Short-term effects using of two physiotherapeutic methods on the function of the respiratory system and trunk morphology in patients with adolescent idiopathic scoliosis – preliminary study

Abstract Purpose To evaluate the short-term effects of different conservative treatments on in adolescent idiopathic scoliosis. Methods By searching the relevant literature of adolescent idiopathic scoliosis, the curative effects of the three regimens of bracing therapy combined with scoliosis-specific exercises, simple treatment with brace and simple scoliosis-specific exercises were compared. Review manager 5.3, Stata MP16 and Network software packages were used for Reticular Meta-analysis of Cobb’s angles before and after treatment. Results A total of 364 patients were included in four clinical studies. Reticular meta-analysis showed that the short-term effect of bracing treatment combined with scoliosis-specific exercises was better than that of treatment with brace and scoliosis-specific exercises, with effects of 2.71(95% CI 0.83–4.58) and 3.67(95% CI 1.21–6.14), respectively. There was no statistical difference between simple bracing therapy and scoliosis-specific exercises. Conclusion Among the three common conservative treatments of adolescent idiopathic scoliosis, the short-term effect of bracing treatment combined with scoliosis-specific exercises is better than that of bracing treatment or scoliosis-specific exercises.

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Effectiveness of Posture Correction Girdle as Conservative Treatment for Adolescent Idiopathic Scoliosis: a Preliminary Study

Orthopedic Research Online Journal ◽

10.31031/oproj.2018.01.000524 ◽

2018 ◽

Vol 1 (5) ◽

Author(s):

Joanne Yip

Keyword(s):

Adolescent Idiopathic Scoliosis ◽

Conservative Treatment ◽

Idiopathic Scoliosis ◽

Preliminary Study

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T1-weighted MR imaging of bone marrow pattern in children with adolescent idiopathic scoliosis: a preliminary study

Journal of Children s Orthopaedics ◽

10.1302/1863-2548.12.180035 ◽

2018 ◽

Vol 12 (2) ◽

pp. 181-186 ◽

Cited By ~ 3

Author(s):

S. I. Shiran ◽

L. Shabtai ◽

L. Ben-Sira ◽

D. Ovadia ◽

S. Wientroub

Keyword(s):

Bone Marrow ◽

Adolescent Idiopathic Scoliosis ◽

Idiopathic Scoliosis ◽

Diagnostic Study ◽

Level Of Evidence ◽

Lenke Classification ◽

Adjacent Disc ◽

Vertebral Bodies ◽

Preliminary Study ◽

Mri Study

Purpose Distinct normal physiological patterns of fat conversion in vertebrae were described both for children and adults. Our aim was to evaluate the T1-weighted bone marrow pattern of the vertebral bodies in various sites along the scoliotic spine of children with adolescent idiopathic scoliosis (AIS). Methods We retrospectively evaluated spine MRI studies of children with AIS. Scoliosis radiographs were assessed for type of curvature according to the Lenke classification. A paediatric neuroradiologist assessed the T1-weighted signal of vertebral bodies in comparison with the adjacent disc and distinct patterns of fatty conversion within the apical and stable vertebral bodies. Statistical assessment was performed. Results MRI study of the spines of 75 children with AIS were assessed, 59 (79%) of whom were female, with an age range of nine to 19 years. The relative overall T1-weighted signal intensity of the vertebral body bone marrow relative to the intervertebral disc was hyperintense in 76% and isointense in 24%. Fatty conversion grade of the stable vertebra was higher than the apex vertebra (p = 0.0001). A significant tendency to have more advanced fat conversion patterns in the apex vertebra up to age 13.5 years old compared with adolescents above that (p = 0.015) was seen. Conclusion This preliminary study suggests a different pattern of bone marrow conversion in AIS from the normal physiologic pattern described in the literature. Whether these changes are secondary to the biomechanics of the curved spine or may suggest that bone marrow maturation rate and content have a role in the pathogenesis of AIS remains to be further researched. Level of Evidence Level III (Diagnostic Study)

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