title: Effects of Exercise on Spinal Deformities and Quality of Life in Patients with Adolescent Idiopathic Scoliosis.
abstract: OBJECTIVE
  This systematic review was conducted to examine the effects of exercise on spinal deformities and quality of life in patients with adolescent idiopathic scoliosis (AIS).
  
  
  METHODS
  Electronic databases, including PubMed, CINAHL, Embase, Scopus, Cochrane Register of Controlled Trials, PEDro, and Web of Science, were searched for research articles published from the earliest available dates up to May 31, 2015, using the key words "exercise," "postural correction," "posture," "postural curve," "Cobb's angle," "quality of life," and "spinal deformities," combined with the Medical Subject Heading "scoliosis."
  
  
  METHODS
  This systematic review was restricted to randomized and nonrandomized controlled trials on AIS published in English language. The quality of selected studies was assessed by the PEDro scale, the Cochrane Collaboration's tool, and the Grading of Recommendations Assessment, Development, and Evaluation System (GRADE).
  
  
  METHODS
  Descriptive data were collected from each study. The outcome measures of interest were Cobb angle, trunk rotation, thoracic kyphosis, lumbar kyphosis, vertebral rotation, and quality of life.
  
  
  RESULTS
  A total of 30 studies were assessed for eligibility. Six of the 9 selected studies reached high methodological quality on the PEDro scale. Meta-analysis revealed moderate-quality evidence that exercise interventions reduce the Cobb angle, angle of trunk rotation, thoracic kyphosis, and lumbar lordosis and low-quality evidence that exercise interventions reduce average lateral deviation. Meta-analysis revealed moderate-quality evidence that exercise interventions improve the quality of life.
  
  
  CONCLUSIONS
  A supervised exercise program was superior to controls in reducing spinal deformities and improving the quality of life in patients with AIS.
authors.affiliation: Rehabilitation Research Chair, Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia ; Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pune, India.
authors.forename: Shahnawaz
authors.initials: S
authors.lastname: Anwer
authors.affiliation: Rehabilitation Research Chair, Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Alghadir
authors.affiliation: Department of Physiotherapy, College of Applied Medical Sciences, Jazan University, Saudi Arabia.
authors.forename: Md
authors.initials: M
authors.lastname: Abu Shaphe
authors.affiliation: Department of Orthopedics, JNMC, AMU, Aligarh, India.
authors.forename: Dilshad
authors.initials: D
authors.lastname: Anwar
mesh_terms: D000293:Adolescent; D005081:Exercise Therapy; D006801:Humans; D008141:Lordosis / Q000503:physiopathology / Q000628:therapy*; D011187:Posture / Q000502:physiology; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D012600:Scoliosis / Q000503:physiopathology / Q000628:therapy*; D013131:Spine / Q000503:physiopathology