The Comparison of Core Stabilization Exercise With Scientific Exercise Approach to Scoliosis in Idiopathic Scoliosis
Condition: Scoliosis; Adolescent Idiopathic Scoliosis
MeSH terms: Scoliosis
Study type: Interventional

Summary: 
      Scoliosis specific exercises have been shown to improve curve progression but there have been
      few studies that compare the different exercise approaches in adolescent idiopathic scoliosis
      (AIS). The objective of this study was to compare the effects of Core stabilization (CS)
      exercises with Scientific Exercises Approach to Scoliosis (SEAS exercises) in addition to
      brace wearing in patients with AIS. It is important to compare different exercise methods on
      different aspects of scoliotic deformity, such as curve progression, angle of trunk rotation,
      body symmetry, cosmetic trunk deformity, satisfaction with treatment and quality of life.
    

Detailed description: 
      The aim of this study was to investigate whether adolescent with idiopathic scoliosis
      receiving scoliosis specific exercise approach, such as SEAS exercises, in accordance with
      the bracing approach for moderate curves would have greater improvement in curve progression,
      trunk deformity, body symmetry and quality of life than adolescent receiving exercise therapy
      based on the general core stabilization approach with similar intensity. Thirty female
      patients with AIS aged 12 to16 years, who have moderate curves (20 to 45 degree) randomly
      divided into two groups. One group received CS exercise, while other received SEAS exercise
      for forty-min once weekly for four months. Both groups underwent full-time bracing (23 hours
      per day) intervention. Outcome was based on Cobb angle, angle of trunk rotation, body
      symmetry (Posterior Trunk Symmetry Index), cosmetic trunk deformity (Walter Reed Visual
      Assessment Scale) and quality of life (Scoliosis Research Society - 22 Questionnaire)
      measured at baseline and after intervention period. Results were analyzed using the paired
      sample t-test to compare repeated measurements and independent sample t-test to compare the
      groups.
    

Intervention name(s): SEAS exercise; CS exercise
Intervention type(s): Other; Other
Intervention description(s): Patient were referred by medical doctor with a prescription of brace and exercise training for their moderate scoliotic curves. Patients were randomly divided into two groups. The SEAS group received SEAS exercises one times in a week for four months. In addition patients in SEAS groups were wearing spinal brace for their scoliosis in this period; Patient were referred by medical doctor with a prescription of brace and exercise training for their moderate scoliotic curves. Patients were randomly divided into two groups. The CS group received core stabilization exercise training one times in a week for four months. In addition patients in SEAS groups were wearing spinal brace for their scoliosis in this period
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: scientific exercise approach to scoliosis; core stabilization training; bracing; adolescent idiopathic scoliosis