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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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European Journal of Physical and Rehabilitation Medicine 2017 Oct 02

DOI: 10.23736/S1973-9087.17.04461-6

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Effects of the Schroth exercise on idiopathic scoliosis: a meta-analysis

Joo-Hee PARK 1, Hye-Seon JEON 2 , Ha Won PARK 3

1 Department of Physical Therapy, Graduate School, Yonsei University, Kangwon-do, Republic of Korea; 2 Department of Physical Therapy, College of Health Science, Yonsei University, Kangwon-do, Republic of Korea; 3 Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seul, Republic of Korea


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INTRODUCTION: The purpose of this study was to examine the effects of the Schroth exercise on idiopathic scoliosis. The overall effect size was analyzed in 15 primary studies and a subgroup analysis of the standardized mean differences of effect sizes from 15 primary studies was also conducted.
EVIDENCE ACQUISITION: We used PUBMED, MEDLINE, NDSL, EMBASE, and Web of Science. The key terms used in these searches were “Schroth,” “scoliosis-specific exercise,” “scoliosis,” and “idiopathic scoliosis.” Evidence synthesis: Cobb’s angle, asymmetry, angle of trunk rotation (ATR), strength of back extensor, strength of trunk flexor, quality of life (QOL), balance, chest expansion, and pulmonary function were coded as outcome measures for computing effect sizes. Potential moderating variables of the Schroth exercise included (a) pre- intervention severity of the scoliosis, (b) duration, and (c) specific types of Schroth exercise.
CONCLUSIONS: The overall effect size of the Schroth exercise is high (g = 0.724). In addition, Schroth exercise may be more beneficial for scoliosis patients who have a 10 to 30° Cobb’s angle than for those with a greater than 30° Cobb’s angle. Patients should practice the exercise for at least one month to have a better effect. Thus, therapists should consider patients’ initial curve status and exercise duration before prescribing the Schroth exercise program. Core muscle strength was most influenced, and structural deformity also changed after the Schroth exercise. In sum, the Schroth exercise is a recommended treatment method for scoliosis patients.


KEY WORDS: Meta-analysis - Schroth exercise - Scoliosis

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Publication History

Article first published online: October 02, 2017
Manuscript accepted: September 27, 2017
Manuscript revised: September 21, 2017
Manuscript received: August 16, 2016

Per citare questo articolo

Park JH, Jeon HS, Park HW. Effects of the Schroth exercise on idiopathic scoliosis: a meta-analysis. Eur J Phys Rehabil Med 2017 Oct 02. DOI: 10.23736/S1973-9087.17.04461-6

Corresponding author e-mail

hyeseonj@yonsei.ac.kr