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

• Published in: BMC musculoskeletal disorders Vol. 23; no. 1; pp. 118 - 9
• Main Authors: Zhou, Xuan, Li, Xin, Wu, Qikai, Liang, Juping, Guo, Haibin, Jin, Mengdie, Zhu, Xiaoqing, Du, Qing
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 05.02.2022; BioMed Central; BMC
• Subjects: Biopsy; Care and treatment; Cobb angle; Diagnosis; Evaluation; Exercise; Exercise Therapy; Health aspects; Humans; Idiopathic scoliosis; Methods; Musculoskeletal diseases; Outpatient care facilities; Oxygen; Parents & parenting; Patients; Performance evaluation; Physical conditions; Physical therapists; Physical therapy; Prospective Studies; Quality of life; Rehabilitation; Relaxation therapy; Research Design; Scoliosis; Scoliosis - diagnostic imaging; Scoliosis - therapy; Study Protocol; Three-dimensional corrective exercise; Treatment Outcome; X-rays; China; Physical conditions; Idiopathic scoliosis; Three-dimensional corrective exercise; Cobb angle; Quality of life
• ISSN: 1471-2474; 1471-2474
• DOI: 10.1186/s12891-022-05057-7

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). 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. 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. The study protocol was registered at www.clinicaltrials.gov (number identifier: NCT04539522 ). Registered on August 27, 2020.