Efficacy of specific exercise intervention on the children with skeletally immature idiopathic scoliosis

Abstract

Objective This study aims to evaluate the efficacy of specific exercise therapy for the treatment of skeletally immature idiopathic scoliosis (IS).

Methods A total of 51 mild IS patients receiving specific exercise therapy in Guangdong Xinmiao Scoliosis Prevention Center from October 2017 to September 2021 were recruited in this study. Treatment outcome were evaluated at 1-year follow-up. All the participants were divided into two groups: open ( n = 32) and closed triradiate cartilage group ( n = 19), and outcome of treatment were compared within the two groups.

Results After (26.5±9.8) months of treatment, the Cobb angle of the major curve was corrected from an average of (15.5±4.2)° to (11.3±6.7)°, with an average correction of (4.5±5.7)°. Among them, 58.9% patients achieved improvement in the major curve Cobb angle, 33.3% achieved stabilization, and 7.8% progressed. There was no significant difference in the major curve Cobb angle between the closed and open triradiate cartilage groups before treatment ( t = −0.73, P = 0.47), whereas there was a significant difference in the correction of the major curve after treatment ( t = −2.73, P<0.05).

Conclusion Specific exercise therapy effectively prevents the progression or corrects the scoliosis in patients with skeletally immature idiopathic scoliosis. It’s more effective in patients with open triradiate cartilage than in those with closed triradiate cartilage.

Abstract

【摘要】 目的 评估特定运动训练疗法对骨龄未成熟特发性脊柱侧凸(idiopathic scoliosis, IS)的治疗效果, 为有效预防儿 童脊柱侧凸提供参考。 方法 选取2017年10月至2021年9月广东省新苗脊柱侧弯预防中心收治的51例特定运动训练 治疗的轻度IS患者, 进行1年以上的跟踪随访, 评估临床治疗效果。同时根据患者三角软骨是否闭合分为三角软骨未闭 合组(32名)和三角软骨闭合组(19名), 比较2组患者的治疗结果差异。 结果 51例IS患者经(26.5±9.8)个月的特定 运动训练, 主弯Cobb角由平均(15.5±4.2)° 矫正至(11.3±6.7)°, 平均矫正角度为(4.5±5.7)°, 其中58.9%的患者主弯角度 获得改善, 33.3%的患者取得稳定, 7.8%的患者发生进展。三角软骨闭合组与未闭合组的主弯Cobb角在治疗前差异无统 计学意义( t = −0.73, P = 0.47), 治疗后差异有统计学意义( t = −2.73, P<0.05)。 结论 对骨龄未成熟轻度脊柱侧凸患者采用 特定运动训练治疗可有效控制侧弯进展, 在三角软骨未闭合时期进行治疗的患者可能具有更好的临床效果。