Combined effect of Schroth method and Gensingen brace on Cobb’s angle and pulmonary functions in adolescent idiopathic scoliosis: a prospective, single blinded randomized controlled trial

S.A. Moawd, G. Nambi, A.E. El-Bagalaty, S.M. Hassan, S.E.B. Elsayed, F.M. Aboelmagd, N.A. Alhwoaimel, H.A. Abdeen

Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, PrinceSattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia. s.mohamed@psau.edu.sa

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• Orthopedics

OBJECTIVE: To detect the effect of the Schroth method added to the Gensingen brace for six months on Cobb’s angle, axial rotation of the trunk, and pulmonary function in adolescent idiopathic scoliosis.

PATIENTS AND METHODS: The study followed a prospective, single-blinded, randomized controlled trial design following the CONSORT guidelines. The study was conducted in Health and Rehabilitation Centre. 42 males aged 10-18 years old, diagnosed with adolescent idiopathic scoliosis (AIS) with curves of 35-40°, were recruited and then were allocated into three groups: Group A, Group B, and Group C.

RESULTS: Significant improvement (p < 0.001) in Cobb’s angle and the axial rotation of the trunk (ART) were noted after the treatment in the three groups, while pulmonary function showed better results in Group A (p < 0.001) when compared to the two other groups p ≥ 0.000).

CONCLUSIONS: Six months of Schroth method added to Gensingen Brace demonstrate favorable results in Cobb’s angle, thoracic trunk rotation angle, and pulmonary function in adolescent idiopathic scoliosis.

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