Çetinkaya İrem, Kuru Çolak Tuğba, Korkmaz Mehmet Fatih, Aydoğan Mehmet
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Haliç University, 34060 İstanbul, Turkey.
Institute of Health Sciences, Department of Physiotherapy and Rehabilitation, Marmara University, 34899 İstanbul, Turkey.
Healthcare (Basel). 2025 Aug 20;13(16):2063. doi: 10.3390/healthcare13162063.
: Structured postoperative rehabilitation is not routinely provided for individuals with adolescent idiopathic scoliosis (AIS) after surgery, with physiotherapy typically limited to the immediate inpatient period. Telerehabilitation offers an accessible and supervised option to address persistent functional limitations, pain, and quality-of-life concerns in this population. : This study aimed to evaluate the effects of a synchronous telerehabilitation program-designed to support post-surgical recovery in individuals with adolescent idiopathic scoliosis (AIS)-on trunk muscle endurance, trunk flexibility, functional capacity, pain severity, perception of appearance, and quality of life. : Thirty-two individuals with AIS, who had undergone surgery 6 months to 2 years prior, were randomly assigned to either an intervention group or a control group. The intervention group participated in a supervised telerehabilitation program twice weekly for eight weeks, while the control group received no exercise intervention. All outcome measures were assessed before and after the intervention. : The telerehabilitation group demonstrated significant improvements across all outcome measures compared with the control group ( < 0.05). Post-intervention, the telerehabilitation group had superior trunk muscle endurance, flexibility, and quality-of-life scores, as well as reduced pain intensity ( < 0.05). However, no significant differences were observed between the groups in functional capacity or perception of appearance ( > 0.05). : A supervised telerehabilitation program initiated six months after surgery can effectively improve trunk muscle endurance, flexibility, pain intensity, and quality of life in individuals with AIS. These findings emphasize the value of structured post-surgical rehabilitation and raise awareness of the potential benefits of remotely delivered exercise programs in this population.
青少年特发性脊柱侧凸（AIS）患者术后通常不进行结构化康复治疗，物理治疗一般仅限于住院期间。远程康复为解决该人群持续存在的功能受限、疼痛及生活质量问题提供了一种可及且受监督的选择。本研究旨在评估一项同步远程康复计划对青少年特发性脊柱侧凸（AIS）患者术后恢复的影响，该计划旨在支持患者的术后恢复，涉及躯干肌肉耐力、躯干灵活性、功能能力、疼痛严重程度、外观感知和生活质量等方面。32例在6个月至2年前接受手术的AIS患者被随机分为干预组和对照组。干预组每周参加两次受监督的远程康复计划，为期八周，而对照组不接受运动干预。所有结局指标在干预前后进行评估。与对照组相比，远程康复组在所有结局指标上均有显著改善（P<0.05）。干预后，远程康复组的躯干肌肉耐力、灵活性和生活质量得分更高，疼痛强度降低（P<0.05）。然而，两组在功能能力或外观感知方面未观察到显著差异（P>0.05）。术后六个月启动的受监督远程康复计划可有效改善AIS患者的躯干肌肉耐力、灵活性、疼痛强度和生活质量。这些发现强调了结构化术后康复的价值，并提高了对该人群远程运动计划潜在益处的认识。
