Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Friday, March 29, 2024
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:


For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 27417
  Title The effect of Schroth exercises on Cobb angle, quality of life, and functional capacity in adolescent idiopathic scoliosis: A systematic review of randomised controlled trials
URL https://ianmmedicine.org/wp-content/uploads/2022/12/JIANM-December-20221.pdf
Journal J Int Acad Neuromusculoskel Med. 2022 Dec;19(2):22-39
Author(s)
Subject(s)
Peer Review Yes
Publication Type Systematic Review
Abstract/Notes

Background: Adolescent idiopathic scoliosis (AIS) is the most common form of spinal curve severity affecting individuals 10 to 18 years of age. Surgery is generally reserved for curves measuring >50°, whereas bracing and scoliosis-specific exercises are recommended for Cobb angles ranging from 10° to 45° in order to prevent curve progression. As the utility of Schroth exercises has emerged as a popular option among practising clinicians, the purpose of this systematic review is to determine the effect of Schroth exercises on Cobb angle progression, quality of life (QoL), and functional capacity in individuals with AIS.

Methods: Three databases, MEDLINE, PEDro, and CINAHL were systematically searched for English-language randomised controlled trials investigating the effect of Schroth exercises on individuals with AIS with Cobb angles ≥ 10°. The outcomes of interest were the effect of Schroth exercises on Cobb angle, QoL, and functional capacity when compared to standard nonoperative care.

Results: Five RCTs were appraised. Two studies showed no meaningful change in Cobb angle that may be accounted for outside of measurement error alone. One study showed some change beyond measurement error, but there was no follow-up beyond 12 weeks, and another showed some change at 26 weeks that may be attributable to the intervention (p=0.001). Only one study found significant improvements in QoL at 10 weeks (p<0.001). Of the two studies assessing functional ability, one study found no significant difference at 6 months follow-up (p=0.89), whereas the other study found significant improvement in 6-minute walk test (6MWT) at 6 months (p=0.001).

Conclusion: Insufficient evidence exists to suggest that engaging in Schroth exercises results in halting curve progression or regression of Cobb angle in AIS patients in the long-term. Improvement in quality of life and functional capacity may be realized in the short-term, though maintenance of such effects remains to be elucidated. Future studies with larger sample sizes and longer intervention and follow-up periods are necessary to determine the long-term effect of Schroth exercises on Cobb angle, QoL, and functional capacity in individuals with AIS.

Author keywords: Adolescent idiopathic scoliosis; Rehabilitation; Schroth exercise; Cobb angle; Quality of life; Functional capacity

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text at the publisher’s site.


 

   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an asterisk*, also called a wildcard or truncation.  Example: chiropract* retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips