Khaledi Arash, Minoonejad Hooman, Daneshmandi Hassan, Akoochakian Mahdieh, Gheitasi Mehdi
Department of Sports Injury and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran.
Department of Sport Injuries and Corrective Exercises, Faculty of Physical Education and Sport Sciences, University of Guilan, Rasht, Iran.
Med J Islam Repub Iran. 2024 Aug 6;38:90. doi: 10.47176/mjiri.38.90. eCollection 2024.
Millions of people worldwide suffer from back pain and muscle weakness due to adolescent idiopathic scoliosis (AIS). It has been found that Schroth exercises (SE) are the most effective treatment for AIS. However, it is still not clear how combining SE with asymmetric spinal stabilization exercises (ASSE) can impact back pain and trunk extensor muscle endurance (TE). This study aims to compare the effects of SE with and without ASSE on back pain and TE in AIS.
A randomized controlled trial was conducted with 40 boys aged 10 to 18 years who had AIS. They were divided into three groups: SE+ASSE (n = 15), SE only (n = 15), and a waitlist control (n = 10). The participants underwent exercise training for 50-70 minutes three times a week for up to 12 weeks. The study evaluated two variables, namely, back pain (measured with a Visual Analog Scale or VAS) and TE (measured with the Biering-Sorensen test), before and after the interventions. For statistical analysis, a post-hoc Bonferroni test following analysis of covariance (ANCOVA) was used at α = 0.05.
According to a study, patients who underwent a combination of SE and ASSE experienced a significant reduction in back pain (VAS score = 2.9±0.8 to 0.1±0.4) as compared to those who only underwent SE (VAS = 2.7±0.9 to 1.5±1.2) and the control group. No significant difference was found between the SE group and the control group in terms of back pain reduction. Furthermore, there was no significant difference in TE among the three groups. However, the combined exercises showed a numerical improvement (75.6±52.5 sec to 119.2±62.6 sec) compared to the other groups ( = 0.311).
The combination of SE and ASSE is more effective in reducing back pain in AIS than SE alone or control. Although there was no significant difference between the three groups in terms of improving the TE, the SE and ASSE groups showed better results numerically.
全球数百万人因青少年特发性脊柱侧凸（AIS）而遭受背痛和肌肉无力之苦。研究发现，施罗斯疗法（SE）是治疗AIS最有效的方法。然而，SE与不对称脊柱稳定训练（ASSE）相结合如何影响背痛和躯干伸肌耐力（TE）仍不清楚。本研究旨在比较有ASSE和无ASSE的SE对AIS患者背痛和TE的影响。
对40名年龄在10至18岁的AIS男孩进行了一项随机对照试验。他们被分为三组：SE+ASSE组（n = 15）、单纯SE组（n = 15）和候补对照组（n = 10）。参与者每周进行三次50 - 70分钟的运动训练，持续12周。该研究在干预前后评估了两个变量，即背痛（用视觉模拟量表或VAS测量）和TE（用比林 - 索伦森试验测量）。为进行统计分析，在α = 0.05时，采用协方差分析（ANCOVA）后的事后邦费罗尼检验。
根据一项研究，与仅接受SE的患者（VAS = 2.7±0.9至1.5±1.2）和对照组相比，接受SE和ASSE联合治疗的患者背痛显著减轻（VAS评分从2.9±0.8降至0.1±0.4）。在背痛减轻方面，SE组和对照组之间未发现显著差异。此外，三组之间的TE没有显著差异。然而，与其他组相比，联合训练显示出数值上的改善（从75.6±52.5秒提高到119.2±62.6秒）（P = 0.311）。
SE和ASSE联合使用在减轻AIS患者的背痛方面比单独使用SE或对照组更有效。尽管三组在改善TE方面没有显著差异，但SE和ASSE组在数值上显示出更好的结果。
