Adults with idiopathic scoliosis improve disability after motor and cognitive rehabilitation: results of a randomised controlled trial
Purpose To evaluate the effects of motor and cognitive rehabilitation on disability in adults with idiopathic scoliosis at lower risk of progression. Methods 130 adults with idiopathic scoliosis (main curve
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| Veröffentlicht in: | European spine journal 2016-10, Vol.25 (10), p.3120-3129 |
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| creator | Monticone, Marco Ambrosini, Emilia Cazzaniga, Daniele Rocca, Barbara Motta, Lorenzo Cerri, Cesare Brayda-Bruno, Marco Lovi, Alessio |
| description | Purpose
To evaluate the effects of motor and cognitive rehabilitation on disability in adults with idiopathic scoliosis at lower risk of progression.
Methods
130 adults with idiopathic scoliosis (main curve |
| doi_str_mv | 10.1007/s00586-016-4528-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1837294386</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1837294386</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-92c92d2f590b60f3e8cef45b446c584c04ddff075e15205d13df9ad2c2887d2e3</originalsourceid><addsrcrecordid>eNqNkU1rFTEYhYMo9tr6A9xIwI2bsW8ySSbjrhS_oNCNXYfcfPSmZCbXJGO5f8DfbW6nigiCq7whzzlvDgehVwTeEYDhvABwKTogomOcyu7wBG0I62kHY0-fog2MDDoxkPEEvSjlDoDwEcRzdEKHNgo5btCPC7vEWvB9qDscbEh7XXfB4GJSDKmEgsO0z-m7wzYUvQ0x1APWvrqMp1RTxnq22KTbOdTQoOx2K6RrSPP7di8P9sljjXNj0xSKOyrmmlOMbaw56HiGnnkdi3v5eJ6im48fvl5-7q6uP325vLjqDANeu5GakVrqW4ytAN87aZxnfMuYMFwyA8xa72HgjnAK3JLe-lFbaqiUg6WuP0VvV9-W6dviSlXtP8bFqGeXlqKI7Ac6sl6K_0CpEIID6xv65i_0Li15bkEeKClbQ0OjyEqZnErJzqt9DpPOB0VAHftUa5-q0erYpzo0zetH52U7Oftb8avABtAVKO1pvnX5j9X_dP0JNYSuCQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1826880167</pqid></control><display><type>article</type><title>Adults with idiopathic scoliosis improve disability after motor and cognitive rehabilitation: results of a randomised controlled trial</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Monticone, Marco ; Ambrosini, Emilia ; Cazzaniga, Daniele ; Rocca, Barbara ; Motta, Lorenzo ; Cerri, Cesare ; Brayda-Bruno, Marco ; Lovi, Alessio</creator><creatorcontrib>Monticone, Marco ; Ambrosini, Emilia ; Cazzaniga, Daniele ; Rocca, Barbara ; Motta, Lorenzo ; Cerri, Cesare ; Brayda-Bruno, Marco ; Lovi, Alessio</creatorcontrib><description>Purpose
To evaluate the effects of motor and cognitive rehabilitation on disability in adults with idiopathic scoliosis at lower risk of progression.
Methods
130 adults with idiopathic scoliosis (main curve <35°) were randomly assigned to a 20-week rehabilitation programme consisting of active self-correction, task-oriented exercises and cognitive–behavioural therapy (experimental group, 65 subjects, mean age of 51.6, females 48) or general physiotherapy consisting of active and passive mobilizations, stretching, and strengthening exercises of the spinal muscles (control group, 65 subjects, mean age of 51.7, females 46). Before, at the end, and 12 months after treatment, each participant completed the Oswestry disability index (ODI) (primary outcome), the Tampa scale for kinesiophobia, the pain catastrophizing scale, a pain numerical rating scale, and the Scoliosis Research Society-22 Patient Questionnaire. Radiological (Cobb angle) and clinical deformity (angle of trunk rotation) changes were also investigated. A linear mixed model for repeated measures was used for each outcome.
Results
Significant effects of time, group, and time by group interaction were found for all outcome measures (
P
< 0.001). After training, the primary outcome showed a clinically significant between-group change (12 % points), which was preserved at follow-up. At follow-up, the radiological deformities showed a significant, although not clinically meaningful, between-group difference of 4° in favour of the experimental group.
