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Cited by 2Scoliosis diagnosis and treatmentPectus Deformity Diagnosis and TreatmentMusculoskeletal pain and rehabilitation

The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.

The Efficacy of Trunk Bracing With an Instrumented Corrective Exercise on Spinal Deformity, Pulmonary Function, Trunk Muscle Endurance, and Quality of Life in Adolescent Idiopathic Scoliosis: Protocol for a Parallel Groups Clinical Study

Open access
Rezaeian, Zeinab, Andalib, Ali, Bokaee, Fateme, Poorpooneh Najafabadi, Maryam, Yeowell, Gillian, Sadeghi-Demneh, Ebrahim·2023·JMIR Research Protocols
DOI 10.2196/43265PMC PMC10131677

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Abstract

Background: Adolescent idiopathic scoliosis is a 3D spine distortion with an unidentified etiology. It results in noticeable trunk deformity, decreased muscle strength and endurance at the trunk, changes in chest volume, breathing issues, and ultimately a decline in the quality of life. Trunk bracing and corrective exercises make up most of the treatment of patients with scoliosis when their deformity is between 20° and 45°, and they have not yet attained skeletal maturity. Evidence suggests that spinal deformity in people with scoliosis may result from improper motor control. Automatic response training is an exercise therapy technique that can modify the pattern of trunk muscle control for supporting the spinal column in normal alignment. An apparatus called a cantilever device is required for this type of exercise, which facilitates training at home. In spite of research showing the benefit of braces and therapeutic exercise in adolescents with scoliosis, less emphasis has been given to the impact of home-based training, especially when this intervention is paired with braces. Objective: We aim to compare the efficacy of bracing and a conventional exercise program to a combination treatment that includes trunk bracing and exercises with a cantilever device performed at home on the degree of spine curvature, pulmonary function, trunk muscular endurance, and quality of life. Methods: This study was a 2-arms parallel-group clinical study. A total of 16 adolescents with idiopathic scoliosis and single lumbar and thoracolumbar curves of 20°-45° were recruited and randomly assigned into 2 groups. Group A received a combination of trunk bracing and exercise using an instrument known as a “cantilever.” Group B (controls) received trunk bracing and a conventional exercise program (without a tool). The study outcomes were the Cobb angle of the scoliotic curve, pulmonary function, the endurance of the trunk muscles, and quality of life. The study outcomes were measured at 2 time points: before the intervention (T1) and 12 weeks following the start of the intervention (T2; at this time, the intervention period has been completed). Multivariate analysis of variance was used to test between- and within-group differences. Results: Recruitment for this study began in fall 2022 and is expected to be completed by the end of summer 2023. Conclusions: We studied the efficacy of a combined trunk bracing program and postural response exercises using a cantilever device in treating adolescent idiopathic scoliosis and compared it with trunk bracing and conventional home exercises. Exercises performed at home using a cantilever device are anticipated to raise the endurance of trunk muscles, which will help reduce trunk deformity, enhance pulmonary function, and improve the quality of life of participants. Trial Registration: Iranian Registry of Clinical Trials IRCT20220330054371N1; https://www.irct.ir/trial/62811 International Registered Report Identifier (IRRID): PRR1-10.2196/43265

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Registry

Crossref · 10.2196/43265

Cites

51 of 51 references verified0 citation errors · 0 not checkable

Statistics

Figures

Figure 1 The study flowchart for the randomized controlled trial.
Figure 1 The study flowchart for the randomized controlled trial.CC BY · PubMed Central
Figure 2 The E-type Cheneau brace for a single lumbar-thoracolumbar curve pattern [40].
Figure 2 The E-type Cheneau brace for a single lumbar-thoracolumbar curve pattern [40].CC BY · PubMed Central
Figure 3 (A) The cantilever device and (B) the 3-point system for correction of deformity [41].
Figure 3 (A) The cantilever device and (B) the 3-point system for correction of deformity [41].CC BY · PubMed Central
Figure 4 Measurement of the Cobb angle (φ).
Figure 4 Measurement of the Cobb angle (φ).CC BY · PubMed Central
Figure 5 Endurance test of trunk flexor muscles.
Figure 5 Endurance test of trunk flexor muscles.CC BY · PubMed Central
Figure 6 Endurance test of trunk extensor muscles.
Figure 6 Endurance test of trunk extensor muscles.CC BY · PubMed Central
Figure 7 Endurance test of trunk lateral flexor muscles.
Figure 7 Endurance test of trunk lateral flexor muscles.CC BY · PubMed Central

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Citations

Cites

Research works printed but not linked: 3

  1. Negrini, A, 2001, Eura Medicophys, 37, 181
  2. 10.2106/JBJS.F.00067 · doi:10.2106/jbjs.f.00067 · Paper page
  3. Johnson, GM, 2008, New Zeal J Physiother, 36, 175

Metadata

Authors
Rezaeian, Z., Andalib, A., Bokaee, F., Poorpooneh Najafabadi, M., Yeowell, G., & Sadeghi-Demneh, E.
Affiliations
  • Isfahan University of Medical Sciences (IR)
  • Manchester Metropolitan University (GB)
Corresponding author
Sadeghi-Demneh, Ebrahim
ORCID
Venue
JMIR Research Protocols
Publisher
JMIR Publications Inc.
Published
2023-03-29
Volume
12
Pages
e43265
ISSN
1929-0748 (ISSN-L)
DOI
10.2196/43265
PMC
PMC10131677
OpenAlex
W4310193710
Cited by
2
References
51
Citations by year
2025: 2
FWCI
0.48
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • JMIR Research Protocols (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • e-space (Manchester Metropolitan University) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Surgery › Scoliosis diagnosis and treatment
  • Health Sciences › Medicine › Surgery › Pectus Deformity Diagnosis and Treatment
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Keywords
adolescent idiopathic scoliosis, corrective exercise, home-based exercise, lung function, trunk muscle endurance, quality of life, spinal deformity, Cobb angle, postural control, motor control, thoracolumbar curve, lumbar curve, conservative treatment, skeletal maturity

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Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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