Evidence map›Paper›PMID 27015689›Full record

Trial reportEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016

Adults with idiopathic scoliosis improve disability after motor and cognitive rehabilitation: results of a randomised controlled trial.

Marco Monticone, Emilia Ambrosini, Daniele Cazzaniga, Barbara Rocca, Lorenzo Motta, Cesare Cerri, Marco Brayda-Bruno, Alessio Lovi

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03413839 (Physiotherapeutic Scoliosis Specific Exercises As Treatment for Adult Degenerative Scoliosis vs Conventional Physical Therapy Exercises), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03413839 nawithdrawnnot on this mapstarted 2020, after this paper: background citation

Physiotherapeutic Scoliosis Specific Exercises As Treatment for Adult Degenerative Scoliosis vs Conventional Physical Therapy Exercises

TypeinterventionalSponsorColumbia UniversityRan2020 to 2020Enrolled0ConditionsDegenerative ScoliosisArmsPhysiotherapeutic Scoliosis Specific Exercises (PSSE), Conventional Physical Therapy (PT)
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Characteristics of baseline frequency data in spinal RCTs do not suggest widespread non-random allocation.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Article
  10. Review
  11. Review
  12. How back pain intensity relates to clinical and psychosocial factors in patients with idiopathic scoliosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Article
  13. Bracing adults with chronic low back pain secondary to severe scoliosis: six months results of a prospective pilot study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021
    Article
  14. Article
  15. Article
  16. Rehabilitation in adult spinal deformity.Turkish journal of physical medicine and rehabilitation · 2020
    Review
  17. Article
  18. Article
  19. Outcome of surgery for degenerative lumbar scoliosis: an observational study using the Swedish Spine register.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marco MonticonePhysical Medicine and Rehabilitation Unit, Scientific Institute of Lissone, Salvatore Maugeri Foundation, Institute of Care and Research (IRCCS), Via Monsignor Bernasconi, 16, 20851, Lissone, Monza Brianza, Italy. marco.monticone@fsm.it.
Emilia AmbrosiniPhysical Medicine and Rehabilitation Unit, Scientific Institute of Lissone, Salvatore Maugeri Foundation, Institute of Care and Research (IRCCS), Via Monsignor Bernasconi, 16, 20851, Lissone, Monza Brianza, Italy.
Daniele CazzanigaPhysical Medicine and Rehabilitation Unit, Scientific Institute of Lissone, Salvatore Maugeri Foundation, Institute of Care and Research (IRCCS), Via Monsignor Bernasconi, 16, 20851, Lissone, Monza Brianza, Italy.
Barbara RoccaPhysical Medicine and Rehabilitation Unit, Scientific Institute of Lissone, Salvatore Maugeri Foundation, Institute of Care and Research (IRCCS), Via Monsignor Bernasconi, 16, 20851, Lissone, Monza Brianza, Italy.
Lorenzo MottaSchool of Physical and Rehabilitation Medicine, Bicocca University of Milan, Milan, Italy.
Cesare CerriSchool of Physical and Rehabilitation Medicine, Bicocca University of Milan, Milan, Italy.
Marco Brayda-BrunoDepartment of Spinal Surgery III, Galeazzi Orthopedic Institute, Institute of Care and Research (IRCCS), Milan, Italy.
Alessio LoviDepartment of Spinal Surgery III, Galeazzi Orthopedic Institute, Institute of Care and Research (IRCCS), Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effects of motor and cognitive rehabilitation on disability in adults with idiopathic scoliosis at lower risk of progression.

methods130 adults with idiopathic scoliosis (main curve <35°) were randomly assigned to a 20-week rehabilitation programme consisting of active self-correction, task-oriented exercises and cognitive-behavioural therapy (experimental group, 65 subjects, mean age of 51.6, females 48) or general physiotherapy consisting of active and passive mobilizations, stretching, and strengthening exercises of the spinal muscles (control group, 65 subjects, mean age of 51.7, females 46). Before, at the end, and 12 months after treatment, each participant completed the Oswestry disability index (ODI) (primary outcome), the Tampa scale for kinesiophobia, the pain catastrophizing scale, a pain numerical rating scale, and the Scoliosis Research Society-22 Patient Questionnaire. Radiological (Cobb angle) and clinical deformity (angle of trunk rotation) changes were also investigated. A linear mixed model for repeated measures was used for each outcome.

resultsSignificant effects of time, group, and time by group interaction were found for all outcome measures (P < 0.001). After training, the primary outcome showed a clinically significant between-group change (12 % points), which was preserved at follow-up. At follow-up, the radiological deformities showed a significant, although not clinically meaningful, between-group difference of 4° in favour of the experimental group.

conclusionThe experimental programme was superior to general physiotherapy in reducing disability of adults with idiopathic scoliosis. Motor and cognitive rehabilitation also led to improvements in dysfunctional thoughts, pain, and quality of life. Changes were maintained for at least 1 year.

Indexed as

Physical Therapy ModalitiesAdultAgedCognitive Behavioral TherapyExercise TherapyFemaleHumansMaleMiddle AgedOutcome Assessment, Health CarePain MeasurementPatient SatisfactionPersons with DisabilitiesQuality of LifeScoliosisAdult scoliosisCognitive–behavioural therapyRandomised controlled trialSelf-correctionTask-oriented exercises

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.