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Exercises during brace weaning can reduce loss of correction in Adolescent Idiopathic Scoliosis (AIS) patients
Scoliosis volume 4, Article number: O26 (2009)
Exercises are sometimes prescribed to avoid collateral effects of bracing and to improve brace efficacy. A loss of correction during brace weaning in AIS treatment is quite frequent, and the efficacy of exercises to prevent this loss has never been studied.
To verify the efficacy of exercise in the reduction of correction loss during brace weaning.
Retrospective control study.
Sixty eight consecutive patients (8 males), age 15 ± 1 and Cobb Angle 22 ± 2° at start of brace weaning.
Patients were evaluated clinically and radiographically at start of brace weaning (defined as the first visit in which the brace was prescribed less than 18/24 h) and end of treatment. Patients were divided into 4 groups according to the exercises they performed: SEAS (14 treated according to ISICO protocol), OTH (25 treated according to other protocols), DIS (19 who didn't exercised continuously), and CON (10 who didn't exercised at all). The ANOVA, Wilcoxon and post hoc t tests were performed.
There were no baseline as well as final differences among groups. However, during weaning Cobb angle progressed (worsened) significantly both in DIS and CON (+3.9° and +3.1°) while SEAS and OTH didn't show any significant change. Comparing single groups, SEAS and OTH with respect to DIS had a significant difference (P < 0.05).
Exercises (SEAS and OTH) can help reduce correction loss experienced during weaning from the brace for AIS.
Negrini S, Aulisa L, Ferraro C, Fraschini P, Masiero S, Simonazzi P, Tedeschi C, Venturin A: Italian guidelines on rehabilitation treatment of adolescents with scoliosis or other spinal deformities. Eura Medicophys. 2005, 41: 183-201.
Negrini S, Marchini G: Efficacy of the symmetric, patient-oriented, rigid, three-dimensional, active (SPoRT) concept of bracing for scoliosis: a prospective study of the Sforzesco versus Lyon brace. Eura Medicophys. 2007, 43 (2): 171-81.
Romano M, Negrini A, Parzini S, Negrini S: Scientific Exercises Approach to Scoliosis (SEAS): efficacy, efficiency and innovation. Stud Health Technol Inform. 2008, 135: 191-207.
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Zaina, F., Negrini, S., Atanasio, S. et al. Exercises during brace weaning can reduce loss of correction in Adolescent Idiopathic Scoliosis (AIS) patients. Scoliosis 4, O26 (2009). https://doi.org/10.1186/1748-7161-4-S1-O26
- Public Health
- Adolescent Idiopathic Scoliosis
- Idiopathic Scoliosis
- Cobb Angle
- Single Group