The impact of patient scoliosis-specific exercises for adolescent idiopathic scoliosis: a systematic review and meta-analysis of randomized controlled trials with subgroup analysis using observational studies.

Autor: Baumann AN; Department of Rehabilitation Services, University Hospitals, Cleveland, OH, USA.; College of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA., Orellana K; Department of Orthopedics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA., Oleson CJ; College of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA., Curtis DP; College of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA., Cahill P; Department of Orthopedics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA., Flynn J; Department of Orthopedics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA., Baldwin KD; Department of Orthopedics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA. baldwink@chop.edu.
Jazyk: angličtina
Zdroj: Spine deformity [Spine Deform] 2024 May; Vol. 12 (3), pp. 545-559. Date of Electronic Publication: 2024 Jan 20.
DOI: 10.1007/s43390-023-00810-x
Abstrakt: Purpose: Adolescent idiopathic scoliosis (AIS) is a common pediatric spinal deformity frequently treated with patient scoliosis-specific exercises (PSSE). The purpose of this study is to perform a systematic review and meta-analysis of randomized controlled trials and sensitivity analysis of observational studies to determine the impact of PSSE on outcomes for AIS.
Methods: A systematic review and meta-analysis on impact of PSSE for patients with AIS was performed. Databases used included PubMed, CINAHL, MEDLINE, Cochrane, and ScienceDirect database inception to October 2022. Inclusion criteria included use of PSSE, patient population of AIS, and full text.
Results: A total of 26 articles out of 628 initial retrieved met final inclusion criteria (10 randomized controlled trials (RCTs), 16 observational studies). Total included patients (n = 2083) had a frequency weighted mean age of 13.2 ± 0.9 years and a frequency weighted mean follow-up of 14.5 ± 20.0 months. Based on only data from RCTs with direct comparison groups (n = 7 articles), there was a statistically significant but clinically insignificant improvement in Cobb angle of 2.5 degrees in the PSSE group (n = 152) as compared to the control group (n = 148; p = 0.017). There was no statistically significant improvement in Cobb angle when stratified by small curve (< 30 degrees) or large curve (> 30 degrees) with PSSE (p = 0.140 and p = 0.142, respectively). There was no statistically significant improvement in ATR (p = 0.326) or SRS-22 score (p = 0.370).
Conclusion: PSSE may not provide any clinically significant improvements in Cobb angle, ATR, or SRS-22 scores in patients with AIS. PSSE did not significantly improve Cobb angle when stratified by curve size.
Level of Evidence: Level I.
(© 2024. The Author(s), under exclusive licence to Scoliosis Research Society.)
Databáze: MEDLINE
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