Khaledi A, Minoonejad H, Daneshmandi H, Akoochakian M, Gheitasi M. The Effectiveness of Schroth vs SEAS Exercise Methods for Correcting Idiopathic Scoliosis in Adolescents: A Systematic Review. PTJ 2022; 12 (1) :1-12
URL:
http://ptj.uswr.ac.ir/article-1-526-en.html
1- Department of Sport Sciences, Kish International Campus, University of Tehran, Kish, Iran.
2- Department of Health and Sports Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran.
3- Department of Sport Injuries and Corrective Exercise, Faculty of Physical Education and Sport Sciences, University of Guilan, Rasht, Iran.
4- Department of Health and Sport Rehabilitation, Faculty of Sport Science and Health, Shahid Beheshti University, Tehran, Iran.
Abstract: (4684 Views)
Purpose: Adolescent Idiopathic Scoliosis (AIS) is the most common type of scoliosis and the most complex deformity of the spine. The promising results of Schroth and Scientific Exercise Approach to Scoliosis (SEAS), among other methods of exercise therapy, have attracted the attention of many researchers and therapists. However, there is still vague evidence of their effectiveness and their superiority. Therefore, this review aimed to evaluate and compare the effects of Schroth and SEAS exercises on correcting AIS.
Methods: Searching was conducted in databases, including Cochrane, MEDLINE, PubMed, Scopus, and Google Scholar from 2005 to December 2021 using keywords related to AIS. Inclusion criteria were the papers using Schroth and SEAS exercises as an intervention. The PEDro scale was used for evaluating the quality of the papers.
Results: Ten papers with an average PEDro score of 6.2 were licensed to enter the study. Five Randomized Controlled Trials (RCT) and one Clinical Controlled Trial (CCT) reported a significant reduction in Cobb Angle (CA) (greater than 5°) using the Schroth method (moderate). Moreover, two CCTs and one RCT indicated a significant reduction in CA (greater than 5°) using the SEAS method (limited). However, no paper was found for choosing superiority between Schroth and SEAS (no evidence).
Conclusion: Although there is limited to moderate evidence in the studies, it seems that both Schroth and SEAS exercises were effective in improving AIS, which was more prominent in the study of the Schroth method. Nevertheless, accessing high-quality papers is necessary for achieving more accurate results in the future.
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● There is limited evidence that SEAS exercises can be effective in improving Adolescent Idiopathic Scoliosis (AIS).
● The moderate evidence suggests that the Schroth exercise can be effective in correcting AIS.
● There is no strong evidence to make a definitive choice between the SEAS and Schroth exercises.
Plain Language Summary
Adolescent Idiopathic Scoliosis (AIS) is one of the most complex and harmful deformities in the musculoskeletal structure of the body, which causes many problems for these patients, especially during the growth spurt. SEAS and Schroth exercises seem to be more prominent among other therapeutic exercises. The most important advantage of the SEAS method is that it is easy to do at home and with family members; however, it takes a long time to correct scoliosis, which is one of its disadvantages. On the other hand, due to the complex exercises of the Schroth method, it requires the presence of adolescents in the clinic, but one of the most important benefits of this method is the correction of scoliosis in a short time. Thus, although the limited to moderate evidence suggests the effectiveness of both Schroth and SEAS in treating AIS, in general, the Schroth method is more prominent.
Type of Study:
Research |
Subject:
Special Received: 2021/12/22 | Accepted: 2022/01/23 | Published: 2022/01/1