The Improvement of Trunk Muscle Endurance in Adolescents with Idiopathic Scoliosis Treated with ScoliBrace and the ScoliBalance Exercise Approach

Overview

Journal J Clin Med

Specialty General Medicine

Date 2024 Feb 10

PMID 38337346

Authors

Rosemary Marchese

Juan Du Plessis

Tamara Pooke

Jeb McAviney

Affiliations

Soon will be listed here.

Abstract

The impact of scoliosis bracing combined with physiotherapeutic scoliosis-specific exercises (PSSE) on trunk muscle endurance in adolescents with idiopathic scoliosis is unknown. ScoliBrace, a rigid, three-dimensional, over-corrective thoraco-lumbar-sacral orthosis (TLSO), and ScoliBalance, a PSSE program, were used to treat adolescent idiopathic scoliosis (AIS) patients. A retrospective study of the trunk muscle endurance of 33 AIS patients who received ScoliBrace and ScoliBalance was conducted. The patients were treated with ScoliBrace and an individualized ScoliBalance program. Trunk extensor muscle endurance (TE) and abdominal muscle endurance (AE) tests were performed at initial assessment and then at averages of 6.6 and 24.4 weeks of treatment. The data were analyzed using the Wilcoxon signed-rank test, Stata version 15.1. The participants were aged 13.24 years (SD = 1.64) with a mean Cobb angle of 38.97° (SD = 9.49°). TE improved significantly ( < 0.001) at both short- and medium-term intervals using ScoliBalance and ScoliBrace in the AIS patients. AE also showed significant improvement between baseline and short-term follow-up, with non-significant improvement at medium-term follow-up. Overall, trunk muscle endurance showed improvement in the AIS patients using ScoliBrace and ScoliBalance. Future research is required to determine the individual and combined effects of each treatment. However, it seems likely that trunk muscle endurance will not deteriorate in AIS patients with this combined treatment.

Citing Articles

Schroth and Asymmetric Spinal Stabilization Exercises' Effectiveness on Back Pain and Trunk Muscle Endurance in Adolescents' Idiopathic Scoliosis: A Randomized Controlled Trial.

Khaledi A, Minoonejad H, Daneshmandi H, Akoochakian M, Gheitasi M Med J Islam Repub Iran. 2024; 38:90.

PMID: 39678764 PMC: 11644102. DOI: 10.47176/mjiri.38.90.

References

Jiang J, Meng Y, Jin X, Zhang C, Zhao J, Wang C . Volumetric and Fatty Infiltration Imbalance of Deep Paravertebral Muscles in Adolescent Idiopathic Scoliosis. Med Sci Monit. 2017; 23:2089-2095. PMC: 5424650. DOI: 10.12659/msm.902455. View

Berdishevsky H, Lebel V, Bettany-Saltikov J, Rigo M, Lebel A, Hennes A . Physiotherapy scoliosis-specific exercises - a comprehensive review of seven major schools. Scoliosis Spinal Disord. 2016; 11:20. PMC: 4973373. DOI: 10.1186/s13013-016-0076-9. View

Negrini S, Aulisa A, Aulisa L, Circo A, de Mauroy J, Durmala J . 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis. 2012; 7(1):3. PMC: 3292965. DOI: 10.1186/1748-7161-7-3. View

Andersen L, Wedderkopp N, Leboeuf-Yde C . Association between back pain and physical fitness in adolescents. Spine (Phila Pa 1976). 2006; 31(15):1740-4. DOI: 10.1097/01.brs.0000224186.68017.e0. View

Smith A, OSullivan P, Campbell A, Straker L . The relationship between back muscle endurance and physical, lifestyle, and psychological factors in adolescents. J Orthop Sports Phys Ther. 2010; 40(8):517-23. DOI: 10.2519/jospt.2010.3369. View

Aktan D, Erdoganoglu Y . Effect of Short-Term 3-Dimensional Schroth Exercises In Adolescent Idiopathic Scoliosis: An Observational Study. J Manipulative Physiol Ther. 2022; 44(8):612-620. DOI: 10.1016/j.jmpt.2022.02.001. View

Kuru T, Yeldan I, Dereli E, Ozdincler A, Dikici F, Colak I . The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial. Clin Rehabil. 2015; 30(2):181-90. DOI: 10.1177/0269215515575745. View

