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Adolescent with 10° to 20° Cobb scoliosis during growth: efficacy of conservative treatments. A prospective controlled cohort observational study
Scoliosis volume 7, Article number: O50 (2012)
Materials and methods
Population: 288 consecutive scoliosis patients over 10 years of age, curves range 10-20°, Risser 0-3 (190 Females, Age 12.8±1.5). We had 5 groups:
Brace (BG, 40 patients): bracing 18 hours per day
SEAS (101 patients): specific SEAS exercises (at least 3 controls per year)
Usual Physiotherapy (UP, 70 patients): different type of exercises
Not Compliant (NC, 46 patients): SEAS exercises 2 (or less) controls per year
Controls (CG, 31 patients): no treatment.
Main outcome (after 12±4 months): Relative Risk of failure of treatment (worsening of 5°C or brace prescription).
At baseline BG differed from the other groups for almost all parameters. In BG failures were 10%, improvements 45%; in SEAS 16% and 30% respectively.
When compared to SEAS (and not considering BG), Relative Risk of failure was statistically significantly increased in CG (1.9, IC95 1.28-2.53) and NC (2.02, IC95 1.34-2.70), but not in UP (1.52, IC95 0.91-2.13). All patients other than SEAS had an increased Relative Risk of failure (1.74, IC95 1.22-2.26).
In BG and SEAS Trace and Cobb degrees statistically decreased (in BG also ATR), while in NC and CG humps progressed. Results were statistically better for SEAS and BG than the other groups for Trace and hump.
Conservative treatment with Brace or SEAS consistently reduce the risk of progression.
Negrini S, Zaina F, Romano M, Negrini A, Parzini S: Specific exercises reduce brace prescription in adolescent idiopathic scoliosis: a prospective controlled cohort study with worst-case analysis. J Rehabil Med. 2008, 40 (6): 451-5. 10.2340/16501977-0195.
Negrini S, Fusco C, Minozzi S, Atanasio S, Zaina F, Romano M: Exercises reduce the progression rate of adolescent idiopathic scoliosis: results of a comprehensive systematic review of the literature. Disabil Rehabil. 2008, 30 (10): 772-85. 10.1080/09638280801889568.
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Romano, M., Negrini, A., Parzini, S. et al. Adolescent with 10° to 20° Cobb scoliosis during growth: efficacy of conservative treatments. A prospective controlled cohort observational study. Scoliosis 7, O50 (2012). https://doi.org/10.1186/1748-7161-7-S1-O50
- Public Health
- Relative Risk
- Observational Study
- Conservative Treatment
- Preventive Treatment