Digital Physiotherapeutic Scoliosis-Specific Exercises for Adolescent Idiopathic Scoliosis

作者：Wangshu Yuan, Weihong Shi, Lixia Chen, Di Liu, Ye Lin, Qing Li, Jiandong Lu, Houqiang Zhang, Qiyang Feng, Huiling Zhang, Digital Care Study Group, Wangshu Yuan, Weihong Shi, Lixia Chen, Di Liu, Ye Lin, Qing Li, Jiandong Lu, Houqiang Zhang, Qiyang Feng, Huiling Zhang · 发表于：JAMA Network Open · 年份：2025 · DOI：10.1001/jamanetworkopen.2024.59929 · 被引用次数：15 · 研究领域：Scoliosis diagnosis and treatment、Shoulder Injury and Treatment、Hip disorders and treatments

Importance: The effectiveness of a training support program of individually tailored physiotherapeutic scoliosis-specific exercises (PSSEs) delivered via a digital care system is unclear. Objective: To determine the effectiveness of a digital care program in which patients receive PSSE supervision and guidance via the Healbone Intelligent Rehabilitation System and educational videos compared with a conventional intervention involving 3 treatment sessions conducted by qualified physiotherapists at outpatient clinics or specialized orthopedic institutions and unsupervised home-based PSSE training. Design, Setting, and Participants: This randomized clinical trial recruited patients aged 9 to 17 years from Peking Union Medical College Hospital in Beijing, China, who had adolescent idiopathic scoliosis with a primary curve Cobb angle of 10° or greater and skeletal immaturity (as determined via the Risser grading system). The trial was conducted from June 1, 2023, to August 10, 2024. Interventions: Patients were randomly assigned to a digital care (DC) group, in which each patient received fully remote and home-based PSSE training supported by a digital care system, or a usual care group, in which each patient completed 3 treatment sessions conducted by qualified physiotherapists at outpatient clinics or specialized orthopedic institutions and home-based PSSE training without supervision. Main Outcomes and Measures: The primary outcome was a change in the Cobb angle of the major cu...