Spinal Stabilization Exercise Effectiveness for Low Back Pain in Adolescent Idiopathic Scoliosis: A Randomized Trial. Issue 4 (2015)

• Record Type: Journal Article
• Authors: Zapata, Karina Amani; Wang-Price, Sharon S.; Sucato, Daniel J.; Thompson, Mary; Trudelle-Jackson, Elaine; Lovelace-Chandler, Venita
• Is Part Of: Pediatric physical therapy. Volume 27:Issue 4(2015:Winter)
• Publication Date: 2015
• Subjects: adolescent -- exercise therapy/methods -- female -- human -- low back pain/physiopathology -- low back pain/therapy -- male -- muscle strength/physiology -- pain measurement -- patient education as topic -- physical therapy/methods -- questionnaires -- scoliosis -- self-care -- treatment outcomes; Physical therapy for children -- Periodicals; 615.820832
• DOI: 10.1097/PEP.0000000000000174
• Languages: English
• ISSNs: 0898-5669

Abstract

Abstract : Purpose: To compare 8 weeks of weekly supervised spinal stabilization exercises with 1-time treatment in participants with low back pain and adolescent idiopathic scoliosis. Methods: Participants were randomly assigned to the supervised or unsupervised group. Seventeen participants in the supervised group received weekly physical therapy, and 17 participants in the unsupervised group received a 1-time treatment followed by home exercises. Results: Significant between-group differences were found in the Numeric Pain Rating Scale and the Patient-Specific Functional Scale scores after 8 weeks ( P < .01), indicating the supervised group had significantly more pain reduction and functional improvements than the unsupervised group. However, no between-group differences were found in back muscle endurance, the revised Oswestry Back Pain Disability Questionnaire scores, or the Global Rating of Change scores. Conclusions: Supervised physical therapy may be more effective than 1-time treatment in reducing pain and improving function in patients with adolescent idiopathic scoliosis and low back pain. Video Abstract: For more insights from the authors, access Supplemental Digital Content 1, athttp://links.lww.com/PPT/A85 . Abstract : Supplemental Digital Content is Available in the Text.The finding that supervised spinal stabilization exercises may be effective in reducing pain and improving function in adolescents with low back pain and scoliosis is tempered by the results that showed no difference in disability outcomes related to intensity and supervision of the exercise program.