This study aims to compare the effects of suspension exercise therapy combined with conventional exercise therapy and conventional exercise therapy alone on pain, Cobb angle, functional impairment, and quality of life in adult patients with idiopathic scoliosis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
30
Conventional exercise therapy includes four exercises: the "little swallow flying" exercise, the hip bridge exercise, back muscle stretching, and relaxation. It is performed once a day, 45 minutes .
Suspension training alternates with conventional exercise therapy. It is conducted every other day, 45 minutes each time, 2-3 times a week for four consecutive weeks. Elastic ropes for suspension training are chosen based on patients' body mass: single - strand for those with body mass ≤ 30 kg and double - strand for those with body mass \> 30 kg. Suspension slings are placed on the head, lower back, and pelvis, and non-elastic rope slings on the ankles. Lower the lifting bed so that the vertical distance from the ankles to the bed surface is about 25-30 cm.
Power-sling suspension device (SPS-F11, Nanjing Sbird Biotechnology Co., Ltd.)
Neijiang, Sichuan, China
Cobb angle
Time frame: The measurements and evaluations were conducted on the first day of treatment and after the completion of the 30 - day treatment respectively.
Oswestry Disability Index
The Oswestry Disability Index (ODI) scale consists of 10 dimensions, such as walking, sitting, standing, and self-care ability. Each dimension is scored on a scale from 0 to 5 points, yielding a maximum total score of 50 points and a Minimum total score of 0 points. A higher score on the ODI indicates a more severe degree of functional impairment. The results of the ODI can be classified into four grades: a score range of 0%-20% suggests mild impairment; 21%-40% indicates moderate impairment; 41%-60% represents severe impairment; and 61%-100% reflects extremely severe functional impairment.
Time frame: The evaluation was conducted on the first day of treatment and after the completion of the 30-day treatment respectively.
Pain score (Visual Analogue Scale, VAS)
The Visual Analogue Scale（VAS） is a 0-10 scale, with 0 signifying no pain and 10 representing the most excruciating pain one can conceive. When administering the VAS, ensure that the graduated side of the scale is not visible to the patient. Then, ask the patient to mark the point on the ruler that reflects their current pain level. After that, the physician will assign a score according to the marked position. Based on the obtained score, pain can be classified as follows: a score of ≤3 indicates mild pain, 4-6 corresponds to moderate pain, and a score of ≥ 7 represents severe pain.
Time frame: The evaluation was conducted on the first day of treatment and after the completion of the 30-day treatment respectively.
Quality of life assessment (Scoliosis Research Society - 22 questionnaire, SRS - 22)
The Scoliosis Research Society-22 (SRS-22) questionnaire was employed to assess the QOL of patients. It evaluates quality of life across five dimensions: functional activities, pain, self -image, psychological state, and treatment satisfaction. Each item is scored from 1 to 5, and the total score, with a maximum of 110 and minimum of 0 , reflects a better QOL as it increases.
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Time frame: The evaluation was conducted on the first day of treatment and after the completion of the 30-day treatment respectively.