Evidence map›Paper›PMID 28033399›Full record

Trial reportPloS one2016

Schroth Physiotherapeutic Scoliosis-Specific Exercises Added to the Standard of Care Lead to Better Cobb Angle Outcomes in Adolescents with Idiopathic Scoliosis - an Assessor and Statistician Blinded Randomized Controlled Trial.

Sanja Schreiber, Eric C Parent, Elham Khodayari Moez, Douglas M Hedden, Douglas L Hill, Marc Moreau, Edmond Lou, Elise M Watkins, Sarah C Southon

6 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 112 papers, 21 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 21 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.

NCT01610908 nacompletednot on this map

A Multicenter Randomized Controlled Trial to Compare the Effect of Schroth Exercises to Standard Care on Curve Characteristics, Posture, and Quality Of Life in Adolescents With Idiopathic Scoliosis

TypeinterventionalSponsorUniversity of AlbertaRan2011 to 2020Enrolled158ConditionsScoliosisArmsThe Schroth exercises treatment, Global Postural Re-Education
NCT04421157 nacompletednot on this mapstarted 2019, after this paper: background citation

The Effectiveness of Two Different Exercises in Adolescent Idiopathic Scoliosis: A Single-blind Study

TypeinterventionalSponsorKaramanoğlu Mehmetbey UniversityRan2019 to 2020Enrolled28ConditionsAdolescent Idiopathic ScoliosisArmsSchroth Exercises, Core stabilization Exercises
NCT05039255 unknown statusnot on this mapstarted 2021, after this paper: background citation

Acute Effects of Self-correcting Movement on the Balance and Spine of Patients With Scoliosis. Observational Clinical Study

TypeobservationalSponsorUniversity of PaviaRan2021 to 2022Enrolled35ConditionsScoliosis Idiopathic
NCT05636280 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Evaluation of the Effect of Three Dimensional Schroth Exercises on Abdominal Muscle Thickness in Patients With Adolescent Idiopathic Scoliosis

TypeinterventionalSponsorSaglik Bilimleri UniversitesiRan2023 to 2023Enrolled24ConditionsScoliosis IdiopathicArmsschroth exercise, traditional scoliosis exercise
NCT05637723 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Evaluation of the Efficacy of Three-Dimensional Schroth Exercises on Pelvic Asymmetry and Pelvic Floor Muscles in Patients With Adolescent Idiopathic Scoliosis

TypeinterventionalSponsorSaglik Bilimleri UniversitesiRan2023 to 2024Enrolled36ConditionsScoliosisArmsschroth exercise, traditional scoliosis exercises
NCT07201103 nacompletednot on this mapstarted 2025, after this paper: background citation

The Effects of Augmented Reality-Based Exercise Training on Body Awareness, Trunk Appearance Perception, and Exercise Adherence in Adolescents With Idiopathic Scoliosis: A Randomized Controlled Trial

TypeinterventionalSponsorHasan Kalyoncu UniversityRan2025 to 2025Enrolled30ConditionsAdolescent Idiopathic ScoliosisArmsConventional PSSE-Schroth, AR-Assisted PSSE-Schroth
3 · Its place in the literature

Who cites it

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

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  15. Therapeutic exercises for idiopathic scoliosis in adolescents.The Cochrane database of systematic reviews · 2024
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52 more citing papers are in PubMed but not listed here.

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

9 authors.

Sanja SchreiberFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0002-8231-5131
Eric C ParentDepartment of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada.
Elham Khodayari MoezSchool of Public Health, University of Alberta, Edmonton, Alberta, Canada.
Douglas M HeddenDepartment of Surgery, University of Alberta, Alberta Health Services, Edmonton, Alberta, Canada.
Douglas L HillDepartment of Surgery, University of Alberta, Alberta Health Services, Edmonton, Alberta, Canada.
Marc MoreauDepartment of Surgery, University of Alberta, Alberta Health Services, Edmonton, Alberta, Canada.
Edmond LouDepartment of Surgery, University of Alberta, Alberta Health Services, Edmonton, Alberta, Canada.
Elise M WatkinsFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.
Sarah C SouthonDepartment of Surgery, University of Alberta, Alberta Health Services, Edmonton, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe North American non-surgical standard of care for adolescent idiopathic scoliosis (AIS) includes observation and bracing, but not exercises. Schroth physiotherapeutic scoliosis-specific exercises (PSSE) showed promise in several studies of suboptimal methodology. The Scoliosis Research Society calls for rigorous studies supporting the role of exercises before including it as a treatment recommendation for scoliosis.

objectivesTo determine the effect of a six-month Schroth PSSE intervention added to standard of care (Experimental group) on the Cobb angle compared to standard of care alone (Control group) in patients with AIS.

methodsFifty patients with AIS aged 10-18 years, with curves of 10°-45° and Risser grade 0-5 were recruited from a single pediatric scoliosis clinic and randomized to the Experimental or Control group. Outcomes included the change in the Cobb angles of the Largest Curve and Sum of Curves from baseline to six months. The intervention consisted of a 30-45 minute daily home program and weekly supervised sessions. Intention-to-treat and per protocol linear mixed effects model analyses are reported.

resultsIn the intention-to-treat analysis, after six months, the Schroth group had significantly smaller Largest Curve than controls (-3.5°, 95% CI -1.1° to -5.9°, p = 0.006). Likewise, the between-group difference in the square root of the Sum of Curves was -0.40°, (95% CI -0.03° to -0.8°, p = 0.046), suggesting that an average patient with 51.2° at baseline, will have a 49.3° Sum of Curves at six months in the Schroth group, and 55.1° in the control group with the difference between groups increasing with severity. Per protocol analyses produced similar, but larger differences: Largest Curve = -4.1° (95% CI -1.7° to -6.5°, p = 0.002) and [Formula: see text] (95% CI -0.8 to 0.2, p = 0.006).

conclusionSchroth PSSE added to the standard of care were superior compared to standard of care alone for reducing the curve severity in patients with AIS.

trial registrationNCT01610908.

Indexed as

Exercise TherapyStandard of CareAdolescentChildDisease ProgressionFemaleHumansMalePatient DropoutsScoliosisTreatment OutcomeYoung Adult

Identifiers

PMID28033399
PMCPMC5198985

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.