation treatment; however, the curve progression that occurs during puberty, the adolescent period, and even in adulthood, remains a challenging issue for clinicians. The aim of the study is to investigate the efficacy of Schroth exercise in AIS patients with lower skeletal growth potential (Risser 3–5) and moderate scoliosis (Cobb angle 20°–40°). Methods:. From 2015 to 2017, data of 64 patients diagnosed with AIS in Peking University Third Hospital were reviewed. Forty-three patients underwent Schroth exercise were classified as Schroth group, and 21 patients underwent observation were classified as observation group. Outcomes were measured by health-related quality of life (HRQOL) and radiographic parameters. HRQOL was assessed using the visual analog scale (VAS) scores for back, Scoliosis Research Society-22 (SRS-22) patient questionnaire. Radiographic spinopelvic parameters were obtained from anteroposterior and lateral X-rays. The pre-treatment and post-treatment HRQOL and radiographic parameters were tested to validate Schroth exercise efficacy. The inter-rater reliability of the radiographic parameters was tested using the interclass correlation coefficient (ICC). The paired t test was used to examine HRQOL and radiographic parameters. Clinical relevance between C2-C7 sagittal vertical axis (SVA) and thoracic kyphosis was analyzed using Spearman correlation. Results:. In Schroth group, VAS back score, SRS-22 pain, and SRS-22 self-image domain were significantly improved from pre-treatment 3.0 ± 0.8, 3.6 ± 0.5, and 3.5 ± 0.7 to post-treatment 1.6 ± 0.6 (t = 5.578, P = 0.013), 4.0 ± 0.3 (t = −3.918, P = 0.001), and 3.7 ± 0.4 (t = −6.468, P < 0.001), respectively. No significant improvements of SRS-22 function domain (t = −2.825, P = 0.088) and mental health domain (t = −3.174, P = 0.061) were observed. The mean Cobb angle decreased from 28.9 ± 5.5° to 26.3 ± 5.2° at the final follow-up, despite no statistical significance was observed (t = 1.853, P = 0.102). The mean C2-C7 SVA value decreased from 21.7 ± 8.4 mm to 17.0 ± 8.0 mm (t = −1.224 P = 0.049) and mean T1 tilt decreased from 4.9 ± 4.2 ° to 3.5 ± 3.1° (t = 2.913, P = 0.011). No significant improvement of radiographic parameters and HRQOL were observed in observation group. Conclusions:. For AIS patients with a Risser 3–5 and a Cobb angle 20°–40°, Schroth exercises improved HRQOL and halted curve progression during the follow-up period. Both cervical spine alignment and shoulder balance were also significantly improved after Schroth exercises. We recommend Schroth exercises for patients with AIS.
format	article
author	Ang Gao Jun-Yu Li Rui Shao Tong-Xuan Wu Yong-Qiang Wang Xiao-Guang Liu Miao Yu Ning-Ning Wang
author_facet	Ang Gao Jun-Yu Li Rui Shao Tong-Xuan Wu Yong-Qiang Wang Xiao-Guang Liu Miao Yu Ning-Ning Wang
author_sort	Ang Gao
title	Schroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients
title_short	Schroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients
title_full	Schroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients
title_fullStr	Schroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients
title_full_unstemmed	Schroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients
title_sort	schroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/dbbac02aa5a24031a0fcf57988b7d407
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Schroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients

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