| Abstract [eng] |
Aim of the study: To evaluate the effectiveness of the Schroth methodology for the treatment of adolescent idiopathic scoliosis. Tasks of work: 1. To analyze the evaluation indicators of the effectiveness of the Schroth methodology based on selected scientific articles. 2. To compare the effectiveness of Schroth's methodology and other specific exercises in the treatment of adolescent idiopathic scoliosis based on selected scientific articles. 3. To compare the effectiveness of the Schroth methodology and the observational method for the treatment of adolescent idiopathic scoliosis based on selected scientific articles. 4. To evaluate the effectiveness of the Schroth methodology and the use of corrective splints for the treatment of adolescent idiopathic scoliosis based on selected scientific articles. Methodology of investigation: The systematic literature review was written in accordance with the PRISMA (Preferred Reporting Item for Systematic Review and Meta-Analyzes) systematic literature review. Searching for scientific articles in the PubMed and Web of Science databases was performed by a single researcher using a search strategy tailored to each database. The search for scientific articles was carried out according to the date of publication of the research, which had to correspond to the years 2011 - 2021. The number of publications selected by keyword combinations was 770, of which 13 publications were included in the systematic literature review after selection according to the criteria of inclusion and exclusion of the systematic literature review. Results: To achieve the goal of evaluating efficacy, data from all selected scientific publications were systematized into a single scoreboard showing the mean and standard deviation of the different scores for the experimental and control groups before and after the application of Schroth and the other intervention. Efficacy was assessed based on the results of the studies with statistical significance within the groups and between the experimental and control groups. In all articles included in the systematic literature review, a Cobb angle rating index was included among the evaluation outcomes. In the experimental group of 11 studies using the Schroth method, the results were statistically significantly better than in the control group using the other treatment of adolescent idiopathic scoliosis (p value equal to 0.001 *, <0.05 *, <0.001 *, <0.01 *). Analyzing the results between the experimental and control groups, a statistically significant increase in the quality-of-life score in the experimental group was obtained in 6 studies with a Cobb angle of 10 ° to 45 °. Analyzing the results between the experimental and control groups before and after treatment, 4 studies showed a statistically significantly better result in the group applying the Schroth methodology (p <0.05 *). Conclusions: 1. Based on the data of the systematic literature review, the treatment of adolescent idiopathic scoliosis using the Schroth methodology showed a statistically significant decrease in the Cobb angle, the improvement of the torso rotation angle and the quality of life scores. 2. Comparing the Schroth methodology with other specific exercises, a statistically significant improvement in scoliosis assessment rates was found using the Schroth methodology for the treatment of adolescent idiopathic scoliosis. 3. Comparing the application of the Schroth method with the patient observation method when the Cobb angle is less than 25 °, a statistically significant decrease in the Cobb angle was found for the application of the Schroth method. 4. There was a statistically significant improvement in scoliosis scores in adolescent idiopathic scoliosis in patients with a Cobb angle between 25 ° and 45 ° when corrective splints were combined with the application of the Schroth methodology. |
