Postural Rehabilitation for Adolescent Idiopathic Scoliosis during Growth

다국어 초록 (Multilingual Abstract)

Long-term follow-up of untreated patients with adolescent idiopathic scoliosis (AIS) indicates that, with the exception of some extremely severe cases, AIS does not have a significant impact on quality of life and does not result in dire consequences. In view of the relatively benign nature of AIS and the long-term complications of surgery, the indications for treatment should be reviewed. Furthermore, recent studies have shown that scoliosis-specific exercises focusing on postural rehabilitation can positively influence the spinal curvatures in growing adolescents. Experiential postural re-education is a conservative, non-invasive approach, and its role in the management of AIS warrants further study. This article reviews current evidence for the inclusion of various forms of postural reeducation in the management of AIS. Recent comprehensive reviews have been researched including a manual and PubMed search for evidence regarding the effectiveness of physical/postural re-education/physiotherapy programs in growing AIS patients. This search revealed that there were few studies on the application of postural re-education in the management of AIS. These studies revealed that postural re-education in the form of exercise rehabilitation programs may have a positive influence on scoliosis; however, the various programs were difficult to compare. More research is necessary. There is at present Level 1 evidence for the effectiveness of Schroth scoliosis exercises in the management of AIS. Whether this evidence can be extrapolated to include other forms of scoliosis- pattern-specific exercises requires further investigation. Because corrective postures theoretically reduce the asymmetric loading of the spinal deformities and reverse the vicious cycle of spinal curvature progression, their integration into AIS programs may be beneficial and should be further examined.

참고문헌 (Reference)

1 Lehnert-Schroth C, "Three-dimensional treatment for scoliosis: physiotherapeutic method for deformities of the spine" Martindale Press 2007

2 Perdriolle R, "Thoracic idiopathic scoliosis curve evolution and prognosis" 10 : 785-791, 1985

3 Gram MC, "The spinal curve in standing and sitting postures in children with idiopathic scoliosis" 24 : 169-177, 1999

4 Lonstein JE, "The prediction of curve progression in untreated idiopathic scoliosis during growth" 66 : 1061-1071, 1984

5 Edgar MA, "The natural history of unfused scoliosis" 10 : 931-939, 1987

6 Kuru T, "The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial" 30 : 181-190, 2016

7 Otman S, "The efficacy of Schroth`s 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey" 10 : 277-283, 2005

8 Sahli S, "The effects of backpack load and carrying method on the balance of adolescent idiopathic scoliosis subjects" 13 : 1835-1842, 2013

9 Chow DH, "The effect of backpack weight on the standing posture and balance of schoolgirls with adolescent idiopathic scoliosis and normal controls" 24 : 173-181, 2006

10 Weiss HR, "The effect of an exercise program on vital capacity and rib mobility in patients with idiopathic scoliosis" 16 : 88-93, 1991

11 Schreiber S, "The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis-an assessor and statistician blinded randomized controlled trial: “SOSORT 2015 Award Winner”" 10 : 24-, 2015

12 Zaina F, "Swimming and spinal deformities: a cross-sectional study" 166 : 163-167, 2015

13 Durmala J, "Stabilization of progressive thoracic adolescent idiopathic scoliosis using brace treatment and DoboMed physiotherapy" 4 : O29-, 2009

14 Smidt GL, "Spine configuration and range of motion in normals and scoliotics" 9 : 303-309, 1994

15 Maruyama T, "Side-shift exercise and hitch exercise" 135 : 246-249, 2008

16 Wnuk B, "Short-term effects by using additional methods in DOBOMED preparation phase for AIS double major patients: pilot study" 7 : O58-, 2012

17 Weiss HR, "Scoliosis: treatment indications according to current evidence" 1 : 1-, 2013

18 Weiss HR, "Scoliosis short-term rehabilitation (SSTR): a pilot investigation" 1 : 2009

19 Borysov M, "Scoliosis short-term rehabilitation (SSTR) according to ‘Best Practice’ standardsare the results repeatable?" 7 : 1-, 2012

20 Weiss HR, "Schroth therapy: advancements in conservative scoliosis treatment" Lambert Academic Publishing LAP 2015

21 Ward WT, "SRS-22r scores in non operated AIS patients with curve ≧40°" 2015

22 Weiss HR, "Risks and long-term complications of adolescent idiopathic scoliosis surgery versus non-surgical and natural history outcomes" 2 : 27-, 2013

23 Rigo M, "Research into spinal deformities 5" IOS Press 90-94, 2006

24 O’Shea C, "Research into spinal deformities 5" IOS Press 159-163, 2006

25 Dobosiewicz K, "Radiological results of Dobosiewicz method of threedimensional treatment of progressive idiopathic scoliosis" 123 : 267-272, 2006

26 Heine J, "Quantitative analysis of the functions of the lungs and of blood-gases in young patients with scoliosis, using a “functionaldiagnostic minimal program”" 110 : 56-62, 1972

27 Negrini S, "Physical exercises as a treatment for adolescent idiopathic scoliosis: a systematic review" 6 : 227-235, 2003

28 Wiemann JM, "Nighttime bracing versus observation for early adolescent idiopathic scoliosis" 34 : 603-606, 2014

29 Czupryna K, "Neuropathological aspects of conservative treatment of scoliosis: a theoretical view point" 14 : 103-114, 2012

