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
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
Current version onlySummary of findings table ‐ Therapeutic exercise compared to no treatment for adolescents with idiopathic scoliosis
Population: adolescents with idiopathic scoliosis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Cobb angle Summary of findings table ‐ Therapeutic exercise vs no treatment | no estimate extracted | 2 studies · 52 participants | Very low Downgraded: risk of bias, imprecision |
Angle of trunk rotation Summary of findings table ‐ Therapeutic exercise vs no treatment | no estimate extracted | 1 study · 45 participants | Low Downgraded: imprecision |
Objective surface measurements (waist asymmetry) Summary of findings table ‐ Therapeutic exercise vs no treatment | no estimate extracted | 1 study · 45 participants | Low Downgraded: imprecision |
Subjective evaluation (SAQ General) Summary of findings table ‐ Therapeutic exercise vs no treatment | no estimate extracted | 1 study · 16 participants | Low Downgraded: imprecision |
Subjective evaluation (SRS‐22 Self‐Image) Summary of findings table ‐ Therapeutic exercise vs no treatment | no estimate extracted | 1 study · 16 participants | Low Downgraded: imprecision |
Quality of life (SRS‐22 Total score) Summary of findings table ‐ Therapeutic exercise vs no treatment | no estimate extracted | 2 studies · 61 participants | Low 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
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Cobb angle ‐ PSSE plus bracing vs bracing Summary of findings table ‐ Therapeutic exercise plus non‐surgical intervention vs non‐surgical intervention | no estimate extracted | 2 studies · 84 participants | Low 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 extracted | 1 study · 18 participants | Very 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 extracted | 1 study · 80 participants | Low 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 extracted | 1 study · 18 participants | Very 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 extracted | 1 study · 34 participants | Low 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 extracted | 1 study · 34 participants | Low 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 extracted | 1 study · 34 participants | Low Downgraded: imprecision |
Summary of findings table ‐ Therapeutic exercise compared to bracing for adolescents with idiopathic scoliosis
Population: adolescents with idiopathic scoliosis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Cobb angle – PSSE vs bracing Summary of findings table ‐ Therapeutic exercise vs bracing | no estimate extracted | 1 study · 60 participants | Very 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 extracted | 1 study · 60 participants | Very 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 extracted | 1 study · 60 participants | Very 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
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Cobb angle Summary of findings table ‐ Physiotherapeutic scoliosis‐specific exercises (PSSE) vs general therapeutic exercises (GTE) | no estimate extracted | 4 studies · 192 participants | Very low Downgraded: imprecision, inconsistency |
Angle of trunk rotation Summary of findings table ‐ Physiotherapeutic scoliosis‐specific exercises (PSSE) vs general therapeutic exercises (GTE) | no estimate extracted | 2 studies · 138 participants | Moderate 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 participants | Low Downgraded: imprecision |
Subjective surface measurement Summary of findings table ‐ Physiotherapeutic scoliosis‐specific exercises (PSSE) vs general therapeutic exercises (GTE) | no estimate extracted | 3 studies · 168 participants | Very 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 extracted | 3 studies · 168 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Comparison
Population: Adolescents with idiopathic scoliosis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Progression of scoliosis (in degrees assessed by x‐ray) | MD 9 | 1 study · 80 participants | Low Downgraded: risk of bias, imprecision |
Cosmetic issues | no estimate extracted | NR | No studies |
Quality of life | no estimate extracted | NR | No studies |
Back pain | no estimate extracted | NR | No studies |
Psychological issues | no estimate extracted | NR | No studies |
Adverse effects | no estimate extracted | NR | No studies |