{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:29:49Z","timestamp":1791808189275,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82302783"],"award-info":[{"award-number":["82302783"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Adolescent idiopathic scoliosis (AIS) necessitates multimodal management strategies integrating orthotic intervention and physiotherapeutic scoliosis\u2010specific exercises (PSSE). This study aimed to compare the clinical efficacy of brace therapy combined with tele\u2010rehabilitation\u2010guided PSSE versus brace treatment with self\u2010guided home\u2010based PSSE in mitigating spinal deformity progression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cohort of 67 treatment\u2010na\u00efve AIS patients from a tertiary scoliosis center (July 2021\u2013July 2023) was stratified into two intervention groups: (1) tele\u2010rehabilitation (real\u2010time digitally supervised PSSE) and (2) autonomous practice (self\u2010guided home PSSE). Longitudinal evaluations at baseline, 6, 12, and 24\u2010month intervals included radiographic Cobb angle quantification, scoliometric angle of trunk rotation (ATR) assessment, and Scoliosis Research Society\u201022 (SRS\u201022) patient\u2010reported outcomes. Treatment success was categorized as improvement (Cobb reduction \u2265\u20095\u00b0), stability (change &lt;\u20095\u00b0), or progression (increase \u2265\u20095\u00b0). Data were analyzed using paired and independent\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      test, and Pearson's \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 24\u2010month follow\u2010up, the tele\u2010rehabilitation group exhibited significantly higher Cobb angle improvement rates (70.6% vs. 57.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) 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\u00b0\u2009\u00b1\u20091.9\u00b0 vs. baseline,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). All SRS\u201022 domains showed clinically meaningful improvements (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Tele\u2010rehabilitation\u2010guided PSSE combined with bracing demonstrates enhanced efficacy over self\u2010guided protocols in achieving three\u2010dimensional deformity correction, stabilizing curve progression, and optimizing patient\u2010centered outcomes. Structured digital supervision emerges as a critical adjunct to orthotic management, advocating for technology\u2010integrated conservative strategies in adolescent spinal deformity care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70265","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T14:00:26Z","timestamp":1769781626000},"page":"511-522","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effects of Bracing Combined With Tele\u2010Rehabilitation\u2010Guided Family Physiotherapeutic Scoliosis\u2010Specific Exercises on Adolescent Idiopathic Scoliosis"],"prefix":"10.1111","volume":"18","author":[{"given":"Tao","family":"Chen","sequence":"first","affiliation":[{"name":"Department 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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department 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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qizhu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department 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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linjie","family":"Chen","sequence":"additional","affiliation":[{"name":"Department 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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiguang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department 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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhendi","family":"Shu","sequence":"additional","affiliation":[{"name":"Department 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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4778-8187","authenticated-orcid":false,"given":"Songhe","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department 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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangyang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department 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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8582-4599","authenticated-orcid":false,"given":"Aimin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department 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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5155-9777","authenticated-orcid":false,"given":"Xiaoli","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Key Laboratory of Structural Malformations in Children of Zhejiang Province, Key Laboratory of Orthopaedics of Zhejiang 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