Document Detail


Efficacy of exercise therapy for the treatment of adolescent idiopathic scoliosis: a review of the literature.
MedLine Citation:
PMID:  22065168     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Current evidence regarding the use of exercise therapy in the treatment of adolescent idiopathic scoliosis (AIS) was assessed with a review of published literature.
METHODS: An extensive literature search was carried out with commonly used medical databases. A total of 155 papers were identified out of which only 12 papers were deemed to be relevant.
RESULTS: There were nine prospective cohort studies, two retrospective studies and one case series. All studies endorsed the role of exercise therapy in AIS but several shortcomings were identified--lack of clarity of patient recruitment and in the method of assessment of curve magnitude, poor record of compliance, and lack of outcome scores. Many studies reported "significant" changes in the Cobb angle after treatment, which were actually of small magnitude and did not take into account the reported inter or intra-observer error rate. All studies had poor statistical analysis and did not report whether the small improvements noted were maintained in the long term.
CONCLUSIONS: This unbiased literature review has revealed poor quality evidence supporting the use of exercise therapy in the treatment of AIS. Well-designed randomised controlled studies are required to assess the role of exercise therapy in AIS.
Authors:
Simon C Mordecai; Harshad V Dabke
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Review     Date:  2011-11-08
Journal Detail:
Title:  European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society     Volume:  21     ISSN:  1432-0932     ISO Abbreviation:  Eur Spine J     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-03-08     Completed Date:  2012-11-19     Revised Date:  2013-07-29    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  382-9     Citation Subset:  IM    
Affiliation:
Department of Trauma and Orthopaedics, Salisbury NHS Foundation Trust, Salisbury District Hospital, Salisbury, Wiltshire, SP2 8BJ, UK. Simon_mordecai@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Clinical Trials as Topic / methods*,  standards,  trends*
Evidence-Based Medicine / methods
Exercise Therapy / methods*,  statistics & numerical data,  trends*
Humans
Scoliosis / therapy*
Comments/Corrections
Comment In:
Eur Spine J. 2013 Jun;22(6):1438-9   [PMID:  23503896 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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