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We attempt to investigate the influence of physiotherapy and physical activity education applied in adolescence on physical fitness, curve progression, pulmonary function, physical activity and quality of life in adulthood. Quality of life assessment includes mental and social functioning, body image, self - esteem, depression and anxiety surveillance. The follow - up period ranges from 15 to 26 years. Also a group of shorter follow - up of 9 - 13 years is available.
The null hypothesis is that scoliosis specific exercise program applied in adolescence does not influence HRQoL and functioning in adulthood.
Among conservative treatment approaches of adolescent idiopathic scoliosis (AIS), different physiotherapy methods are recommended and popular in some countries (Spain, Germany, Poland), while in others bracing and observation are standard (North America, Australia, the UK, Scandinavia. Neither of the methods have been shown to be definitely effective. Considerable evidence indicates that bracing can lead to psychological stress, poorer body image and self - esteem and reduce overall quality of life in adulthood. As to physiotherapy and physical exercises, such evidence is limited, especially long term follow up studies are not available.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| exercise | subjects diagnosed and treated in the Centre of Corrective and Compensatory Gymnastics in Bielsko - Biala, Poland, between 1983 and 1994, with scoliosis - specific exercise program | ||
| control | age and condition - matched subjects, who were diagnosed at the same time, in the same clinic, and by the same physician, and prescribed the same method of physiotherapy, but did not start the exercise treatment |
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| Measure | Description | Time Frame |
|---|---|---|
| health related quality of life | generic and condition-specific questionnaires | one time point |
| Measure | Description | Time Frame |
|---|---|---|
| pulmonary function | spirometry, total lung capacity | one time point |
| physical fitness | cycloergometric submaximal physical working capacity test |
| Measure | Description | Time Frame |
|---|---|---|
| psychopathology | questionnaires / inventories of mental heath (e.g. depression, anxiety) | one time point |
Inclusion Criteria:
Exclusion Criteria:
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Treatment group (retrospection - medical records) - patients diagnosed and / or treated in the Centre of Corrective and Compensatory Gymnastics in Bielsko - Biala, Poland, between 1983 and 1994. Diagnosis: idiopathic scoliosis (IS) - adolescent idiopathic scoliosis (AIS) or early onset idiopathic scoliosis (EOIS) A comparison (control) group: patients with IS, age - and condition - matched, who were diagnosed at the same time, in the same clinic, and by the same physician, and prescribed the same method of physiotherapy, but did not start the exercise treatment.
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| Name | Affiliation | Role |
|---|---|---|
| Maciej Plaszewski, PhD | Faculty of Physical Education and Sport in Biala Podlaska, University School of Physical Education, Warsaw, Poland | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physiotherapy, WSA | Bielsko-Biala | 43-300 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25436225 | Derived | Plaszewski M, Cieslinski I, Kowalski P, Truszczynska A, Nowobilski R. Does scoliosis-specific exercise treatment in adolescence alter adult quality of life? ScientificWorldJournal. 2014;2014:539671. doi: 10.1155/2014/539671. Epub 2014 Nov 10. | |
| 24574935 | Derived | Plaszewski M, Cieslinski I, Nowobilski R, Kotwicki T, Terech J, Furgal M. Mental health of adults treated in adolescence with scoliosis-specific exercise program or observed for idiopathic scoliosis. ScientificWorldJournal. 2014 Jan 20;2014:932827. doi: 10.1155/2014/932827. eCollection 2014. |
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| ID | Term |
|---|---|
| D012600 | Scoliosis |
| ID | Term |
|---|---|
| D013121 | Spinal Curvatures |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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| one time point |
| curve progression | x-ray, Cobb angle, trunk rotation, scoliometer | two time points: data from medical records (past) and present meausserements |