From the Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran (ZH, MK, TB); Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran (AA); and Department of Orthopaedic Surgery, Shafa Yahyaiian Hospital, Iran University of Medical Sciences, Tehran, Iran (MSG).
Am J Phys Med Rehabil. 2018 Feb;97(2):104-109. doi: 10.1097/PHM.0000000000000812.
The aim of the study was to evaluate the effect of group exercise with brace adjustment at shorter intervals than used in routine practice in late-onset idiopathic scoliosis patients.
This was a quasi-experimental study. Thirty patients with progressive scoliosis curves of 15-50 degrees and a prescription for a brace were divided into experimental and control groups, both of which participated in an 11-wk treatment program. Those in the experimental group underwent brace adjustment twice per week and performed group exercise, whereas those in the control group received a routine protocol. The quality of life and Cobb angle of patients in both groups were evaluated based on baseline and final results of the 22-item Scoliosis Research Society questionnaire and primary and secondary radiographs.
In the experimental group, the improvement in Cobb angle and patient satisfaction was greater than that in the control group (P < 0.05). Moreover, in patients with Cobb angles of less than 30 degrees, the self-image and satisfaction domains and the total scores of patients in the experimental group were significantly different from those in the control group at the final assessment (P < 0.05).
Brace adjustment at shorter intervals combined with group exercise increases patient satisfaction and reduces scoliosis Cobb angles.
本研究旨在评估与常规实践相比，更短时间间隔的支具调整联合团体运动对迟发性特发性脊柱侧凸患者的影响。
这是一项准实验研究。30 名脊柱侧凸曲线进展至 15-50 度且需要支具治疗的患者被分为实验组和对照组，两组均参加为期 11 周的治疗计划。实验组每周接受两次支具调整和团体运动，而对照组则接受常规方案。两组患者的生活质量和 Cobb 角均基于 22 项脊柱侧凸研究协会问卷的基线和最终结果以及主要和次要影像学结果进行评估。
在实验组中，Cobb 角的改善和患者满意度均大于对照组（P < 0.05）。此外，在 Cobb 角小于 30 度的患者中，实验组的自我形象和满意度以及总分在最终评估时与对照组存在显著差异（P < 0.05）。
更短时间间隔的支具调整联合团体运动可提高患者满意度并降低脊柱侧凸 Cobb 角。
