The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis : a systematic review and meta-analysis

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dc.contributor.authorBurger, Marletteen_ZA
dc.contributor.authorCoetzee, Wilnaen_ZA
dc.contributor.authorDu Plessis, Lenka Z.en_ZA
dc.contributor.authorGeldenhuys, Larissaen_ZA
dc.contributor.authorJoubert, Francoisen_ZA
dc.contributor.authorMyburgh, Elzanneen_ZA
dc.contributor.authorVan Rooyen, Chanteen_ZA
dc.contributor.authorVermeulen, Nicolen_ZA
dc.date.accessioned2021-03-16T12:19:22Z
dc.date.available2021-03-16T12:19:22Z
dc.date.issued2019
dc.descriptionCITATION: Burger, M., et al. 2019. The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis : a systematic review and meta-analysis. South African Journal of Physiotherapy, 75(1):a904, doi:10.1371/journal.pone.0245829.
dc.descriptionThe original publication is available at http://www.sajp.co.za
dc.description.abstractBackground: Adolescent idiopathic scoliosis (AIS) is one of the most common structural spinal deformities in adolescents, becoming apparent around the time of puberty. Schroth scoliosis-specific exercises have demonstrated promising results in reducing the progression of AIS. Objectives: The aim of this study was to identify, critically appraise and establish the best available evidence for the effectiveness of Schroth exercises in comparison to non-surgical management to reduce the progression of AIS. Methodology: Seven databases were searched in April 2018. Main key search terms included AIS, Schroth exercises, physiotherapy, exercise, electrical stimulation, yoga, Pilates, tai chi and bracing. The quality of the trials was critically appraised according to the PEDro scale. Revman© Review Manager Software was used to pool the quality of life (QOL) results. Results: Four randomised control trials with an average PEDro score of 6.75/10 were included in this study. Results indicated that Schroth exercises had a significant effect in decreasing the Cobb angle (p < 0.05) in comparison to non-surgical management. The pooled effect on QOL showed a significant result in favour of Schroth exercises at 12 weeks (p < 0.002) and at 24 weeks (p < 0.0004). Conclusion: Level II evidence suggests that Schroth exercises have a significant effect on reducing the Cobb angle and improving QOL in adolescents with idiopathic scoliosis. Clinical implications: This review’s findings should be considered with caution for physiotherapy practice because of the limited number of identified articles and their methodologic limitations. Based on the current available and limited evidence, clinicians could combine supervised Schroth exercises with conventional physiotherapy care (observation, exercise, bracing and manual therapy) when treating adolescents with idiopathic scoliosis.en_ZA
dc.description.urihttps://sajp.co.za/index.php/sajp/article/view/904
dc.description.versionPublisher's version
dc.format.extent9 pages ; illustrations
dc.identifier.citationBurger, M., et al. 2019. The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis : a systematic review and meta-analysis. South African Journal of Physiotherapy, 75(1):a904, doi:10.1371/journal.pone.0245829
dc.identifier.issn2410-8219 (online)
dc.identifier.issn0379-6175 (print)
dc.identifier.otherdoi:10.1371/journal.pone.0245829
dc.identifier.urihttp://hdl.handle.net/10019.1/109667
dc.language.isoen_ZAen_ZA
dc.publisherAOSIS
dc.rights.holderAuthors retain copyright
dc.subjectScoliosis in teenagers -- Exercise therapy -- Effectivenessen_ZA
dc.subjectSchroth exercisesen_ZA
dc.subjectSystematic reviews (Medical research)en_ZA
dc.subjectMeta-analysisen_ZA
dc.titleThe effectiveness of Schroth exercises in adolescents with idiopathic scoliosis : a systematic review and meta-analysisen_ZA
dc.typeArticleen_ZA
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