Home > Riviste > European Journal of Physical and Rehabilitation Medicine > Fascicoli precedenti > Articles online first > European Journal of Physical and Rehabilitation Medicine 2017 Nov 16

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

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
Impact Factor 1,827


eTOC

 

European Journal of Physical and Rehabilitation Medicine 2017 Nov 16

DOI: 10.23736/S1973-9087.17.05062-6

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Effect of stabilization exercise on back pain, disability and quality of life in adult with scoliosis: a systematic review

Malik H. ALANAZI 1, Eric C. PARENT 2 , Elizabeth DENNETT 3

1 Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta and Sattam bin Abdulaziz University, Alberta, Canada; 2 Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada; 3 Public Services Librarian, 2K3.13 WC Mackenzie Health Science Centre, Edmonton, Canada


PDF  


INTRODUCTION: Adult Scoliosis (AS) is the most common spine deformity in adults. Back pain is the main symptom leading patients to seek medical consultation. Stabilization exercise has been shown effective for reducing back pain. No literature review has examined the effects of such exercises in adults with scoliosis.
OBJECTIVES: To systematically review the effects of stabilization exercises on back pain, disability and quality of life in adults with scoliosis.
EVIDENCE ACQUISITION: We systematically searched the following databases from inception to March 2017: Medline, CINAHL, Embase, SportDiscus and Cochrane Register of Controlled Trials.
SELECTION CRITERIA INCLUDED: Controlled clinical trials that compare core stabilization exercise to placebo, no treatment or another treatment in participants diagnosed with AS over 18 years old. Studies with participants presenting torso or lower extremity surgery, injection in the last six months, comorbidity that could affect the spine, red flags signs or with a history of spine trauma were excluded. We extracted information about participants, treatments, and results on pain, function and quality of life. We appraised quality using Cochrane risk of bias. We formulated of level of evidence summary based on a priori rules based on quality and consistency of results.
EVIDENCE SYNTHESIS: We found 630 unique articles and screened the full-text of 98 articles retrieved. Only one article met all selection criteria and was included in this review. Studies were mainly excluded for study design and patient population. The included study presented a low risk of bias for all criteria except for blinding and reporting if the timing of assessments was similar between groups. The literature provides limited evidence from one study with high risk of bias that stabilization exercises in the form of 20 weeks of active self-correction, task-oriented exercises and cognitive-behavioral therapy significantly improves pain, disability and quality of life.
CONCLUSIONS: Despite the high prevalence of AS, there is an important gap in the literature with limited evidence reporting the effect of exercise on back pain in adult with scoliosis. This review suggest further experimental research is needed and formulates research recommendations.


KEY WORDS: Systematic review - Exercise - Pain - Disability - Quality of life - Adult - Scoliosis - Core stability - Physical therapy

inizio pagina

Publication History

Article first published online: November 16, 2017
Manuscript accepted: November 8, 2017
Manuscript received: October 30, 2017

Per citare questo articolo

Alanazi MH, Parent EC, Dennett E. Effect of stabilization exercise on back pain, disability and quality of life in adult with scoliosis: a systematic review. Eur J Phys Rehabil Med 2017 Nov 16. DOI: 10.23736/S1973-9087.17.05062-6

Corresponding author e-mail

Eparent@ualberta.ca