Conclusion
The experimental programme was superior to general physiotherapy in reducing disability of adults with idiopathic scoliosis. Motor and cognitive rehabilitation also led to improvements in dysfunctional thoughts, pain, and quality of life. Changes were maintained for at least 1 year.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-016-4528-y</identifier><identifier>PMID: 27015689</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Cognitive Therapy - methods ; Disabled Persons - rehabilitation ; Exercise Therapy - methods ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Original Article ; Outcome Assessment (Health Care) ; Pain Measurement ; Patient Satisfaction ; Physical Therapy Modalities ; Quality of Life ; Scoliosis - rehabilitation ; Surgical Orthopedics</subject><ispartof>European spine journal, 2016-10, Vol.25 (10), p.3120-3129</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-92c92d2f590b60f3e8cef45b446c584c04ddff075e15205d13df9ad2c2887d2e3</citedby><cites>FETCH-LOGICAL-c405t-92c92d2f590b60f3e8cef45b446c584c04ddff075e15205d13df9ad2c2887d2e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-016-4528-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-016-4528-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27015689$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Monticone, Marco</creatorcontrib><creatorcontrib>Ambrosini, Emilia</creatorcontrib><creatorcontrib>Cazzaniga, Daniele</creatorcontrib><creatorcontrib>Rocca, Barbara</creatorcontrib><creatorcontrib>Motta, Lorenzo</creatorcontrib><creatorcontrib>Cerri, Cesare</creatorcontrib><creatorcontrib>Brayda-Bruno, Marco</creatorcontrib><creatorcontrib>Lovi, Alessio</creatorcontrib><title>Adults with idiopathic scoliosis improve disability after motor and cognitive rehabilitation: results of a randomised controlled trial</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
To evaluate the effects of motor and cognitive rehabilitation on disability in adults with idiopathic scoliosis at lower risk of progression.
Methods
130 adults with idiopathic scoliosis (main curve <35°) were randomly assigned to a 20-week rehabilitation programme consisting of active self-correction, task-oriented exercises and cognitive–behavioural therapy (experimental group, 65 subjects, mean age of 51.6, females 48) or general physiotherapy consisting of active and passive mobilizations, stretching, and strengthening exercises of the spinal muscles (control group, 65 subjects, mean age of 51.7, females 46). Before, at the end, and 12 months after treatment, each participant completed the Oswestry disability index (ODI) (primary outcome), the Tampa scale for kinesiophobia, the pain catastrophizing scale, a pain numerical rating scale, and the Scoliosis Research Society-22 Patient Questionnaire. Radiological (Cobb angle) and clinical deformity (angle of trunk rotation) changes were also investigated. A linear mixed model for repeated measures was used for each outcome.
Results
Significant effects of time, group, and time by group interaction were found for all outcome measures (
P
< 0.001). After training, the primary outcome showed a clinically significant between-group change (12 % points), which was preserved at follow-up. At follow-up, the radiological deformities showed a significant, although not clinically meaningful, between-group difference of 4° in favour of the experimental group.
Conclusion
The experimental programme was superior to general physiotherapy in reducing disability of adults with idiopathic scoliosis. Motor and cognitive rehabilitation also led to improvements in dysfunctional thoughts, pain, and quality of life. Changes were maintained for at least 1 year.</description><subject>Adult</subject><subject>Aged</subject><subject>Cognitive Therapy - methods</subject><subject>Disabled Persons - rehabilitation</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Outcome Assessment (Health Care)</subject><subject>Pain Measurement</subject><subject>Patient Satisfaction</subject><subject>Physical Therapy Modalities</subject><subject>Quality of Life</subject><subject>Scoliosis - rehabilitation</subject><subject>Surgical Orthopedics</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU1rFTEYhYMo9tr6A9xIwI2bsW8ySSbjrhS_oNCNXYfcfPSmZCbXJGO5f8DfbW6nigiCq7whzzlvDgehVwTeEYDhvABwKTogomOcyu7wBG0I62kHY0-fog2MDDoxkPEEvSjlDoDwEcRzdEKHNgo5btCPC7vEWvB9qDscbEh7XXfB4GJSDKmEgsO0z-m7wzYUvQ0x1APWvrqMp1RTxnq22KTbOdTQoOx2K6RrSPP7di8P9sljjXNj0xSKOyrmmlOMbaw56HiGnnkdi3v5eJ6im48fvl5-7q6uP325vLjqDANeu5GakVrqW4ytAN87aZxnfMuYMFwyA8xa72HgjnAK3JLe-lFbaqiUg6WuP0VvV9-W6dviSlXtP8bFqGeXlqKI7Ac6sl6K_0CpEIID6xv65i_0Li15bkEeKClbQ0OjyEqZnErJzqt9DpPOB0VAHftUa5-q0erYpzo0zetH52U7Oftb8avABtAVKO1pvnX5j9X_dP0JNYSuCQ</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Monticone, Marco</creator><creator>Ambrosini, Emilia</creator><creator>Cazzaniga, Daniele</creator><creator>Rocca, Barbara</creator><creator>Motta, Lorenzo</creator><creator>Cerri, Cesare</creator><creator>Brayda-Bruno, Marco</creator><creator>Lovi, Alessio</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20161001</creationdate><title>Adults