Cochrane · systematic review · CD007837

Therapeutic exercises for idiopathic scoliosis in adolescents

Romano, M, Minozzi, S, Bettany-Saltikov, J, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library

Back and Neck2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
21
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 9 · 42.9%Low 11 · 52.4%Moderate 1 · 4.8%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Summary of findings table ‐ Therapeutic exercise compared to no treatment for adolescents with idiopathic scoliosis

Population: adolescents with idiopathic scoliosis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Cobb angle
Summary of findings table ‐ Therapeutic exercise vs no treatment
no estimate extracted2 studies · 52 participantsVery low
Downgraded: risk of bias, imprecision
Angle of trunk rotation
Summary of findings table ‐ Therapeutic exercise vs no treatment
no estimate extracted1 study · 45 participantsLow
Downgraded: imprecision
Objective surface measurements (waist asymmetry)
Summary of findings table ‐ Therapeutic exercise vs no treatment
no estimate extracted1 study · 45 participantsLow
Downgraded: imprecision
Subjective evaluation (SAQ General)
Summary of findings table ‐ Therapeutic exercise vs no treatment
no estimate extracted1 study · 16 participantsLow
Downgraded: imprecision
Subjective evaluation (SRS‐22 Self‐Image)
Summary of findings table ‐ Therapeutic exercise vs no treatment
no estimate extracted1 study · 16 participantsLow
Downgraded: imprecision
Quality of life (SRS‐22 Total score)
Summary of findings table ‐ Therapeutic exercise vs no treatment
no estimate extracted2 studies · 61 participantsLow
Downgraded: imprecision

Summary of findings table ‐ Therapeutic exercise plus non‐surgical intervention compared to non‐surgical intervention for adolescents with idiopathic scoliosis

Population: adolescents with idiopathic scoliosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cobb angle ‐ PSSE plus bracing vs bracing
Summary of findings table ‐ Therapeutic exercise plus non‐surgical intervention vs non‐surgical intervention
no estimate extracted2 studies · 84 participantsLow
Downgraded: imprecision
Cobb angle – PSSE plus other non‐surgical vs non‐surgical
Summary of findings table ‐ Therapeutic exercise plus non‐surgical intervention vs non‐surgical intervention
no estimate extracted1 study · 18 participantsVery low
Downgraded: risk of bias, imprecision
Cobb angle ‐ GTE plus other non‐surgical vs non‐surgical
Summary of findings table ‐ Therapeutic exercise plus non‐surgical intervention vs non‐surgical intervention
no estimate extracted1 study · 80 participantsLow
Downgraded: imprecision
Angle of trunk rotation – PSSE plus other non‐surgical vs other non‐surgical
Summary of findings table ‐ Therapeutic exercise plus non‐surgical intervention vs non‐surgical intervention
no estimate extracted1 study · 18 participantsVery low
Downgraded: risk of bias, imprecision
Subjective evaluation (SAQ General) – PSSE plus bracing vs bracing alone
Summary of findings table ‐ Therapeutic exercise plus non‐surgical intervention vs non‐surgical intervention
no estimate extracted1 study · 34 participantsLow
Downgraded: imprecision
Subjective evaluation (SRS‐22 Self‐Image) – PSSE plus bracing vs bracing
Summary of findings table ‐ Therapeutic exercise plus non‐surgical intervention vs non‐surgical intervention
no estimate extracted1 study · 34 participantsLow
Downgraded: imprecision
Quality of life (SRS‐22 Total score) – PSSE plus bracing vs bracing
Summary of findings table ‐ Therapeutic exercise plus non‐surgical intervention vs non‐surgical intervention
no estimate extracted1 study · 34 participantsLow
Downgraded: imprecision

Summary of findings table ‐ Therapeutic exercise compared to bracing for adolescents with idiopathic scoliosis

Population: adolescents with idiopathic scoliosis
3 questions
OutcomeEffectEvidenceStatus / GRADE
Cobb angle – PSSE vs bracing
Summary of findings table ‐ Therapeutic exercise vs bracing
no estimate extracted1 study · 60 participantsVery low
Downgraded: risk of bias, imprecision
Subjective surface measurements (SRS‐22 Self‐Image) – PSSE vs bracing
Summary of findings table ‐ Therapeutic exercise vs bracing
no estimate extracted1 study · 60 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life (SRS‐22 Total score) – PSSE vs bracing
Summary of findings table ‐ Therapeutic exercise vs bracing
no estimate extracted1 study · 60 participantsVery low
Downgraded: risk of bias, imprecision

Summary of findings table ‐ Physiotherapeutic scoliosis‐specific exercises (PSSE) compared to general therapeutic exercises (GTE) for adolescents with idiopathic scoliosis

Population: adolescents with idiopathic scoliosis
5 questions
OutcomeEffectEvidenceStatus / GRADE
Cobb angle
Summary of findings table ‐ Physiotherapeutic scoliosis‐specific exercises (PSSE) vs general therapeutic exercises (GTE)
no estimate extracted4 studies · 192 participantsVery low
Downgraded: imprecision, inconsistency
Angle of trunk rotation
Summary of findings table ‐ Physiotherapeutic scoliosis‐specific exercises (PSSE) vs general therapeutic exercises (GTE)
no estimate extracted2 studies · 138 participantsModerate
Downgraded: imprecision
Number progressed > 5° Cobb angle
Summary of findings table ‐ Physiotherapeutic scoliosis‐specific exercises (PSSE) vs general therapeutic exercises (GTE)
RR 0.19 [0.07, 0.52]1 study · 110 participantsLow
Downgraded: imprecision
Subjective surface measurement
Summary of findings table ‐ Physiotherapeutic scoliosis‐specific exercises (PSSE) vs general therapeutic exercises (GTE)
no estimate extracted3 studies · 168 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Quality of life (SRS‐22 Total score)
Summary of findings table ‐ Physiotherapeutic scoliosis‐specific exercises (PSSE) vs general therapeutic exercises (GTE)
no estimate extracted3 studies · 168 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency