Lenssinck Marie-Louise B, Frijlink Astrid C, Berger Marjolein Y, Bierman-Zeinstra Sita M A, Verkerk Karin, Verhagen Adrianne P
Department of General Practice, Erasmus Medical Centre Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands.
Phys Ther. 2005 Dec;85(12):1329-39.
Many conservative treatments are available for adolescents with idiopathic scoliosis, but the evidence for their accepted use is still unclear. The purpose of this study was to evaluate the effectiveness of braces and other conservative treatments of idiopathic scoliosis in adolescents by systematically reviewing the literature.
The literature was searched in the PubMed, CINAHL, Cochrane, and PEDro databases. Studies were selected if the design was a randomized clinical trial or a controlled clinical trial, if all patients had an idiopathic scoliosis, if all patients were less than 18 years of age during the intervention, and if the type of intervention was a conservative one. Two reviewers independently assessed the methodological quality using the Delphi list and performed data extraction. Analysis was based on the levels of evidence.
Thirteen studies met the final inclusion criteria, showing a wide range of interventions such as bracing, electrical surface stimulation, and exercises.
The authors conclude that the effectiveness of bracing and exercises is not yet established, but might be promising. They found no evidence of the effectiveness of electrical stimulation.
对于患有特发性脊柱侧凸的青少年，有多种保守治疗方法，但这些方法被广泛应用的证据仍不明确。本研究的目的是通过系统回顾文献，评估支具及其他保守治疗方法对青少年特发性脊柱侧凸的疗效。
在PubMed、CINAHL、Cochrane和PEDro数据库中检索文献。入选的研究需满足以下条件：设计为随机临床试验或对照临床试验；所有患者均患有特发性脊柱侧凸；在干预期间所有患者年龄均小于18岁；干预类型为保守治疗。两名研究者使用德尔菲列表独立评估方法学质量并进行数据提取。分析基于证据水平。
13项研究符合最终纳入标准，显示出多种干预措施，如支具治疗、体表电刺激和运动锻炼。
作者得出结论，支具治疗和运动锻炼的疗效尚未确立，但可能具有前景。他们未发现电刺激有效的证据。
