Study | Study period | Exercise compliance | Outcome measurements | Results | Evaluation of interaction effects | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cobb | Trunk asymmetry | QoL | Others | Age | Bone maturity | Curve magnitudes | Exercise compliance | ||||
Liu et al.a,b[40] | 2.08 years | Not Reported | √ | × | × | × | 1.Significant Cobb reduction (6.8 ± 5.5° vs 1.5 ± 4.8°, p < 0.01) between the group A (age < 10 years, Risser 0) and the group C (age > 13 years, Risser 3). 2. Significant Cobb reduction was noted in subjects aged 10–12 (3.1 ± 4.2°). | Yes (* < 13 years) | Yes (*Risser: 0) | Unknown | N/A |
4 months | Study: 64% Control:62% | √ | √ ATR POTSI WRVS | √ SRS-22 (initial mean: 4.0) | × | 1. D-value of Cobb: −5.3 ± 2.2° vs −4.8 ± 2.6° in thoracic; − 4.1 ± 2.5° vs − 3.5 ± 3.0 in lumbar; P > 0.05 between groups. 1. No difference of ATR, POTSI, WRVAS between groups. 2. Pain domain was only improved in the control group (4.7 vs 4.3). | Unknown | Unknown | Yes No difference | Unknown | |
10 weeks | Study:69% Control:88% | √ | √ ATR POTSI WRVS | √ SRS-22 (initial mean:3.9) | × | 1. Significant difference of D-value in Thoracic Cobb reduction between groups (− 7.33 ± 2.78° vs 0.63 ± 4.34°). 2. Body asymmetry was only improved in the study group (ATR: −4.3 vs − 4.2). 3. SRS-22 was unchanged in both groups. | Unknown | Unknown | Yes (* Thoracic) | Unknown | |
Zheng et al.a [48] | 1 year | Study: 59 ± 0.2% Control: 58 ± 0.27% | √ | √ Shoulder-balance TAPS ATI | √ SRS-22 (initial mean:4.2) | × | 1. Greater Cobb reduction in the bracing group (5.58 ± 6.37° vs 2.24 ± 3.19°). 2. Shoulder balance was only improved in the bracing group. 3. Significant difference of functional domain (4.9 vs 4.7), mental domain (4.5 vs 4.2) between groups. | Unknown | Unknown | N/A | Unknown |
Kwan et al.a,b [38] | 18.1 ± 6.2 months | Study:77% Control:79% | √ | √ ATR | √ SRS-22 (initial mean:4.2) | × | 1. 17% improved, 62% stabilized and 21% worsened in the study group; 4% improved, 46% stabilized and 50% worsened in the control group. 2. No difference in the ATR between groups. 3. The SRS-22 result favored the exercise group (function domain: 4.8 vs 4.6). | Unknown | Unknown | Unknown | Unknown |
8 weeks | Not reported | √ | × | × | √ Pulmonary function | 1. Significant Cobb reduction between groups (D-value of Cobb angle: 4.26 ± 1.36 vs 2.69 ± 1.11, p < 0.05) 2. Significant peak expiratory flow between groups (D-value of PEF: −1.30 ± 0.87 vs −0.17 ± 0.68, p < 0.05) | Unknown | N/A | N/A | N/A | |
6 months | Supervised:76%. Home program: 73% | √ | × | × | × | 1. Significantly (D-value of Cobb: −3.5° vs + 2.3°, p < 0.01) smaller largest curve and sum of curves (decreased 0.4°, p < 0.05) between groups. | Unknown | Unknown | Unknown | Unknown | |
3 months | Not reported | √ | × | × | √ Weight distribution | 1. Significant (P < 0.05) inter−/intra-group Cobb reduction: Schroth group: 23.6 ± 1.5° to 12.0 ± 4.7°; Pilate group: 24.0 ± 2.6° to 16.0 ± 6.9° 2. No difference of weight distribution in the control whereas significant (P < 0.05) improvement was noted in the study group. | Unknown | Unknown | N/A | N/A | |
Kuru et al.a [37] | 24 weeks | Not reported | √ | √ ATR, height of hump, waist-asymmetry | √ SRS-23 (initial mean:3.9) | × | 1. Greater improvements in Cobb angle (−2.53°, P < 0.001), ATR (−4.23°, P < 0.001), height of hump (−68.66 cm, P < 0.01) and waist asymmetry (P < 0.01) were observed in the supervised exercise group compared with the home exercise group and control at 24-week. 2. No difference of QoL between groups (4.4 vs 3.9 vs 4.1). | Unknown | Unknown | N/A | N/A |
Monticone et al.a,b | 42.8 months | Not reported | √ | √ ATR | √ SRS-22 (initial mean:3.8) | × | 1. Significant (−5.3° vs + 1.7°, p < 0.001) improvement of Cobb angles between groups at skeletal maturity and at 1-year follow up. 2. Significant difference of ATR between groups (−3.5° vs −0.4°, p < 0.001). 3. The Seas group showed significant (P < 0.001) improvements in all domains of the SRS-22 at skeletal maturity (1-year follow-up: 4.8 vs 4.0). | Yes (* ≥ 13 years) | Unknown | Unknown | N/A |