Treatment of Adolescent Idiopathic Scoliosis with the Conservative Schroth Method: A Randomized Controlled Trial.

IF 2.4 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Vanja Dimitrijević, Bojan Rašković, Miroslav P Popović, Dejan Viduka, Siniša Nikolić, Nikola Jevtić, Samra Pjanić, Borislav Obradović
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Abstract

Objective: The objective of this study was to determine the effectiveness of the conservative Schroth method in patients with adolescent idiopathic scoliosis. Methods: A total of 34 respondents, 24 male and 10 female, aged between 11 and 16 years, participated in the research. The study was a single-blind randomized trial, in which subjects were divided into control and experimental groups by stratified randomization according to the stratum of the Cobb angle. The control group performed the Schroth method at home without the supervision of Schroth therapists, while the experimental group performed the Schroth method under the supervision of Schroth therapists three times a week for 90 min over eight weeks. Initial and final outcome measurements were performed: Cobb angle, angle of trunk rotation, vital capacity, forced vital capacity, forced expiratory volume in the first second, the percentage of forced expiratory volume in the first second in forced vital capacity, and chest expansion. Results: There was a statistically significant improvement in all measured outcomes in the experimental group, while no statistically significant changes were recorded in the control group. The Cobb angle decreased by 2.12°, while ATR decreased by 2.88°; VC increased by 0.15 L, FVC by 0.13 L, FEV1 by 0.1 L, and CE increased by 0.78 cm. Conclusions: The application of an eight-week therapy program using Schroth method by subjects with adolescent idiopathic scoliosis had statistically significant changes in all measured outcomes in the group that was supervised by Schroth's therapists, while there was no statistically significant improvement in the group that applied therapy at home without supervision.

保守Schroth方法治疗青少年特发性脊柱侧凸:一项随机对照试验
目的:本研究的目的是确定保守Schroth方法在青少年特发性脊柱侧凸患者中的有效性。方法:调查对象34人,男24人,女10人,年龄11 ~ 16岁。本研究为单盲随机试验,根据Cobb角地层分层随机化,将受试者分为对照组和实验组。对照组在无施罗斯治疗师监督的情况下在家进行施罗斯疗法,实验组在施罗斯治疗师监督下进行施罗斯疗法,每周3次,每次90分钟,持续8周。进行初始和最终结局测量:Cobb角、躯干旋转角、肺活量、用力肺活量、第一秒用力呼气量、第一秒用力呼气量占用力肺活量的百分比和胸部扩张。结果:实验组各项指标改善均有统计学意义,对照组无统计学意义。Cobb角减小2.12°,ATR减小2.88°;VC增加0.15 L, FVC增加0.13 L, FEV1增加0.1 L, CE增加0.78 cm。结论:青少年特发性脊柱侧凸患者采用Schroth方法进行为期8周的治疗方案,在Schroth治疗师的监督下,所有测量结果都有统计学意义上的变化,而在没有监督的情况下在家治疗的组没有统计学意义上的改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Healthcare
Healthcare Medicine-Health Policy
CiteScore
3.50
自引率
7.10%
发文量
0
审稿时长
47 days
期刊介绍: Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.
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