Corrective exercise-based therapy for adolescent idiopathic scoliosis: Systematic review and meta-analysis.
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Fecha
2022
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SAGE
Resumen
Abstract
Objective: to analyse the efficacy of Corrective exercise-based therapy in the improvement of
deformity and quality of life in adolescent idiopathic scoliosis.
Data Sources: PubMed Medline, Scopus, Web of Science, Physiotherapy Evidence Database,
CINAHL Complete and SciELO, until June 2021.
Review methods: Randomized controlled trials was selected, including participants
diagnosed with adolescent idiopathic scoliosis, in which the experimental group received
Corrective exercise-based therapy. Two authors independently searched the scientific literature
in the data sources, extracted the data and assessed the risk of bias. A pairwise meta-analysis
using the random-effects model was performed.
Results: Eight randomized controlled trials providing data from 279 adolescent idiopathic
scoliosis patients were included. Seven randomized controlled trials including 236 patients
showed moderate-quality evidence for a medium effect (SMD=-0.52, 95% CI -0.96 to -0.1),
favouring corrective exercise-based therapy for spinal deformity reduction. Corrective
exercise-based therapy was better than no intervention (SMD=-0.59, 95% CI -1.18 to -0.01)
but similar to other intervention (SMD=-0.2, 95% CI -0.67 to 0.27), and a medium effect
was found (SMD=-0.51, 95% CI -0.89 to -0.13) when corrective exercise-based therapy
was used with other therapies. Four studies including 151 patients showed low-quality
evidence of a large effect of Corrective exercise-based therapy on Scoliosis Research
Society measurement (SRS-22) total score improvement (SMD=1.16, 95% CI 0.36 to
1.95).
Conclusion: In mild and moderate adolescent idiopathic scoliosis patients, corrective exercise-based therapy could be used to reduce spinal deformity and to improve quality of life
as isolated treatment or as coadjuvant treatment combined with other therapeutic resources.
Descripción
Contribución a la ciencia abierta y al progreso del conocimiento en el área científica: Aunque este artículo no se publicó en acceso abierto en la revista Clinical Rehabilitation, su editorial “Sage” tiene una política de “Green Open Access”, por la que el Envío original o el Manuscrito aceptado (pero no el PDF final publicado) puede ser compartido por el autor original en cualquier momento después de que el artículo sea aceptado y en cualquier formato (https://uk.sagepub.com/en-gb/eur/journal-author-archiving-policies-and-re-use ). Esto incluye la publicación de una copia descargable en cualquier sitio web o repositorio.
Palabras clave
scoliosis, exercise therapy, exercise movement techniques, meta-analysis