Spine Academy Physical Therapy, PLLC; Lexington, MA USA.
The University of Tennessee at Chattanooga, TN, USA.
Stud Health Technol Inform. 2021 Jun 28;280:199-203. doi: 10.3233/SHTI210467.
There is a paucity of research focusing on adults with scoliosis, yet many of these individuals suffer from pain and disability. Recent literature has demonstrated that for this patient population general physical therapy is no better than other non-operative treatment options.[1-3] This study assessed the perceptions of the effectiveness of Physiotherapeutic Scoliosis Specific Exercises (PSSE) on adult scoliosis. The purpose of this study is to present the results of a retrospective analysis of how adults with scoliosis perceive that physical therapy utilizing PSSE has impacted their quality of life (QoL), function, and pain. A 10 question survey was sent via a secure server (Qualtrics) to all PSSE participating patients ≥ 18 years old from one PSSE specialty clinic from the beginning of the PSSE program, 7 years. Survey responses were anonymous, collected by someone other than the primary investigator, and statistics were calculated with SPSS 24 (IBM Corp., Armonk, NY). Results: Fifty-seven adults (88.9% female) responded to the survey (55% response rate) with 67.2% being over the age of 55 years. The majority (61.9%) felt that PT had moderately or significantly positively impacted their QoL. The most common number of PT visits ranged from 5-10, after which 71.9% of participants were either somewhat or very confident in their ability to perform their PSSE program unsupervised at home. The most common frequency of home exercise program (HEP) performance was 1-2 times per week (46.0%) for a duration of 5-40 minutes. Quantitative analysis of exercise adherence using a Spearman's rho (rs) revealed positive associations between confidence in correctly performing the HEP with the perceived positive impact of the exercises (rs = .45, p < .001), the greater frequency of performing the HEP (rs = .30, p = .024) and greater time performing the HEP (rs = .33, p = .004). This retrospective analysis showed that 61.9% of adults with scoliosis felt that PT utilizing PSSE had moderately or significantly positively impacted their QoL. Adherence to a HEP is critical to the success of the program. Greater confidence in correctly performing the HEP was positively correlated with perceived impact, frequency and time spent exercising. The sample was limited to adults from one clinic that specializes in scoliosis and may not be generalizable to other clinics.
成人脊柱侧弯研究较少，但许多患者存在疼痛和残疾。近期文献表明，对于该患者群体，一般物理治疗并不优于其他非手术治疗选择。[1-3]本研究评估了物理治疗脊柱侧弯特定运动（Physiotherapeutic Scoliosis Specific Exercises，PSSE）对成人脊柱侧弯的疗效感知。本研究的目的是介绍一项回顾性分析的结果，该分析评估了成人脊柱侧弯患者对物理治疗使用 PSSE 如何影响其生活质量（Quality of Life，QoL）、功能和疼痛的感知。从一家 PSSE 专业诊所的 PSSE 计划开始的 7 年内，通过安全服务器（Qualtrics）向所有年龄≥18 岁的 PSSE 参与患者发送了 10 个问题的调查。调查结果匿名，由主调查员以外的人收集，统计数据使用 SPSS 24（IBM 公司，纽约州阿蒙克）计算。结果：共有 57 名成年人（88.9%为女性）对调查做出了回应（55%的回应率），其中 67.2%的年龄超过 55 岁。大多数（61.9%）人认为 PT 适度或显著积极地影响了他们的 QoL。接受 PT 治疗的最常见次数为 5-10 次，在此之后，71.9%的参与者对他们在家中无需监督即可独立进行 PSSE 计划的能力表示或多或少地有信心。家庭运动计划（Home Exercise Program，HEP）执行的最常见频率为每周 1-2 次（46.0%），每次持续 5-40 分钟。使用 Spearman's rho（rs）对运动依从性进行定量分析显示，对正确执行 HEP 的信心与对练习的积极影响感知之间存在正相关关系（rs =.45，p <.001），执行 HEP 的频率越高（rs =.30，p =.024）和 HEP 执行的时间越长（rs =.33，p =.004）。本回顾性分析显示，61.9%的脊柱侧弯成年人认为 PT 使用 PSSE 适度或显著积极地影响了他们的 QoL。HEP 的依从性对计划的成功至关重要。对正确执行 HEP 的信心越强，感知的影响、锻炼的频率和时间呈正相关。该样本仅限于一家专门治疗脊柱侧弯的诊所的成年人，可能无法推广到其他诊所。
