Evidence map›Paper›PMID 41615191›Full record

ArticleOrthopaedic surgery2026

Effects of Bracing Combined With Tele-Rehabilitation-Guided Family Physiotherapeutic Scoliosis-Specific Exercises on Adolescent Idiopathic Scoliosis.

Tao Chen, Hao Zhou, Qizhu Chen, Linjie Chen, Zhiguang Zhang, Zhendi Shu, Songhe Jiang, Xiangyang Wang, Aimin Wu, Xiaoli Huang

Abstract read
In one paragraph

Article in Orthopaedic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tao ChenDepartment of Orthopaedics, Key Laboratory of Structural Malformations in Children of Zhejiang Province, Key Laboratory of Orthopaedics of Zhejiang Province, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Hao ZhouDepartment of Orthopaedics, Key Laboratory of Structural Malformations in Children of Zhejiang Province, Key Laboratory of Orthopaedics of Zhejiang Province, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Qizhu ChenDepartment of Orthopaedics, Key Laboratory of Structural Malformations in Children of Zhejiang Province, Key Laboratory of Orthopaedics of Zhejiang Province, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Linjie ChenDepartment of Orthopaedics, Key Laboratory of Structural Malformations in Children of Zhejiang Province, Key Laboratory of Orthopaedics of Zhejiang Province, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Zhiguang ZhangDepartment of Orthopaedics, Key Laboratory of Structural Malformations in Children of Zhejiang Province, Key Laboratory of Orthopaedics of Zhejiang Province, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Zhendi ShuDepartment of Orthopaedics, Key Laboratory of Structural Malformations in Children of Zhejiang Province, Key Laboratory of Orthopaedics of Zhejiang Province, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Songhe JiangDepartment of Orthopaedics, Key Laboratory of Structural Malformations in Children of Zhejiang Province, Key Laboratory of Orthopaedics of Zhejiang Province, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.ORCID https://orcid.org/0000-0002-4778-8187
Xiangyang WangDepartment of Orthopaedics, Key Laboratory of Structural Malformations in Children of Zhejiang Province, Key Laboratory of Orthopaedics of Zhejiang Province, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Aimin WuDepartment of Orthopaedics, Key Laboratory of Structural Malformations in Children of Zhejiang Province, Key Laboratory of Orthopaedics of Zhejiang Province, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.ORCID https://orcid.org/0000-0002-8582-4599
Xiaoli HuangDepartment of Orthopaedics, Key Laboratory of Structural Malformations in Children of Zhejiang Province, Key Laboratory of Orthopaedics of Zhejiang Province, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.ORCID https://orcid.org/0009-0000-5155-9777

Funding

National Natural Science Foundation of China 82302783the Cross-disciplinary Research Project of the Provincial Peak Discipline (Pharmacy) at Wenzhou Medical University 437502516the High-level Innovation Team of Wenzhou's "Ouyue Talent Plan" 2024R3003the Leading Disciplines of Zhejiang Provincethe Wenzhou Major Science and Technology Innovation Project ZY2023015the Zhejiang Provincial Health Commission Research Fund Project WKJ-ZJ-26017
6 · The paper itself

Abstract

objectiveAdolescent idiopathic scoliosis (AIS) necessitates multimodal management strategies integrating orthotic intervention and physiotherapeutic scoliosis-specific exercises (PSSE). This study aimed to compare the clinical efficacy of brace therapy combined with tele-rehabilitation-guided PSSE versus brace treatment with self-guided home-based PSSE in mitigating spinal deformity progression.

methodsA cohort of 67 treatment-naïve AIS patients from a tertiary scoliosis center (July 2021-July 2023) was stratified into two intervention groups: (1) tele-rehabilitation (real-time digitally supervised PSSE) and (2) autonomous practice (self-guided home PSSE). Longitudinal evaluations at baseline, 6, 12, and 24-month intervals included radiographic Cobb angle quantification, scoliometric angle of trunk rotation (ATR) assessment, and Scoliosis Research Society-22 (SRS-22) patient-reported outcomes. Treatment success was categorized as improvement (Cobb reduction ≥ 5°), stability (change < 5°), or progression (increase ≥ 5°). Data were analyzed using paired and independent t-tests, Mann-Whitney U test, and Pearson's χ

resultsAt 24-month follow-up, the tele-rehabilitation group exhibited significantly higher Cobb angle improvement rates (70.6% vs. 57.6%, p < 0.05) and lower progression rates (2.9% vs. 6.1%) compared to the autonomous practice group. Axial rotation correction demonstrated superior outcomes in the supervised cohort (final ATR: 6.9° ± 1.9° vs. baseline, p < 0.01). All SRS-22 domains showed clinically meaningful improvements (p < 0.05).

conclusionTele-rehabilitation-guided PSSE combined with bracing demonstrates enhanced efficacy over self-guided protocols in achieving three-dimensional deformity correction, stabilizing curve progression, and optimizing patient-centered outcomes. Structured digital supervision emerges as a critical adjunct to orthotic management, advocating for technology-integrated conservative strategies in adolescent spinal deformity care.

Indexed as

BracesExercise TherapyScoliosisTelerehabilitationAdolescentFemaleHumansMaleTreatment Outcomeadolescent idiopathic scoliosisangle of trunk rotationChêneau braceCobb angleexerciserehabilitation

Identifiers

PMID41615191
PMCPMC12967554

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.