The efficacy of 3D personalized insoles in moderate adolescent idiopathic scoliosis: a randomized controlled trial

Abstract Background Bracing and exercise methods were used in scoliosis rehabilitation and proven effective. There was little evidence about the efficacy of insoles on scoliosis. Objective This study aimed to investigate the effects of 3D personalized insoles on curve magnitude, postural stability,...

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Main Authors: Bin Wang, Yue Sun, Xiaoqi Guo, Jiangang Cao, Haoyuan Lu, Wei Chen, Jie Chen, Qian Zhu, Chong Zhang, Ming Zhang, Feilong Zhu
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-022-05952-z
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author Bin Wang
Yue Sun
Xiaoqi Guo
Jiangang Cao
Haoyuan Lu
Wei Chen
Jie Chen
Qian Zhu
Chong Zhang
Ming Zhang
Feilong Zhu
author_facet Bin Wang
Yue Sun
Xiaoqi Guo
Jiangang Cao
Haoyuan Lu
Wei Chen
Jie Chen
Qian Zhu
Chong Zhang
Ming Zhang
Feilong Zhu
author_sort Bin Wang
collection DOAJ
description Abstract Background Bracing and exercise methods were used in scoliosis rehabilitation and proven effective. There was little evidence about the efficacy of insoles on scoliosis. Objective This study aimed to investigate the effects of 3D personalized insoles on curve magnitude, postural stability, and quality of life (QOL) in moderate adolescent idiopathic scoliosis (AIS) patients. Methods Thirty-six volunteers with adolescent idiopathic scoliosis, who had moderate curves (20°-45°), were randomly divided into the experimental and control groups. The control group received traditional rehabilitation with bracing and exercises, and the experimental group received the insole interventions in addition to traditional rehabilitation. The outcome measures were Cobb angle, angle of trunk rotation (ATR), postural stability, and quality of life (Scoliosis Research Society-22 questionnaire). Measurements were conducted at baseline examination, two months and six months. Results After two and six months of treatment, the Cobb angle and ATR in both groups were significantly decreased as compared with the baseline (p < 0.05), but no significant group difference in Cobb angle and ATR was found in the study (p > 0.05). There was a significant difference in the sagittal balance index at six months compared to the control group (p < 0.05), and a significant difference in the coronal balance index was observed at six months compared to baseline in the experimental group (p < 0.05). Quality of life did not change in either group (p > 0.05). Conclusion Combining bracing with exercise in patients with moderate AIS is effective. 3D personalized insoles cannot reduce the Cobb angle and angle of trunk rotation of patients with moderate AIS but might have the potential to improve postural stability.
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spelling doaj.art-fee6e7192c744465849537a99695a8482022-12-22T02:46:31ZengBMCBMC Musculoskeletal Disorders1471-24742022-11-0123111110.1186/s12891-022-05952-zThe efficacy of 3D personalized insoles in moderate adolescent idiopathic scoliosis: a randomized controlled trialBin Wang0Yue Sun1Xiaoqi Guo2Jiangang Cao3Haoyuan Lu4Wei Chen5Jie Chen6Qian Zhu7Chong Zhang8Ming Zhang9Feilong Zhu10The Affiliated Xuzhou Rehabilitation Hospital of Xuzhou Medical University, Xuzhou Rehabilitation HospitalSchool of Sports Medicine and Rehabilitation, Beijing Sport UniversityDepartment of Rehabilitation Medicine, Xuzhou Central Hospital, The Xuzhou Clinical College of Xuzhou Medical UniversityThe Affiliated Xuzhou Rehabilitation Hospital of Xuzhou Medical University, Xuzhou Rehabilitation HospitalDepartment of Rehabilitation Medicine, Xuzhou Central Hospital, The Xuzhou Clinical College of Xuzhou Medical UniversityThe Affiliated Xuzhou Rehabilitation Hospital of Xuzhou Medical University, Xuzhou Rehabilitation HospitalDepartment of Rehabilitation Medicine, Xuzhou Central Hospital, The Xuzhou Clinical College of Xuzhou Medical UniversityThe Affiliated Xuzhou Rehabilitation Hospital of Xuzhou Medical University, Xuzhou Rehabilitation HospitalDepartment of Rehabilitation Medicine, Xuzhou Central Hospital, The Xuzhou Clinical College of Xuzhou Medical UniversityThe Affiliated Xuzhou Rehabilitation Hospital of Xuzhou Medical University, Xuzhou Rehabilitation HospitalThe Affiliated Xuzhou Rehabilitation Hospital of Xuzhou Medical University, Xuzhou Rehabilitation HospitalAbstract Background Bracing and exercise methods were used in scoliosis rehabilitation and proven effective. There was little evidence about the efficacy of insoles on scoliosis. Objective This study aimed to investigate the effects of 3D personalized insoles on curve magnitude, postural stability, and quality of life (QOL) in moderate adolescent idiopathic scoliosis (AIS) patients. Methods Thirty-six volunteers with adolescent idiopathic scoliosis, who had moderate curves (20°-45°), were randomly divided into the experimental and control groups. The control group received traditional rehabilitation with bracing and exercises, and the experimental group received the insole interventions in addition to traditional rehabilitation. The outcome measures were Cobb angle, angle of trunk rotation (ATR), postural stability, and quality of life (Scoliosis Research Society-22 questionnaire). Measurements were conducted at baseline examination, two months and six months. Results After two and six months of treatment, the Cobb angle and ATR in both groups were significantly decreased as compared with the baseline (p < 0.05), but no significant group difference in Cobb angle and ATR was found in the study (p > 0.05). There was a significant difference in the sagittal balance index at six months compared to the control group (p < 0.05), and a significant difference in the coronal balance index was observed at six months compared to baseline in the experimental group (p < 0.05). Quality of life did not change in either group (p > 0.05). Conclusion Combining bracing with exercise in patients with moderate AIS is effective. 3D personalized insoles cannot reduce the Cobb angle and angle of trunk rotation of patients with moderate AIS but might have the potential to improve postural stability.https://doi.org/10.1186/s12891-022-05952-zAdolescent idiopathic scoliosisInsoleBracingExercisesRehabilitation
spellingShingle Bin Wang
Yue Sun
Xiaoqi Guo
Jiangang Cao
Haoyuan Lu
Wei Chen
Jie Chen
Qian Zhu
Chong Zhang
Ming Zhang
Feilong Zhu
The efficacy of 3D personalized insoles in moderate adolescent idiopathic scoliosis: a randomized controlled trial
BMC Musculoskeletal Disorders
Adolescent idiopathic scoliosis
Insole
Bracing
Exercises
Rehabilitation
title The efficacy of 3D personalized insoles in moderate adolescent idiopathic scoliosis: a randomized controlled trial
title_full The efficacy of 3D personalized insoles in moderate adolescent idiopathic scoliosis: a randomized controlled trial
title_fullStr The efficacy of 3D personalized insoles in moderate adolescent idiopathic scoliosis: a randomized controlled trial
title_full_unstemmed The efficacy of 3D personalized insoles in moderate adolescent idiopathic scoliosis: a randomized controlled trial
title_short The efficacy of 3D personalized insoles in moderate adolescent idiopathic scoliosis: a randomized controlled trial
title_sort efficacy of 3d personalized insoles in moderate adolescent idiopathic scoliosis a randomized controlled trial
topic Adolescent idiopathic scoliosis
Insole
Bracing
Exercises
Rehabilitation
url https://doi.org/10.1186/s12891-022-05952-z
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