We attempt to investigate the influence of physiotherapy and physical activity education applied in adolescence on physical fitness, curve progression, pulmonary function, physical activity and quality of life in adulthood. Quality of life assessment includes mental and social functioning, body image, self - esteem, depression and anxiety surveillance. The follow - up period ranges from 15 to 26 years. Also a group of shorter follow - up of 9 - 13 years is available. The null hypothesis is that scoliosis specific exercise program applied in adolescence does not influence HRQoL and functioning in adulthood.
Among conservative treatment approaches of adolescent idiopathic scoliosis (AIS), different physiotherapy methods are recommended and popular in some countries (Spain, Germany, Poland), while in others bracing and observation are standard (North America, Australia, the UK, Scandinavia. Neither of the methods have been shown to be definitely effective. Considerable evidence indicates that bracing can lead to psychological stress, poorer body image and self - esteem and reduce overall quality of life in adulthood. As to physiotherapy and physical exercises, such evidence is limited, especially long term follow up studies are not available.
Study Type
OBSERVATIONAL
Enrollment
143
Faculty of Physiotherapy, WSA
Bielsko-Biala, Poland
health related quality of life
generic and condition-specific questionnaires
Time frame: one time point
pulmonary function
spirometry, total lung capacity
Time frame: one time point
physical fitness
cycloergometric submaximal physical working capacity test
Time frame: one time point
curve progression
x-ray, Cobb angle, trunk rotation, scoliometer
Time frame: two time points: data from medical records (past) and present meausserements
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