Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bezmialem Vakif University, 34050, Istanbul, Turkey.
Department of Cardiopulmonary Physiotherapy and Rehabilitation, Institute of Health Sciences, Bezmialem Vakif University, Istanbul, Turkey.
Eur J Pediatr. 2024 Feb;183(2):759-767. doi: 10.1007/s00431-023-05340-2. Epub 2023 Nov 23.
This study aimed to investigate the effect of Pilates-based exercise training applied with hybrid telerehabilitation on Cobb angle, respiratory function, respiratory muscle strength, and functional capacity in patients with adolescent idiopathic scoliosis (AIS). This is an evaluator-blinded, randomized, controlled trial. For the study, 32 patients were randomly allocated into two groups: a hybrid telerehabilitation group (training group), provided with modified Pilates-based exercises with synchronous sessions; and a home-based group (control group), doing the same exercises in their home. The Pilates-based exercise program consists of stretching and strengthening exercises combined with postural corrections and breathing exercises modified according to the curve type and localization of the patients, done every day of the week for 12 weeks. Analyses were made based on the comparison between the angle of trunk rotation, Cobb angle, spirometry, maximal inspiratory (MIP) and expiratory pressures (MEP), and incremental shuttle walk tests done at the beginning and end of the study. The training group showed statistically significant improvements in Cobb angle, PEF%, MIP, and MEP values compared with the control group (p < 0.05).
Pilates-based exercises applied with the hybrid telerehabilitation method can improve Cobb angle and respiratory muscle strength in patients with AIS. The hybrid telerehabilitation method can be used as an alternative to home-based programs, especially in locations and times where there may be limited access to supervised training. Also, the nature of the disease that requires long-term follow-up is another factor where hybrid telerehabilitation may be an advantage.
ClinicalTrials.gov ID: NCT05761236.
• Exercise training is one of the main approaches to treating scoliosis.
• Application of exercises via telerehabilitation method may contribute more to the improvement of scoliosis-related parameters than home-based programs. • Telerehabilitation may be a preferable alternative exercise method in scoliosis, considering the advantages of accessibility and long-term follow-up.
本研究旨在探讨应用混合远程康复的普拉提运动训练对青少年特发性脊柱侧凸（AIS）患者的 Cobb 角、呼吸功能、呼吸肌力量和功能能力的影响。这是一项评估者盲法、随机、对照试验。共有 32 名患者被随机分为两组：混合远程康复组（训练组），接受改良的普拉提运动训练，并同步进行课程；家庭组（对照组），在家中进行相同的运动。普拉提运动方案包括拉伸和强化运动，结合姿势矫正和呼吸练习，根据患者的曲线类型和定位进行修改，每周每天进行，共进行 12 周。分析基于研究开始和结束时的躯干旋转角度、Cobb 角、肺活量测定、最大吸气（MIP）和呼气压力（MEP）以及递增穿梭步行测试的比较。与对照组相比，训练组的 Cobb 角、PEF%、MIP 和 MEP 值均有统计学显著改善（p<0.05）。
应用混合远程康复方法的普拉提运动可以改善 AIS 患者的 Cobb 角和呼吸肌力量。混合远程康复方法可以替代家庭计划，尤其是在监督训练可能受限的地点和时间。此外，需要长期随访的疾病性质也是混合远程康复可能具有优势的另一个因素。
ClinicalTrials.gov ID：NCT05761236。
•运动训练是治疗脊柱侧凸的主要方法之一。
•通过远程康复方法应用运动可能比家庭计划更有助于改善与脊柱侧凸相关的参数。•考虑到可及性和长期随访的优势，远程康复可能是脊柱侧凸的一种更可取的替代运动方法。
