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A comparison between different types and frequency of physiotherapy treatment for children and adolescents with postural problems and low back pain |
Vitman N, Hellerstein D, Zeev A, Gilo Y, Nakdimon O, Peretz A, Eilat-Adar S |
Physical & Occupational Therapy in Pediatrics 2022;42(2):215-226 |
clinical trial |
4/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
To examine the effect of a once-a-week group physiotherapy session in addition to a once-a-month individual physiotherapy treatment, in comparison to a monthly individual physiotherapy treatment. Fifty children and adolescents aged 10 to 18 years with poor back posture, some of whom had LBP, met individually with a physiotherapist once a month. The intervention group received an additional once-a-week group physiotherapy session for 12 weeks. Thorax curve angle, postural behavior, and low back pain (LBP) were measured before and after intervention. The thorax curve angle decreased from 39.2 +/- 9.3 to 28.2 +/- 6.8 (p < 0.001) in the group + individual therapy group and from 38.9 +/- 9.3 to 27.9 +/- 7.8 in the individual therapy only group (p < 0.001). LBP decreased from 5.6 +/- 2.2 to 1.6 +/- 1.9 (p < 0.001) and from 5.5 +/- 2.1 to 2.8 +/- 2.0 (p < 0.001). A significantly greater improvement in postural behavior was found in the group + individual therapy group (p = 0.04). Moreover, attrition rates were lower in the experimental group. A lower-frequency individual physiotherapy treatment for 12 weeks proved as beneficial as the same program with an additional higher-frequency group physiotherapy in improving thorax curve angle and LBP. However, the higher-frequency group physiotherapy in addition to the lower-frequency individual treatment was significantly more effective in improving postural behavior and adherence to treatment.
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