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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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