Evidence map›Paper›PMID 38407430›Full record

ArticleJournal of rehabilitation medicine2024

Effect of traditional rehabilitation programme versus telerehabilitation in adolescents with idiopathic scoliosis during the COVID-19 pandemic: a cohort study.

Rodrigo Mantelatto Andrade, Bruna Gomes Santana, Ariane Verttú Schmidt, Carlos Eduardo Barsotti, Marina Pegoraro Baroni, Bruno Tirotti Saragiotto, Ana Paula Ribeiro

Open access · goldAbstract read
In one paragraph

Article in Journal of rehabilitation medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 7% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 4 institutions in 1 country.

Rodrigo Mantelatto AndradeUniversity of Sao Paulo, School of Medicine, Physical Therapy Department, Sao Paulo, Brazil; Clinical Center in Scoliosis, São Paulo, SP, Brazil. rodrigoandradee@usp.br.
Bruna Gomes SantanaClinical Center in Scoliosis, São Paulo, SP, Brazil.
Ariane Verttú SchmidtMedicine Department, Health Science Post-Graduate, Biomechanics and Musculoskeletal Rehabilitation Laboratory, University Santo Amaro, Sao Paulo, Brazil.
Carlos Eduardo BarsottiMember of the Spine Group, Hospital do Servidor Público Estadual, São Paulo/SP, Brazil.
Marina Pegoraro BaroniMasters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo/SP, Brazil.
Bruno Tirotti SaragiottoMasters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo/SP, Brazil.
Ana Paula RibeiroUniversity of Sao Paulo, School of Medicine, Physical Therapy Department, Sao Paulo, Brazil; Medicine Department, Health Science Post-Graduate, Biomechanics and Musculoskeletal Rehabilitation Laboratory, University Santo Amaro, Sao Paulo, Brazil. apribeiro@alumni.usp.br.
Universidade Cidade de São Paulo · BRUniversidade de Santo Amaro · BRHospital do Servidor Público Estadual · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelerehabilitation has become increasingly popular since the SARS-CoV-2 (COVID-19) outbreak. However, studies are needed to understand the effects of remote delivery of spine treatment approaches.

objectivesTo verify and compare the effects of traditional rehabilitation programmes (in-person) and telerehabilitation (online) on the progression of scoliotic curvature in adolescents with idiopathic scoliosis during the COVID-19 pandemic, and to verify the acceptability, appropriateness, and feasibility among patients and physiotherapists regarding both treatments.

methodsThis is a cohort study (prospective analysis of 2 intervention groups: telerehabilitation (online) and traditional rehabilitation (in-person). A total of 66 adolescents with idiopathic scoliosis were included. Recruitment was conducted through the Clinical Center in Scoliosis Care (January-December 2020). Participants were divided into 2 intervention groups: telerehabilitation (online) (n = 33) and traditional rehabilitation programme (in-person) (n = 33). Both groups also were supplied with a spinal orthopaedic brace. Scoliosis was confirmed by a spine X-ray examination (Cobb angle). Radiographic parameters measured were: Cobb angles (thoracic and lumbar). The method of Nash and Moe (thoracic and lumbar) was also evaluated based on the relationship between the vertebral pedicles and the centre of the vertebral body in the X-rays. Assessments were performed at baseline (T0) and after 6 months of the intervention protocol (T6). Patient and physiotherapist reports were evaluated on the acceptability, appropriateness, and feasibility of the interventions.

resultsAdolescents with idiopathic scoliosis showed a significant decrease in the Cobb angle (main scoliotic curvature), with a 4.9° for the traditional rehabilitation programme and 2.4° for the telerehabilitation. Thoracic and lumbar Cobb angles did not show significant changes after the intervention in both groups or between groups. Thoracic and lumbar Nash and Moe scores scores also did not show significant differences after 6 months of in-person or telerehabilitation intervention, or between groups. The intervention by telerehabilitation was acceptable, appropriate, and feasible for patients and physiotherapists.

conclusionUse of the rehabilitation programme for adolescents with idiopathic scoliosis, delivered via telerehabilitation during the COVID-19 pandemic, was encouraging for future applications due to the improved effect on reducing the Cobb angle, preventing progression of scoliosis. In addition, telerehabilitation showed good acceptability among patients and physiotherapists. Traditional rehabilitation programmes (in-person) in adolescents with idiopathic scoliosis also showed a reduction in the Cobb angle.

Indexed as

COVID-19Non-alcoholic Fatty Liver DiseaseScoliosisTelerehabilitationAdolescentCohort StudiesHumansPandemicsSARS-CoV-2

Identifiers

PMID38407430
PMCPMC10910275
OpenAlexW4392168473

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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.