Karina Amani Zapata1, Sharon S Wang-Price, Daniel J Sucato, Mary Thompson, Elaine Trudelle-Jackson, Venita Lovelace-Chandler. 1. Physical Therapy Department (Dr Zapata) and Department of Orthopaedics (Dr Sucato), Texas Scottish Rite Hospital for Children, Dallas, Texas; School of Physical Therapy (Drs Wang-Price, Thompson, and Trudelle-Jackson), Texas Woman's University-Dallas, Dallas, Texas; Department of Physical Therapy (Dr Lovelace-Chandler), University of North Texas Health Science Center, Fort Worth, Texas.
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 receivedweekly 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.
RCT Entities:
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.