Meta-Analysis of Physical Therapy Interventions for Scoliosis and Back Pain: Exploring Spine Solutions

Abstract

Introduction: Scoliosis has been considered a major socioeconomic burden. It has been reported to affect around 0.93% to 12% of patients globally. There are multiple intervention options available to treat the condition. Among them, physical therapy is one of the most widely considered approaches. The growing evidence and adaptation of physiotherapy enhances the necessity for a rigorous meta-analysis. Methodology: A complete review of various studies was conducted to assess the risk of biasness. The risk was calculated using Cochrane tool rigorously. To explore the solutions using physical therapy, Data were searched on Google Scholar, PEDro, MEDLINE, Cochrane Library, Embase and Web of Science, including an analysis of allocation risk. Studies inwhich participants were randomized and Blinded were included. Valid outcome measures were considered. Reviewing of data and selective reporting was a pivotal component of the assessment criteria. Results: Patients were selected from seven RCTs .i.e. n=395patients were selected. Scoliosis-specific exercises (SSE) showed a significant effect on reducing the Cobbs’ angle as compared to the control group. The effect size was determined to be -1.03 (95% CI, -1.62 to -0.43) through standardized Mean Difference (SMD) as estimated using a random effects model. Conclusion: Scoliosis-specific exercises were found to be more effective in improving posture and back pain and reducing the Cobb’s angle in patients. Keywords Exercise, Musculoskeletal disorders,Physical Therapists, Rehabilitation, Scoliosis.