Weiss Hans-Rudolf
Gesundheitsforum Nahetal, Alzeyer Str, 23, D-55457 Gensingen, Germany.
Scoliosis. 2012 Jan 25;7(1):4. doi: 10.1186/1748-7161-7-4.
Studies investigating the outcome of conservative scoliosis treatment differ widely with respect to the inclusion criteria used. This study has been performed to investigate the possibility to find useful inclusion criteria for future prospective studies on physiotherapy (PT).
A PubMed search for outcome papers on PT was performed in order to detect study designs and inclusion criteria used.
Real outcome papers (start of treatment in immature samples/end results after the end of growth; controlled studies in adults with scoliosis with a follow-up of more than 5 years) have not been found. Some papers investigated mid-term effects of exercises, most were retrospective, few prospective and many included patient samples with questionable treatment indications.
There is no outcome paper on PT in scoliosis with a patient sample at risk for being progressive in adults or in adolescents followed from premenarchial status until skeletal maturity. However, papers on bracing are more frequently found and bracing can be regarded as evidence-based in the conservative management and rehabilitation of idiopathic scoliosis in adolescents.
关于保守治疗脊柱侧弯结果的研究，在所采用的纳入标准方面差异很大。本研究旨在探讨为未来物理治疗（PT）前瞻性研究找到有用纳入标准的可能性。
在PubMed上搜索关于PT的结果论文，以检测所采用的研究设计和纳入标准。
未找到实际的结果论文（未成熟样本开始治疗/生长结束后的最终结果；对成年脊柱侧弯患者进行的随访超过5年的对照研究）。一些论文研究了运动的中期效果，大多数是回顾性的，少数是前瞻性的，许多纳入了治疗指征存疑的患者样本。
尚无关于脊柱侧弯PT的结果论文，其患者样本包括从青春期前状态随访至骨骼成熟的、有在成人或青少年中进展风险的患者。然而，关于支具治疗的论文更常见，并且在青少年特发性脊柱侧弯的保守治疗和康复中，支具治疗可被视为基于证据的方法。
