Effectiveness of bracing combined with exercise-based treatment of adolescent idiopathic scoliosis: Assessing the synergistic benefits: A systematic review

IF 0.8 4区医学 Q4 ORTHOPEDICS

Prosthetics and Orthotics International Pub Date : 2024-09-18 DOI:10.1097/pxr.0000000000000362

Deniz Aktan-Ilgaz, Hande Sahiner, Leyla Eraslan, Ceren Gursen, Hande Guney-Deniz

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Abstract

The purpose of this study was to evaluate evidence on the effectiveness of combined bracing and exercise on adolescent idiopathic scoliosis (AIS). From inception to April 28, 2022, PubMed and Web of Science searched for randomized clinical and nonrandomized prospective studies reporting Cobb angle (CA), angle of trunk rotation (ATR), quality of life (QoL), and pulmonary function (PF) in AIS patients treated with exercise and braces (10 years-skeletal maturity). Two authors analyzed and extracted data for this review. The PEDro scale was used to assess the risk of bias (RoB). Therapy protocols and basic data have been collected. Each CA, ATR, QoL, and PF study’s evidence and strength were also included. A total of 12 studies with 714 patients with AIS were included. Five studies used a control group with exercises and 7 with braces. The results showed that exercise-brace can decrease CA and ATR and increase QoL and PF with AIS; however, the strength of conclusion for all outcomes was moderate. In this review, 4 studies were categorized as low RoB, 3 as moderate RoB, and 5 as high RoB. Level of evidence analysis revealed that 12 studies were classified as level of evidence B. The current studies do not sufficiently support the effects of exercise and brace therapy on CA, ATR, QoL, and PF in patients with AIS.

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青少年特发性脊柱侧凸的矫形与运动治疗相结合的效果：评估协同效益：系统回顾

本研究旨在评估联合支具和运动对青少年特发性脊柱侧凸（AIS）的有效性。从开始到 2022 年 4 月 28 日，PubMed 和 Web of Science 对随机临床研究和非随机前瞻性研究进行了检索，这些研究报告了接受运动和支具治疗的 AIS 患者的 Cobb 角度 (CA)、躯干旋转角度 (ATR)、生活质量 (QoL) 和肺功能 (PF)（10 岁-骨骼成熟）。两位作者为本综述分析并提取了数据。采用PEDro量表评估偏倚风险（RoB）。收集了治疗方案和基本数据。每项CA、ATR、QoL和PF研究的证据和强度也被纳入其中。共纳入了 12 项研究，涉及 714 名 AIS 患者。其中 5 项研究使用了运动对照组，7 项研究使用了支具对照组。结果显示，运动-支具可降低 AIS 患者的 CA 和 ATR，提高 QoL 和 PF；但所有结果的结论强度均为中等。在本综述中，4 项研究被归类为低 RoB，3 项为中 RoB，5 项为高 RoB。证据等级分析显示，12 项研究的证据等级为 B 级。目前的研究不足以支持运动和支撑疗法对 AIS 患者的 CA、ATR、QoL 和 PF 的影响。

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来源期刊

Prosthetics and Orthotics International 医学-康复医学

CiteScore

2.30

自引率

13.30%

发文量

208

审稿时长

6-12 weeks

期刊介绍： Prosthetics and Orthotics International is an international, multidisciplinary journal for all professionals who have an interest in the medical, clinical, rehabilitation, technical, educational and research aspects of prosthetics, orthotics and rehabilitation engineering, as well as their related topics.