Odermatt D, Mathieu P, Beausejour M, Labelle H, Aubin C . Electromyography of scoliotic patients treated with a brace. J Orthop Res. 2003; 21(5):931-6. DOI: 10.1016/S0736-0266(03)00038-X. View

Janik F, Toulotte C, Seichepine A, Masquelier B, Barbier F, Fabre C . Isometric Strength Database for Muscle Maximal Voluntary Endurance Field Tests: Normative Data. Sports Med Open. 2021; 7(1):47. PMC: 8273050. DOI: 10.1186/s40798-021-00338-2. View

10.

Gubbels C, Oakely P, McAviney J, Harrison D, Brown B . Reduction of Scheuermann's deformity and scoliosis using ScoliBrace and a scoliosis specific rehabilitation program: a case report. J Phys Ther Sci. 2019; 31(2):159-165. PMC: 6382486. DOI: 10.1589/jpts.31.159. View

11.

Romano M, Minozzi S, Bettany-Saltikov J, Zaina F, Chockalingam N, Kotwicki T . Exercises for adolescent idiopathic scoliosis. Cochrane Database Syst Rev. 2012; (8):CD007837. PMC: 7386883. DOI: 10.1002/14651858.CD007837.pub2. View

12.

Azadinia F, Ebrahimi Takamjani E, Kamyab M, Parnianpour M, Cholewicki J, Maroufi N . Can lumbosacral orthoses cause trunk muscle weakness? A systematic review of literature. Spine J. 2016; 17(4):589-602. DOI: 10.1016/j.spinee.2016.12.005. View

13.

Federau C, Kroismayr D, Dyer L, Farshad M, Pfirrmann C . Demonstration of asymmetric muscle perfusion of the back after exercise in patients with adolescent idiopathic scoliosis using intravoxel incoherent motion (IVIM) MRI. NMR Biomed. 2019; 33(3):e4194. DOI: 10.1002/nbm.4194. View

14.

Romberg K, Danielsson A, Fagevik Olsen M, Kjellby-Wendt G . Spinal mobility and muscle function in middle-aged patients treated for early onset idiopathic scoliosis: compared with untreated and treated adolescent onset patients. Spine Deform. 2022; 10(5):1085-1095. PMC: 9378330. DOI: 10.1007/s43390-022-00487-8. View

15.

Negrini S, Donzelli S, Aulisa A, Czaprowski D, Schreiber S, de Mauroy J . 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018; 13:3. PMC: 5795289. DOI: 10.1186/s13013-017-0145-8. View

16.

Mannion A, Meier M, Grob D, Muntener M . Paraspinal muscle fibre type alterations associated with scoliosis: an old problem revisited with new evidence. Eur Spine J. 1998; 7(4):289-93. PMC: 3611266. DOI: 10.1007/s005860050077. View

17.

Danielsson A, Romberg K, Nachemson A . Spinal range of motion, muscle endurance, and back pain and function at least 20 years after fusion or brace treatment for adolescent idiopathic scoliosis: a case-control study. Spine (Phila Pa 1976). 2006; 31(3):275-83. DOI: 10.1097/01.brs.0000197652.52890.71. View

18.

Gao C, Zheng Y, Fan C, Yang Y, He C, Wong M . Could the Clinical Effectiveness Be Improved Under the Integration of Orthotic Intervention and Scoliosis-Specific Exercise in Managing Adolescent Idiopathic Scoliosis?: A Randomized Controlled Trial Study. Am J Phys Med Rehabil. 2019; 98(8):642-648. DOI: 10.1097/PHM.0000000000001160. View

19.

Weinstein S, Dolan L, Cheng J, Danielsson A, Morcuende J . Adolescent idiopathic scoliosis. Lancet. 2008; 371(9623):1527-37. DOI: 10.1016/S0140-6736(08)60658-3. View

20.

Kim D, Kim C, Lee B, Seo D . A comparison of ultrasonography measurement on the abdominal muscle thickness between adolescent idiopathic scoliosis and healthy subjects. J Back Musculoskelet Rehabil. 2017; 31(1):65-74. DOI: 10.3233/BMR-169667. View