with idiopathic scoliosis improve disability after motor and cognitive rehabilitation: results of a randomised controlled trial</title><author>Monticone, Marco ; Ambrosini, Emilia ; Cazzaniga, Daniele ; Rocca, Barbara ; Motta, Lorenzo ; Cerri, Cesare ; Brayda-Bruno, Marco ; Lovi, Alessio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-92c92d2f590b60f3e8cef45b446c584c04ddff075e15205d13df9ad2c2887d2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cognitive Therapy - methods</topic><topic>Disabled Persons - rehabilitation</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Outcome Assessment (Health Care)</topic><topic>Pain Measurement</topic><topic>Patient Satisfaction</topic><topic>Physical Therapy Modalities</topic><topic>Quality of Life</topic><topic>Scoliosis - rehabilitation</topic><topic>Surgical Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Monticone, Marco</creatorcontrib><creatorcontrib>Ambrosini, Emilia</creatorcontrib><creatorcontrib>Cazzaniga, Daniele</creatorcontrib><creatorcontrib>Rocca, Barbara</creatorcontrib><creatorcontrib>Motta, Lorenzo</creatorcontrib><creatorcontrib>Cerri, Cesare</creatorcontrib><creatorcontrib>Brayda-Bruno, Marco</creatorcontrib><creatorcontrib>Lovi, Alessio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Monticone, Marco</au><au>Ambrosini, Emilia</au><au>Cazzaniga, Daniele</au><au>Rocca, Barbara</au><au>Motta, Lorenzo</au><au>Cerri, Cesare</au><au>Brayda-Bruno, Marco</au><au>Lovi, Alessio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adults with idiopathic scoliosis improve disability after motor and cognitive rehabilitation: results of a randomised controlled trial</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>25</volume><issue>10</issue><spage>3120</spage><epage>3129</epage><pages>3120-3129</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
To evaluate the effects of motor and cognitive rehabilitation on disability in adults with idiopathic scoliosis at lower risk of progression.
Methods
130 adults with idiopathic scoliosis (main curve <35°) were randomly assigned to a 20-week rehabilitation programme consisting of active self-correction, task-oriented exercises and cognitive–behavioural therapy (experimental group, 65 subjects, mean age of 51.6, females 48) or general physiotherapy consisting of active and passive mobilizations, stretching, and strengthening exercises of the spinal muscles (control group, 65 subjects, mean age of 51.7, females 46). Before, at the end, and 12 months after treatment, each participant completed the Oswestry disability index (ODI) (primary outcome), the Tampa scale for kinesiophobia, the pain catastrophizing scale, a pain numerical rating scale, and the Scoliosis Research Society-22 Patient Questionnaire. Radiological (Cobb angle) and clinical deformity (angle of trunk rotation) changes were also investigated. A linear mixed model for repeated measures was used for each outcome.
Results
Significant effects of time, group, and time by group interaction were found for all outcome measures (
P
< 0.001). After training, the primary outcome showed a clinically significant between-group change (12 % points), which was preserved at follow-up. At follow-up, the radiological deformities showed a significant, although not clinically meaningful, between-group difference of 4° in favour of the experimental group.
Conclusion
The experimental programme was superior to general physiotherapy in reducing disability of adults with idiopathic scoliosis. Motor and cognitive rehabilitation also led to improvements in dysfunctional thoughts, pain, and quality of life. Changes were maintained for at least 1 year.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27015689</pmid><doi>10.1007/s00586-016-4528-y</doi><tpages>10</tpages></addata></record> |
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| ispartof | European spine journal, 2016-10, Vol.25 (10), p.3120-3129 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Cognitive Therapy - methods Disabled Persons - rehabilitation Exercise Therapy - methods Female Humans Male Medicine Medicine & Public Health Middle Aged Neurosurgery Original Article Outcome Assessment (Health Care) Pain Measurement Patient Satisfaction Physical Therapy Modalities Quality of Life Scoliosis - rehabilitation Surgical Orthopedics |
| title | Adults with idiopathic scoliosis improve disability after motor and cognitive rehabilitation: results of a randomised controlled trial |
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