TELEREHABILITATION FOR ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS: PAIN, QUALITY OF LIFE, AND DISABILITY DURING COVID-19

Year 2024, Volume: 5 Issue: 2, 40 - 44, 23.08.2024

Bünyamin Haksever , Çağlar Soylu , Sahra Karimi , Kimiya Hajighorbani , Afra Alkan , Burcu Şenol Gökalp , Savaş Kudaş

https://doi.org/10.52831/kjhs.1453915

Abstract

Objective: To evaluate the effectiveness of 3D scoliosis exercise training delivered via telerehabilitation on pain, function, and disability in adolescents with idiopathic scoliosis during the COVID-19 lockdown.
Method: This study was conducted between April 2020 and October 2020 during the pandemic period. The effects of face-to-face exercises before the pandemic and continued exercises via telerehabilitation during the pandemic on overall health, mental well-being, pain, and physical condition were evaluated. Forty-four participants with scoliosis (27 females, 17 males) participated in a 12-week 3D scoliosis exercise program led by an experienced physiotherapist. Assessments were conducted online using SRS-22, SF-36, and ODI scales before and after social isolation.
Results: The mean age of the sample was determined to be 14.77±2.38 years. The mean SRS-22 Pain scores before and after the lockdown were 22.11±2.45 and 22.18±2.54, respectively. However, no significant differences were found between the two assessments in terms of SRS-22, SF-36, and ODI scores.
Conclusion: Telerehabilitation-based 3D scoliosis exercises may help maintain pain, function, and disability levels in adolescents with scoliosis during lockdowns. Regular home exercise programs are recommended when face-to-face therapy is unavailable. Future research should explore simulation-based training to enhance effectiveness.

Keywords

COVID-19 , 3-Dimensional scoliosis exercises , Disability , Scoliosis , Spine

Ethical Statement

The study was approved by the Ethical Committee of University (registration number 2022-741) and was conducted in accordance with the Declaration of Helsinki.

References

• Weinstein SL, Dolan LA, Cheng JC, Danielsson A, Morcuende JA. Adolescent idiopathic scoliosis. Lancet. 2008;371(9623):1527-1537.
• Reichel D, Schanz J. Developmental psychological aspects of scoliosis treatment. Pediatric Rehabilitation. 2003;6(3-4):221-225.
• Lenssinck M-LB, Frijlink AC, Berger MY, Bierman-Zeinstra SM, Verkerk K, Verhagen AP. Effect of bracing and other conservative interventions in the treatment of idiopathic scoliosis in adolescents: a systematic review of clinical trials. Physical Therapy. 2015;85(12):1329-1339.
• Berdishevsky H, Lebel VA, Bettany-Saltikov J, et al. Physiotherapy scoliosis-specific exercises-a comprehensive review of seven major schools. Scoliosis and Spinal Disorders. 2016;11(1):20.
• Monticone M, Ambrosini E, Cazzaniga D, Rocca B, Ferrante S. Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomised controlled trial. European Spine J. 2014;23(6):1204-1214.
• Kuru T, Yeldan İ, Dereli EE, Özdinçler AR, Dikici F, Çolak İ. The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial. Clinical Rehabilitation. 2016;30(2):181-190.
• Noh DK, You JS-H, Koh J-H, et al. Effects of novel corrective spinal technique on adolescent idiopathic scoliosis as assessed by radiographic imaging. J Back Musculoskelet Rehabil. 2014;27(3):331-338.
• Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729.
• Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM. 2021;113(5):311-402.
• Kieser DC, Bourghli A, Larrie D, et al. Impact of COVID-19 on the pain and disability of patients with adult spinal deformity. Spine Deformity. 2021;9(4):1073-1076.
• Pujolar G, Oliver-Anglès A, Vargas I, & Vázquez M. L. Changes in access to health services during the COVID-19 pandemic: a scoping review. Int J Environ Res Public Health. 2022;19(3):1749.
• Stockwell, Stephanie, et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: a systematic review. BMJ Open Sport Exerc Med. 2021;7(1):960.
• De Giorgio MR, Di Noia S, Morciano C, Conte D. The impact of SARS-CoV-2 on skeletal muscles. Acta myologica: myopathies and cardiomyopathies: official journal of the Mediterranean Society of Myology. 2020;39(4):307-312.
• Dermott JA, Kim DJ, Lebel DE. The impact of COVID-19 on idiopathic scoliosis referrals: cause for concern. Spine Deformity. 2021;9(6):1501-1507.
• Silva RT, Cristante AF, Marcon RM, Barros-Filho TEP. Medical care for spinal diseases during the COVID-19 pandemic. Clinics. 2020;75:e1954.
• Soh TLT, Ho SWL, Yap WMQ, Oh JY. Spine surgery and COVID-19: challenges and strategies from the front lines. The Journal of bone and joint surgery. 2020;102(12).
• Satin AM, Shenoy K, Sheha ED, et al. Spine patient satisfaction with telemedicine during the COVID-19 pandemic: a cross-sectional study. Global spine journal. 2020;12(5):812-819.
• Asher M, Lai SM, Burton D, Manna B. The reliability and concurrent validity of the scoliosis research society-22 patient questionnaire for idiopathic scoliosis. Spine. 2003;28(1):63-69.
• Asher M, Lai SM, Burton D, Manna B. Discrimination validity of the scoliosis research society-22 patient questionnaire: relationship to idiopathic scoliosis curve pattern and curve size. Spine. 2003;28(1):74-77.
• Alanay A, Cil A, Berk H, et al. Reliability and validity of adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) questionnaire. Spine. 2005;30(21):2464-2668.
• Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF36): I. Conceptual framework and item selection. Medical Care. 1992;30(6):473-483.
• Kocyigit H. Short- Form-36 (SF-36)'nm Reliability and validity of the Turkish version. Medicine and treatment magazine. 1999;12:102-106.
• Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine. 2000;25(22):2940-2953.
• Yakut E, Düger T, Öksüz Ç, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine J. 2004;29(5):581-585.
• Repo JP, Ponkilainen VT, Häkkinen AH, Ylinen J, Bergman P, Kyröla K. Assessment of construct validity of the Oswestry Disability Index and the Scoliosis Research Society-30 Questionnaire (SRS-30) in patients with degenerative spinal disease. Spine Deformity. 2019;7(6):929-936.
• Bissolotti L, Sani V, Gobbo M, Orizio C. Analysis of differences in pain and disability in people with adult scoliosis and nonspecific low back pain. Scoliosis. 2013;8(1):11.
• Bokshan SL, Godzik J, Dalton J, Jaffe J, Lenke L, Kelly MP. Reliability of the revised Scoliosis Research Society-22 and Oswestry Disability Index (ODI) questionnaires in adult spinal deformity when administered by telephone. Spine J. 2016;16(9):1042-1046.
• Koffi J-M N, Koffi KK, Bonny SB, Bi AIZ. R: a language and environment for statistical computing. R Foundation for Statistical Computing, Vienna. 2021.
• Marin L, Albanese I, Gentile FL, et al. Scoliosis: online exercises versus telerehabilitation A feasibility trial. Minerva Orthopedics. 2021;313-321.