Büyükturan Öznur, Kaya Mehmet Hanifi, Alkan Halil, Büyükturan Buket, Erbahçeci Fatih
Kırşehir Ahi Evran University, School of Physical Therapy and Rehabilitation, Kırşehir, Turkiye.
Kırşehir Ahi Evran University, Faculty of Medicine, Kırşehir, Turkiye.
Musculoskelet Sci Pract. 2024 Aug;72:102952. doi: 10.1016/j.msksp.2024.102952. Epub 2024 Apr 12.
Adolescent idiopathic scoliosis (AIS) is the most common vertebral disorder in adolescence.
The purpose of this study was to compare the effectiveness of Schroth and Lyon exercise methods on Cobb angle (CA), angle of trunk rotation (ATR), quality of life (QoL), and perceived trunk appearance in patients with AIS.
The 31 participants diagnosed (diagnosis age = 12.2 ± 0.9) with AIS by a physician following the Lenke criteria and subsequently referred to the outpatient clinic were enrolled in the study. All participants were randomly assigned between the Schroth group (SG) and Lyon group (LG) for 6 months of supervised and home treatment. The participants' CA, ATR, Scoliosis Research Society-22 (SRS-22), and Walter-Reed Visual Assessment Scale (WRVAS) were assessed as a baseline, and again following the treatment by the same researcher who remained blinded to the study.
In 2-way mixed-design repeated-measures ANOVA analysis, when the change in time was analyzed between the groups (Group × Time [interaction]), a statistical difference was found more significant in SG for the CA-thoracic (F = 103.1, p < .01, 95% CI = 4.1; 2.0 to 6.2), CA-lumbar (F = 19.1, p < .01, 95% CI = 1.7; 1.0 to 2.4), ATR (F = 64.1, p < .01, 95% CI = 1.7; 1.2 to 2.3), and WRVAS (F = 169.5, p < .01, 95% CI = 6.5; 3.2 to 9.9) parameters. The LG was only more significantly improved in the SRS-22 total score (F = 15.7, p < .01, 95% CI = -0.9; -0.2 to -1.6).
In the study, The Schroth exercises gave more favorable results than Lyon exercises in terms of CA-T, CA-L, ATR and WRVAS in the conservative treatment of AIS, while Lyon exercises gave more favorable results in terms of QoL. Additionally, according to the results of this study, it was found that the QoL of participants in SG decreased after treatment compared to baseline.
青少年特发性脊柱侧凸（AIS）是青少年中最常见的脊柱疾病。
本研究旨在比较施罗斯（Schroth）和里昂（Lyon）运动方法对AIS患者的 Cobb 角（CA）、躯干旋转角度（ATR）、生活质量（QoL）和躯干外观感知的效果。
31名经医生按照Lenke标准诊断（诊断年龄 = 12.2 ± 0.9）为AIS并随后转诊至门诊的参与者被纳入研究。所有参与者被随机分配到施罗斯组（SG）和里昂组（LG），接受为期6个月的监督治疗和家庭治疗。在基线时以及由对研究不知情的同一名研究人员在治疗后再次评估参与者的CA、ATR、脊柱侧凸研究学会22项问卷（SRS - 22）和沃尔特 - 里德视觉评估量表（WRVAS）。
在双因素混合设计重复测量方差分析中，当分析组间时间变化（组×时间[交互作用]）时，发现SG组在胸段CA（F = 103.1，p <.01，95%CI = 4.1；2.0至6.2）、腰段CA（F = 19.1，p <.01，95%CI = 1.7；1.0至2.4）、ATR（F = 64.1，p <.01，95%CI = 1.7；1.2至2.3）和WRVAS（F = 169.5，p <.01，95%CI = 6.5；3.2至9.9）参数方面的差异更显著。LG组仅在SRS - 22总分方面改善更显著（F = 15.7，p <.01，95%CI = -0.9；- \alpha ± \beta至-1.6）。
在本研究中，在AIS的保守治疗中，就胸段CA、腰段CA、ATR和WRVAS而言，施罗斯运动比里昂运动产生更有利的结果，而里昂运动在生活质量方面产生更有利的结果。此外，根据本研究结果，发现SG组参与者治疗后的生活质量与基线相比有所下降。
