Spinal Stabilization Exercise Effectiveness for Low Back Pain in Adolescent Idiopathic Scoliosis: A Randomized Trial

Pediatr Phys Ther. 2015 Winter;27(4):396-402. doi: 10.1097/PEP.0000000000000174.

Abstract

Purpose: To compare 8 weeks of weekly supervised spinal stabilization exercises with 1-time treatment in participants with low back pain and adolescent idiopathic scoliosis.

Methods: Participants were randomly assigned to the supervised or unsupervised group. Seventeen participants in the supervised group received weekly physical therapy, and 17 participants in the unsupervised group received a 1-time treatment followed by home exercises.

Results: Significant between-group differences were found in the Numeric Pain Rating Scale and the Patient-Specific Functional Scale scores after 8 weeks (P < .01), indicating the supervised group had significantly more pain reduction and functional improvements than the unsupervised group. However, no between-group differences were found in back muscle endurance, the revised Oswestry Back Pain Disability Questionnaire scores, or the Global Rating of Change scores.

Conclusions: Supervised physical therapy may be more effective than 1-time treatment in reducing pain and improving function in patients with adolescent idiopathic scoliosis and low back pain.

Video abstract: For more insights from the authors, access Supplemental Digital Content 1, at http://links.lww.com/PPT/A85.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Exercise Therapy / methods*
  • Female
  • Humans
  • Low Back Pain / etiology*
  • Low Back Pain / rehabilitation*
  • Male
  • Prospective Studies
  • Scoliosis / complications*
  • Scoliosis / rehabilitation*