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Published in: BMC Musculoskeletal Disorders 1/2022

Open Access 01-12-2022 | Scoliosis | Study protocol

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

Authors: Xuan Zhou, Xin Li, Qikai Wu, Juping Liang, Haibin Guo, Mengdie Jin, Xiaoqing Zhu, Qing Du

Published in: BMC Musculoskeletal Disorders | Issue 1/2022

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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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Literature
24.
go back to reference Monticone M, Ambrosini E, Cazzaniga D, Rocca B, Ferrante S. Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomised controlled trial. Eur Spine J. 2014;23(6):1204–14. https://doi.org/10.1007/s00586-014-3241-y.CrossRefPubMed Monticone M, Ambrosini E, Cazzaniga D, Rocca B, Ferrante S. Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomised controlled trial. Eur Spine J. 2014;23(6):1204–14. https://​doi.​org/​10.​1007/​s00586-014-3241-y.CrossRefPubMed
Metadata
Title
Three-dimensional corrective exercise therapy for idiopathic scoliosis: study protocol for a prospective non-randomized trial
Authors
Xuan Zhou
Xin Li
Qikai Wu
Juping Liang
Haibin Guo
Mengdie Jin
Xiaoqing Zhu
Qing Du
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2022
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-022-05057-7

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