Neuromuscular Scoliosis: When, Who, Why and Outcomes.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosure The authors have nothing to disclose. 16. BMJ Open. 2024 Dec 5;14(12):e083282. doi: 10.1136/bmjopen-2023-083282. Effect of therapeutic exercises on the progression of adolescent idiopathic scoliosis: a protocol of a systematic review. Andrade RM(1)(2), Callegari Ferreira ME(3), Piras L(4), Kiyomoto MLP(5), Carvas Junior N(6), Kiyomoto HD(7), Ribeiro AP(8)(9), Maria Amado João S(2). Author information: (1)Escoliose Brasil Institute, Campinas, Sao Paulo, Brazil anapaulafisioterapia@yahoo.com.br rodrigoandradefisioterapia@gmail.com. (2)Physical Therapy, Speech and Occupational Therapy Department, Universidade de São Paulo Faculdade de Medicina, Sao Paulo, São Paulo /SP, Brazil. (3)Escoliose Brasil Institute, Campinas, Sao Paulo, Brazil. (4)Faculdade de Ciências Médicas da Santa Casa de São Paulo, Sao Paulo, Brazil. (5)Instituto de Excelência em Reabilitação e Saúde, São Paulo, Brazil. (6)Universidade Paulista, Sao Paulo, Brazil. (7)FAM, Sao Paulo, SP, Brazil. (8)Physical Therapy, Speech and Occupational Therapy Department, Universidade de São Paulo Faculdade de Medicina, Sao Paulo, São Paulo /SP, Brazil anapaulafisioterapia@yahoo.com.br rodrigoandradefisioterapia@gmail.com. (9)Post-Graduate in Health Science Department, Biomechanics and Musculoskeletal Rehabilitation Laboratory, Universidade de Santo Amaro Faculdade de Medicina, Sao Paulo, São Paulo /SP, Brazil. INTRODUCTION: Adolescent idiopathic scoliosis (AIS) affects an estimated 200 million adolescents globally and curvatures exceeding 30° at skeletal maturity are associated with increased health risks in adulthood. The International Society for the Orthopedic and Rehabilitative Treatment of Scoliosis recommends specific therapeutic exercises to prevent the progression of AIS. However, studies have questioned the effects of specific and general therapeutic exercises on the progression of AIS. This systematic review will evaluate the effectiveness of general and specific therapeutic exercises in preventing Cobb angle progression compared with other conservative interventions. METHODS AND ANALYSIS: We will search MEDLINE (via PubMed), EMBASE, CENTRAL, PEDro and CINAHL from inception to 14 December 2023. Randomised clinical trials involving individuals aged 10 to 18 years with a Cobb angle above 10° will be considered. The effectiveness of therapeutic exercises will be compared with minimal intervention, other exercises and brace use, alone or in combination with exercise. The primary outcome is the Cobb angle measurement, with subgroup analyses assessing severity based on SOSORT classifications. The risk of bias will be assessed using the PEDro scale and Grading of Recommendations, Assessment, Development and Evaluation will be used to assess certainty of evidence. The Review Manager 5.4 software will be used for meta-analysis. The protocol follows the Cochrane Handbook for Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols guidelines. ETHICS AND DISSEMINATION: This is a literature-based study and ethical approval is not required. The findings will be disseminated through peer-reviewed publications. PROSPERO registration number CRD42020156639. © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. DOI: 10.1136/bmjopen-2023-083282 PMCID: PMC11624806