Effectiveness of exercise therapy for adolescent idiopathic scoliosis in community health center

ZHOU Yong; LIN Yi-lian; GAO Han-xiong; QIU Gui-fen; DAI Xiao-fen; LIU Jian

doi:10.13820/j.cnki.gdyx.20242413

Abstract：Objective To evaluate the effectiveness and feasibility of exercise therapy for adolescent idiopathic scoliosis(AIS)in a community health center setting.Methods Ninety-six adolescent patients diagnosed with idiopath-ic scoliosis and undergoing exercise therapy at a community health center were randomly divided into an observation group(n=46)and a control group(n=50).The observation group received combined Schroth method and scientific exercises approach to scoliosis(SEAS)training,while the control group received SEAS training alone.Outcomes were assessed u-sing trunk rotation angle and Cobb angle measurements before and after the intervention.Compliance rates for scheduled follow-up visits were also recorded and compared between the two groups.Results Post-treatment,both the observa-tion and control groups demonstrated significant reductions in trunk rotation angle and Cobb angle compared to pre-treat-ment values(P＜0.05).The observation group showed a significantly greater reduction in trunk rotation angle and Cobb angle than the control group(P＜0.05).Compliance with scheduled follow-up was high in both groups,with rates of 97.8％in the observation group and 98％in the control group(P＞0.05).Conclusion Exercise therapy for AIS con-ducted in a community health center setting is effective,with both SEAS training and Schroth method combined with SEAS significantly improving trunk rotation angle and Cobb angle.The high compliance with scheduled follow-ups indicates that community-based management of AIS through exercise therapy is feasible and worthy of wider clinical implementa-tion.