Marchese Rosemary, Du Plessis Juan, Pooke Tamara, McAviney Jeb
ScoliCare, Sydney, NSW 2217, Australia.
J Clin Med. 2024 Jan 23;13(3):653. doi: 10.3390/jcm13030653.
The impact of scoliosis bracing combined with physiotherapeutic scoliosis-specific exercises (PSSE) on trunk muscle endurance in adolescents with idiopathic scoliosis is unknown. ScoliBrace, a rigid, three-dimensional, over-corrective thoraco-lumbar-sacral orthosis (TLSO), and ScoliBalance, a PSSE program, were used to treat adolescent idiopathic scoliosis (AIS) patients. A retrospective study of the trunk muscle endurance of 33 AIS patients who received ScoliBrace and ScoliBalance was conducted. The patients were treated with ScoliBrace and an individualized ScoliBalance program. Trunk extensor muscle endurance (TE) and abdominal muscle endurance (AE) tests were performed at initial assessment and then at averages of 6.6 and 24.4 weeks of treatment. The data were analyzed using the Wilcoxon signed-rank test, Stata version 15.1. The participants were aged 13.24 years (SD = 1.64) with a mean Cobb angle of 38.97° (SD = 9.49°). TE improved significantly ( < 0.001) at both short- and medium-term intervals using ScoliBalance and ScoliBrace in the AIS patients. AE also showed significant improvement between baseline and short-term follow-up, with non-significant improvement at medium-term follow-up. Overall, trunk muscle endurance showed improvement in the AIS patients using ScoliBrace and ScoliBalance. Future research is required to determine the individual and combined effects of each treatment. However, it seems likely that trunk muscle endurance will not deteriorate in AIS patients with this combined treatment.
脊柱侧弯支具联合物理治疗性脊柱侧弯特定运动（PSSE）对青少年特发性脊柱侧弯患者躯干肌肉耐力的影响尚不清楚。使用ScoliBrace（一种刚性的、三维的、过度矫正的胸腰骶矫形器（TLSO））和ScoliBalance（一个PSSE项目）来治疗青少年特发性脊柱侧弯（AIS）患者。对33例接受ScoliBrace和ScoliBalance治疗的AIS患者的躯干肌肉耐力进行了回顾性研究。患者接受ScoliBrace和个性化的ScoliBalance项目治疗。在初始评估时以及治疗平均6.6周和24.4周时进行躯干伸肌耐力（TE）和腹肌耐力（AE）测试。使用Stata 15.1版本的Wilcoxon符号秩检验对数据进行分析。参与者年龄为13.24岁（标准差=1.64），平均Cobb角为38.97°（标准差=9.49°）。在AIS患者中，使用ScoliBalance和ScoliBrace在短期和中期间隔时TE均有显著改善（<0.001）。AE在基线和短期随访之间也显示出显著改善，在中期随访时改善不显著。总体而言，使用ScoliBrace和ScoliBalance的AIS患者躯干肌肉耐力有所改善。需要进一步的研究来确定每种治疗的个体和联合效果。然而，这种联合治疗似乎不太可能使AIS患者的躯干肌肉耐力恶化。
