Conservative Treatments of Adolescent Idiopathic Scoliosis: Physical Therapists' Perspectives

Cassidy M. Foley Davelaar, Elizabeth Weber Goff, Julie E. Granger, Danielle E. Gill, Nathalie Michelle Rosales Dela Cruz,Dai Sugimoto

Clinical pediatrics(2023)

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摘要
This study aimed to examine physical therapists' perspectives in conservative treatments of pediatric patients with adolescent idiopathic scoliosis (AIS). A cross-sectional survey design was used. A validated questionnaire was distributed to physical therapists, and the responses were analyzed. Preferred treatment frequency was 60 minutes (53.8%), twice weekly (41.5%), over 3 to 5 months (44.6%). Top 3 clinical interventions were core and trunk stability enhancement (90.8%), abdominal strengthening (83.1%), and postural correction (80.0%). Top 3 therapeutic goal-setting parameters were activity-based (78.5%), quality-of-life measure-based (56.9%), and participation-based (50.8%). The most common quality-of-life survey used was Oswestry low back pain disability questionnaire (15.6%) followed by Scoliosis Research Society-22 instrument (12.5%). According to our data, physical therapists believe that pediatric patients with AIS can benefit with addressing core and trunk stability, a 60-minute per session, twice weekly, over 3 to 5 months based on activity-based goal-setting and quality-of-life measures using Oswestry questionnaire.
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关键词
back pain, Cobb angle, pediatric physical therapy, scoliosis treatment, non-surgical
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