30 Ascani E, "Natural history of untreated idiopathic scoliosis after skeletal maturity" 11 : 784-789, 1986

31 Weiss HR, "Influence of an in-patient exercise program on scoliotic curve" 18 : 395-406, 1992

32 Weiss HR, "Incidence of curvature progression in idiopathic scoliosis patients treated with scoliosis in-patient rehabilitation (SIR): an age- and sex-matched controlled study" 6 : 23-30, 2003

33 Weiss HR, "Improving excellence in scoliosis rehabilitation: a controlled study of matched pairs" 9 : 190-200, 2006

34 Weiss HR, "Improvement of the parameters of right-heart stress evidenced by electrocardiographic examinations by the in-patient rehabilitation program according to Schroth in adult patients with scoliosis" 32 : 450-453, 1996

35 Lee SG, "Improvement of curvature and deformity in a sample of patients with Idiopathic Scoliosis with specific exercises" 2 : 6-, 2014

36 Weiss HR, "Imbalance of electromyographic activity and physical rehabilitation of patients with idiopathic scoliosis" 1 : 240-243, 1993

37 Weinstein SL, "Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study" 289 : 559-567, 2003

38 van Loon PJ, "Forced lordosis on the thoracolumbar junction can correct coronal plane deformity in adolescents with double major curve pattern idiopathic scoliosis" 33 : 797-801, 2008

39 Negrini S, "Exercises reduce the progression rate of adolescent idiopathic scoliosis: results of a comprehensive systematic review of the literature" 30 : 772-785, 2008

40 Romano M, "Exercises for adolescent idiopathic scoliosis" 8 : CD007837-, 2012

41 Sahlstrand T, "Equilibrium factors as predictors of the prognosis in adolescent idiopathic scoliosis" (152) : 232-236, 1980

42 Drza-Grabiec J, "Effects of the sitting position on the body posture of children aged 11 to 13 years" 51 : 855-862, 2015

43 Noh DK, "Effects of novel corrective spinal technique on adolescent idiopathic scoliosis as assessed by radiographic imaging" 27 : 331-338, 2014

44 Heine J, "Die Lumbalskoliose: eine Untersuchung zur Klinik und Prognose der Erkrankung" F. Enke 1980

45 Weinstein SL, "Curve progression in idiopathic scoliosis" 65 : 447-455, 1983

46 Pugacheva N, "Corrective exercises in multimodality therapy of idiopathic scoliosis in children - analysis of six weeks efficiency - pilot study" 176 : 365-371, 2012

47 Bialek M, "Conservative treatment of idiopathic scoliosis according to FITS concept: presentation of the method and preliminary, short term radiological and clinical results based on SOSORT and SRS criteria" 6 : 25-, 2011

48 Maruyama T, "Conservative treatment for adolescent idiopathic scoliosis: can it reduce the incidence of surgical treatment?" 6 : 215-219, 2003

49 van Loon PJ, "Clinical detectable tension in the growing body: new and revisited signs in clinical examination in children with postural problems and spinal deformities. Restoration of lordosis on the thoracolumbar junction can correct sagittal and coronal plane deformity; a new (revisited) linked approach on the treatment and etiology of adolescent spinal deformities" 140 : 52-58, 2008

50 Bettany-Saltikov J, "Carrying a rucksack on either shoulder or the back, does it matter? Load induced functional scoliosis in “normal” young subjects" 140 : 221-224, 2008

51 Hung-Kay Chow D, "Carry-over effects of backpack carriage on trunk posture and repositioning ability" 41 : 530-535, 2011

52 Stokes IA, "Biomechanical spinal growth modulation and progressive adolescent scoliosis: a test of the ‘vicious cycle’ pathogenetic hypothesis: summary of an electronic focus group debate of the IBSE" 1 : 16-, 2006

53 Meister R, "Atemfunktion und Lungenkreislauf bei thorakaler Skoliose" Georg Thieme Verlag 1980

54 Asher MA, "Adolescent idiopathic scoliosis: natural history and long term treatment effects" 1 : 2-, 2006

55 Westrick ER, "Adolescent idiopathic scoliosis: 5-year to 20-year evidence-based surgical results" 31 : S61-S68, 2011

56 Weinstein SL, "Adolescent idiopathic scoliosis prevalence, natural history, treatment indications" University of Iowa 1992

57 Weiss HR, "Adolescent idiopathic scoliosis (AIS): an indication for surgery? A systematic review of the literature" 30 : 799-807, 2008

58 Monticone M, "Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomised controlled trial" 23 : 1204-1214, 2014

59 Weiss HR, "ADL based scoliosis rehabilitation: the key to an improvement of time-efficiency?" 123 : 594-598, 2006

60 Danielsson AJ, "A prospective study of brace treatment versus observation alone in adolescent idiopathic scoliosis: a follow-up mean of 16 years after maturity" 32 : 2198-2207, 2007

61 Negrini S, "A controlled prospective study on the efficacy of SEAS.02 exercises in preventing progression and bracing in mild idiopathic scoliosis" 123 : 523-526, 2006

62 Negrini S, "2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth" 7 : 3-, 2012