Three-dimensional corrective exercise therapy for idiopathic scoliosis: study protocol for a prospective non-randomized trial

Abstract Background Although physiotherapeutic scoliosis-specific exercises (PSSEs) with or without other conservative treatments may improve scoliotic deformities, the evidence is insufficient. Three-dimensional corrective exercises (TDCEs) for scoliosis are based on the theory of PSSEs and are cha...

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Main Authors: Xuan Zhou, Xin Li, Qikai Wu, Juping Liang, Haibin Guo, Mengdie Jin, Xiaoqing Zhu, Qing Du
Format: Article
Language:English
Published: BMC 2022-02-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-022-05057-7
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author Xuan Zhou
Xin Li
Qikai Wu
Juping Liang
Haibin Guo
Mengdie Jin
Xiaoqing Zhu
Qing Du
author_facet Xuan Zhou
Xin Li
Qikai Wu
Juping Liang
Haibin Guo
Mengdie Jin
Xiaoqing Zhu
Qing Du
author_sort Xuan Zhou
collection DOAJ
description Abstract Background Although physiotherapeutic scoliosis-specific exercises (PSSEs) with or without other conservative treatments may improve scoliotic deformities, the evidence is insufficient. Three-dimensional corrective exercises (TDCEs) for scoliosis are based on the theory of PSSEs and are characterized by a combination of outpatient treatment and home-based exercise. This study aims to evaluate the effectiveness of TDCEs for idiopathic scoliosis (IS). Methods The participants will be divided into two age- and sex-matched groups: an experimental group (EG) treated with three-dimensional corrective exercise therapy (TDCET) and a control group (CG) receiving generalized exercise therapy. In each arm, mild and moderate IS cases will be reclassified based on the Cobb angle and biopsy results. The primary endpoint is the change in the largest Cobb angle; the secondary endpoints are the sagittal index, forced vital capacity, peak oxygen uptake, and peak oxygen uptake. Sixty-six patients with mild IS and 78 patients with moderate IS will be included. Discussion This study is the first controlled trial to systematically assess the effectiveness of TDCEs for IS. In addition to TDCET including three-dimensional corrective exercises, family rehabilitation and basic body awareness therapy may help patients adopt supportive attitudes and appropriate behaviours, thus enhancing their compliance with exercises and achieving better outcomes. Trial registration The study protocol was registered at www.clinicaltrials.gov (number identifier: NCT04539522 ). Registered on August 27, 2020.
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spelling doaj.art-3f339bf51e8d41a384050e2eefe28caf2022-12-22T04:10:59ZengBMCBMC Musculoskeletal Disorders1471-24742022-02-012311910.1186/s12891-022-05057-7Three-dimensional corrective exercise therapy for idiopathic scoliosis: study protocol for a prospective non-randomized trialXuan Zhou0Xin Li1Qikai Wu2Juping Liang3Haibin Guo4Mengdie Jin5Xiaoqing Zhu6Qing Du7Department of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiaotong UniversityXinhua Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiaotong UniversityAbstract Background Although physiotherapeutic scoliosis-specific exercises (PSSEs) with or without other conservative treatments may improve scoliotic deformities, the evidence is insufficient. Three-dimensional corrective exercises (TDCEs) for scoliosis are based on the theory of PSSEs and are characterized by a combination of outpatient treatment and home-based exercise. This study aims to evaluate the effectiveness of TDCEs for idiopathic scoliosis (IS). Methods The participants will be divided into two age- and sex-matched groups: an experimental group (EG) treated with three-dimensional corrective exercise therapy (TDCET) and a control group (CG) receiving generalized exercise therapy. In each arm, mild and moderate IS cases will be reclassified based on the Cobb angle and biopsy results. The primary endpoint is the change in the largest Cobb angle; the secondary endpoints are the sagittal index, forced vital capacity, peak oxygen uptake, and peak oxygen uptake. Sixty-six patients with mild IS and 78 patients with moderate IS will be included. Discussion This study is the first controlled trial to systematically assess the effectiveness of TDCEs for IS. In addition to TDCET including three-dimensional corrective exercises, family rehabilitation and basic body awareness therapy may help patients adopt supportive attitudes and appropriate behaviours, thus enhancing their compliance with exercises and achieving better outcomes. Trial registration The study protocol was registered at www.clinicaltrials.gov (number identifier: NCT04539522 ). Registered on August 27, 2020.https://doi.org/10.1186/s12891-022-05057-7Idiopathic scoliosisThree-dimensional corrective exerciseCobb anglePhysical conditionsQuality of life
spellingShingle Xuan Zhou
Xin Li
Qikai Wu
Juping Liang
Haibin Guo
Mengdie Jin
Xiaoqing Zhu
Qing Du
Three-dimensional corrective exercise therapy for idiopathic scoliosis: study protocol for a prospective non-randomized trial
BMC Musculoskeletal Disorders
Idiopathic scoliosis
Three-dimensional corrective exercise
Cobb angle
Physical conditions
Quality of life
title Three-dimensional corrective exercise therapy for idiopathic scoliosis: study protocol for a prospective non-randomized trial
title_full Three-dimensional corrective exercise therapy for idiopathic scoliosis: study protocol for a prospective non-randomized trial
title_fullStr Three-dimensional corrective exercise therapy for idiopathic scoliosis: study protocol for a prospective non-randomized trial
title_full_unstemmed Three-dimensional corrective exercise therapy for idiopathic scoliosis: study protocol for a prospective non-randomized trial
title_short Three-dimensional corrective exercise therapy for idiopathic scoliosis: study protocol for a prospective non-randomized trial
title_sort three dimensional corrective exercise therapy for idiopathic scoliosis study protocol for a prospective non randomized trial
topic Idiopathic scoliosis
Three-dimensional corrective exercise
Cobb angle
Physical conditions
Quality of life
url https://doi.org/10.1186/s12891-022-05057-7
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