Evidence map›Paper›PMID 40935367›Full record

ArticleBone & joint open2025

A Protocol of Accelerated Rehabilitation following surgery for adolescent Idiopathic Scoliosis (PARIS) : a feasibility study.

Jodie Walters, Gareth Stephens, Michael Dawes, Adrian Gardner

Abstract read
In one paragraph

Article in Bone & joint open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. Review
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

4 authors.

Jodie WaltersThe Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.ORCID 0009-0002-6689-146X
Gareth StephensThe Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.ORCID 0000-0001-9373-0026
Michael DawesThe Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.
Adrian GardnerThe Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.ORCID 0000-0001-6532-7950

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Almost 50% of adolescents who undergo surgery for adolescent idiopathic scoliosis (AIS) do not return to their preoperative levels of physical activity. Considering the potential long-term impacts of surgery, testing postoperative physiotherapy interventions should be a priority in this group. This study aimed to evaluate the feasibility of a future randomized controlled trial (RCT), which compares the effectiveness of an accelerated physiotherapist-led rehabilitation protocol to standard care for patients following surgical correction of AIS. Methods: A total of 23 participants with AIS were recruited from surgical waiting lists at a single elective orthopaedic hospital. Participants were randomly allocated postoperatively to either a physiotherapist-led intervention of 12 sessions or standard care. Patient-reported outcome measures (PROMs), including Scoliosis Research Society 22-point revised questionnaire, were collected at baseline, six months, and 12 months. Recruitment rate, retention rate, response rate to PROMs, treatment adherence, and safety of the intervention via adverse events were also measured. Results: Overall, 62% of eligible individuals were consented and there were three withdrawals (surgical delay, unable to travel to appointments). A total of 20 participants remained (intervention n = 9, standard care n = 11). The retention rate was 70% at six months and 65% at 12 months. Overall, treatment adherence was 76%. There were no adverse events related to the intervention. Conclusion: This feasibility study has indicated that an accelerated physiotherapist-led rehabilitation protocol following surgery for AIS is safe and that patients can be successfully identified, recruited, and randomized to a future RCT. The next iteration of this intervention protocol needs to be developed with relevant stakeholders, including patients and the public, to improve retention rates and treatment adherence.

Identifiers

PMID40935367
PMCPMC12425603

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Registered trials

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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.