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Completion of a formal physiotherapeutic scoliosis-specific exercise training program for adolescent idiopathic scoliosis increases patient compliance to home exercise programs.
Simhon, Matthew E; Fields, Michael W; Grimes, Kelly E; Bakarania, Prachi; Matsumoto, Hiroko; Boby, Afrain Z; Berdishevsky, Hagit; Roye, Benjamin D; Roye, David P; Vitale, Michael G.
Afiliación
  • Simhon ME; Columbia University Medical Center, 3959 Broadway-8 North, New York, NY, 10032, USA.
  • Fields MW; Columbia University Medical Center, 3959 Broadway-8 North, New York, NY, 10032, USA.
  • Grimes KE; Columbia University Medical Center, 3959 Broadway-8 North, New York, NY, 10032, USA.
  • Bakarania P; Columbia University Medical Center, 3959 Broadway-8 North, New York, NY, 10032, USA.
  • Matsumoto H; Columbia University Medical Center, 3959 Broadway-8 North, New York, NY, 10032, USA. hm2174@cumc.columbia.edu.
  • Boby AZ; Columbia University Medical Center, 3959 Broadway-8 North, New York, NY, 10032, USA.
  • Berdishevsky H; Columbia University Medical Center, 3959 Broadway-8 North, New York, NY, 10032, USA.
  • Roye BD; Columbia University Medical Center, 3959 Broadway-8 North, New York, NY, 10032, USA.
  • Roye DP; Columbia University Medical Center, 3959 Broadway-8 North, New York, NY, 10032, USA.
  • Vitale MG; Columbia University Medical Center, 3959 Broadway-8 North, New York, NY, 10032, USA.
Spine Deform ; 9(3): 691-696, 2021 05.
Article en En | MEDLINE | ID: mdl-33230667
INTRODUCTION: Physiotherapeutic Scoliosis-Specific Exercise (PSSE) is a conservative approach for management of adolescent idiopathic scoliosis (AIS). Although there is Level I evidence for the efficacy of PSSE, compliance in the teenage population remains in question. The purpose of this study is to investigate the association between completion of formal PSSE training and compliance to prescribed home exercise programs (HEP). METHODS: Patients with AIS evaluated at our institution between 2013 and 2015 with a minimum of one PSSE session were enrolled. A chart review and questionnaire completed by caregivers was utilized to assess HEP compliance following the final PSSE session at 1 week, 3 months, 1 year, and 2 years. Patients were divided into two groups, those completing formal training (10 or more PSSE sessions), and those who did not complete formal training (fewer than 10 sessions). RESULTS: 81 patients were identified (mean age of 13.1 years; major curve of 31.3°). Patients who completed training demonstrated 50% compliance at 1 week (vs. 25.6% for non-completers, Odds Ratio (OR): 2.9, p = 0.027), 41.2% at 3 months (vs. 18.9% for non-completers, OR: 3.0, p = 0.044), 23.5% at 1 year (vs. 13.5% for non-completers, OR: 2.0, p = 0.281), and 25.7% at 2 years (vs. 13.5% for non-completers, OR: 2.2, p = 0.197). The mean HEP duration (minutes) in patients who completed training was higher at 1 week (80.8 vs. 48, p = 0.010), 3 months (64.6 vs. 23.7, p ≤ 0.001), 1 year (35.3 vs. 22.7, p = 0.270), and 2 years (34.3 vs. 18.9, p = 0.140). CONCLUSION: Patients who completed PSSE training maintained higher HEP compliance.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escoliosis / Cifosis Aspecto: Implementation_research Límite: Adolescent / Humans Idioma: En Revista: Spine Deform Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escoliosis / Cifosis Aspecto: Implementation_research Límite: Adolescent / Humans Idioma: En Revista: Spine Deform Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido