Abstract：
BACKGROUND: Bracing and exercise methods were used in scoliosis rehabilitation and proven effective. There was little evidence about the efficacy of insoles on scoliosis.
OBJECTIVE: This study aimed to investigate the effects of 3D personalized insoles on curve magnitude, postural stability, and quality of life (QOL) in moderate adolescent idiopathic scoliosis (AIS) patients.
METHODS: Thirty-six volunteers with adolescent idiopathic scoliosis, who had moderate curves (20°-45°), were randomly divided into the experimental and control groups. The control group received traditional rehabilitation with bracing and exercises, and the experimental group received the insole interventions in addition to traditional rehabilitation. The outcome measures were Cobb angle, angle of trunk rotation (ATR), postural stability, and quality of life (Scoliosis Research Society-22 questionnaire). Measurements were conducted at baseline examination, two months and six months.
RESULTS: After two and six months of treatment, the Cobb angle and ATR in both groups were significantly decreased as compared with the baseline (p < 0.05), but no significant group difference in Cobb angle and ATR was found in the study (p > 0.05). There was a significant difference in the sagittal balance index at six months compared to the control group (p < 0.05), and a significant difference in the coronal balance index was observed at six months compared to baseline in the experimental group (p < 0.05). Quality of life did not change in either group (p > 0.05).
CONCLUSIONS: Combining bracing with exercise in patients with moderate AIS is effective. 3D personalized insoles cannot reduce the Cobb angle and angle of trunk rotation of patients with moderate AIS but might have the potential to improve postural stability.
OBJECTIVE: This study aimed to investigate the effects of 3D personalized insoles on curve magnitude, postural stability, and quality of life (QOL) in moderate adolescent idiopathic scoliosis (AIS) patients.
METHODS: Thirty-six volunteers with adolescent idiopathic scoliosis, who had moderate curves (20°-45°), were randomly divided into the experimental and control groups. The control group received traditional rehabilitation with bracing and exercises, and the experimental group received the insole interventions in addition to traditional rehabilitation. The outcome measures were Cobb angle, angle of trunk rotation (ATR), postural stability, and quality of life (Scoliosis Research Society-22 questionnaire). Measurements were conducted at baseline examination, two months and six months.
RESULTS: After two and six months of treatment, the Cobb angle and ATR in both groups were significantly decreased as compared with the baseline (p < 0.05), but no significant group difference in Cobb angle and ATR was found in the study (p > 0.05). There was a significant difference in the sagittal balance index at six months compared to the control group (p < 0.05), and a significant difference in the coronal balance index was observed at six months compared to baseline in the experimental group (p < 0.05). Quality of life did not change in either group (p > 0.05).
CONCLUSIONS: Combining bracing with exercise in patients with moderate AIS is effective. 3D personalized insoles cannot reduce the Cobb angle and angle of trunk rotation of patients with moderate AIS but might have the potential to improve postural stability.
摘要：
背景：在脊柱侧凸康复中使用了支撑和运动方法，并被证明是有效的。关于鞋垫对脊柱侧凸的疗效的证据很少。
目的：本研究旨在研究3D个性化鞋垫对曲线大小的影响，姿势稳定性，中度青少年特发性脊柱侧凸（AIS）患者的生活质量（QOL）。
方法：36名青少年特发性脊柱侧凸志愿者，曲线适中（20°-45°），随机分为实验组和对照组。对照组接受传统的带支撑和锻炼的康复治疗，实验组在传统康复治疗的基础上接受鞋垫干预.结果测量为Cobb角,躯干旋转角度(ATR),姿势稳定性，和生活质量(脊柱侧弯研究学会-22问卷)。在基线检查时进行测量，两个月六个月.
结果：经过2个月和6个月的治疗，与基线相比，两组的Cobb角和ATR均显着降低（p<0.05），但Cobb角和ATR在研究中没有发现显着差异（p>0.05）。6个月时的矢状面平衡指数与对照组相比有显著性差异(p<0.05),与基线相比，实验组6个月时的冠状平衡指数有显著差异（p<0.05）。两组患者的生活质量无明显变化(p>0.05)。
结论：在中度AIS患者中结合使用支撑和运动是有效的。3D个性化鞋垫不能降低中度AIS患者的Cobb角和躯干旋转角度，但可能具有改善姿势稳定性的潜力。
目的：本研究旨在研究3D个性化鞋垫对曲线大小的影响，姿势稳定性，中度青少年特发性脊柱侧凸（AIS）患者的生活质量（QOL）。
方法：36名青少年特发性脊柱侧凸志愿者，曲线适中（20°-45°），随机分为实验组和对照组。对照组接受传统的带支撑和锻炼的康复治疗，实验组在传统康复治疗的基础上接受鞋垫干预.结果测量为Cobb角,躯干旋转角度(ATR),姿势稳定性，和生活质量(脊柱侧弯研究学会-22问卷)。在基线检查时进行测量，两个月六个月.
结果：经过2个月和6个月的治疗，与基线相比，两组的Cobb角和ATR均显着降低（p<0.05），但Cobb角和ATR在研究中没有发现显着差异（p>0.05）。6个月时的矢状面平衡指数与对照组相比有显著性差异(p<0.05),与基线相比，实验组6个月时的冠状平衡指数有显著差异（p<0.05）。两组患者的生活质量无明显变化(p>0.05)。
结论：在中度AIS患者中结合使用支撑和运动是有效的。3D个性化鞋垫不能降低中度AIS患者的Cobb角和躯干旋转角度，但可能具有改善姿势稳定性的潜力。
