Department of Physiotherapy, Faculty of Health Sciences, International Hellenic University, Alexander Campus, Sindos, 57400 Thessaloniki, Greece.
Laboratory of Biomechanics & Ergonomics, Department of Physiotherapy, Faculty of Health Sciences, International Hellenic University, Alexander Campus, Sindos, 57400 Thessaloniki, Greece.
Medicina (Kaunas). 2024 Oct 7;60(10):1637. doi: 10.3390/medicina60101637.
: Adolescent Idiopathic Scoliosis (AIS) affects individuals aged 10-18 years and is characterized by spinal deformity, three-dimensional axis deformation, and vertebral rotation. Schroth method exercises and braces have been shown to reduce the Cobb angle and halt spinal deformity progression. The aim of this study was to investigate the impact of a 12-month, supervised Schroth exercise program on scoliosis severity and quality of life in adolescents with AIS. : Eighty adolescents with AIS (aged 10-17 years) were prescribed a brace and were divided into two groups. The intervention group followed a supervised Schroth exercise program three times a week for 12 months in addition to wearing a brace. The control group used only the brace. Outcomes included the Cobb angle of the main curvature and the sum of curves using radiography, the maximum angle of trunk rotation (ATR maximum, using a scoliometer), and quality of life with the Scoliosis Research Society-22 (SRS-22) questionnaire. Evaluations were conducted at baseline, after 12 months, and 6 months post-intervention. A multivariate analysis of covariance (MANCOVA) was used for statistical analysis (-Value < 0.05). : The intervention group showed statistically significant improvement compared to the control group in the 12th month in Cobb angle (mean differences, 95% CI: -3.65 (-5.81, -1.53), -Value < 0.001, Cohen's d = 0.30), ATR maximum (mean differences, 95% CI: -3.05 (-3.86, -2.23), -Value < 0.001, Cohen's d = 0.74), and SRS-22 score (mean differences, 95% CI: 0.87 (0.60, 1.13), -Value < 0.001, Cohen's d = 0.58). Differences in ATR maximum and SRS-22 score remained significant at the 18-month measurement. No significant differences were found between groups in the sum of curves (-Value > 0.05). : A 12-month supervised Schroth exercise program in AIS patients undergoing brace treatment significantly improves scoliosis severity (Cobb angle and ATR maximum) and quality of life. Improvements were greater than those in shorter-duration studies, suggesting a linear dose-response relationship. Further clinical studies are needed to clarify the impact of long-term Schroth programs.
青少年特发性脊柱侧凸（AIS）影响 10-18 岁的个体，其特征为脊柱畸形、三维轴变形和椎体旋转。施罗斯疗法锻炼和支具已被证明可以减少 Cobb 角并阻止脊柱畸形进展。本研究旨在探讨为期 12 个月的监督施罗斯运动方案对 AIS 青少年脊柱侧凸严重程度和生活质量的影响。
80 名 AIS 青少年（年龄 10-17 岁）被开具支具，并分为两组。干预组在佩戴支具的基础上，每周进行三次监督施罗斯运动方案，为期 12 个月。对照组仅使用支具。结果包括主曲率的 Cobb 角和曲线总和（X 线片）、躯干旋转的最大角度（ATR 最大值，使用脊柱侧凸研究协会-22 问卷）和生活质量。评估在基线、12 个月后和干预后 6 个月进行。使用多元协方差分析（MANCOVA）进行统计分析（-值<0.05）。
与对照组相比，干预组在第 12 个月时 Cobb 角（平均差异，95%CI：-3.65（-5.81，-1.53），-值<0.001，Cohen's d = 0.30）、ATR 最大值（平均差异，95%CI：-3.05（-3.86，-2.23），-值<0.001，Cohen's d = 0.74）和 SRS-22 评分（平均差异，95%CI：0.87（0.60，1.13），-值<0.001，Cohen's d = 0.58）均有统计学意义。ATR 最大值和 SRS-22 评分的差异在 18 个月测量时仍然显著。两组间曲线总和无显著差异（-值>0.05）。
AIS 患者在接受支具治疗的同时进行为期 12 个月的监督施罗斯运动方案可显著改善脊柱侧凸严重程度（Cobb 角和 ATR 最大值）和生活质量。改善程度大于短期研究，表明存在线性剂量反应关系。需要进一步的临床研究来阐明长期施罗斯方案的影响。
