{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T03:49:22Z","timestamp":1793245762530,"version":"4.5.0"},"reference-count":54,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Research Grant Council of the Hong Kong Special Administrative Region, China","award":["CUHK 14607519"],"award-info":[{"award-number":["CUHK 14607519"]}]},{"name":"Public Sector Trial Scheme \u2013 Innovation and Technology Fund (PSTS-ITF), the Innovation and Technology Commission (ITC) of the Hong Kong Special Administrative Region, China","award":["ITT\/025\/GP"],"award-info":[{"award-number":["ITT\/025\/GP"]}],"id":[{"id":"https:\/\/ror.org\/04vf9tr09","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Asymmetry in paraspinal muscle activities is observed in adolescent idiopathic scoliosis and may be of value for predicting curve progression. We have reported the effects of the surface electromyography biofeedback posture training program in improving the symmetry of paraspinal muscle activities and reducing the curve progression of early adolescents with mild scoliosis. This study further explored their subjective experience of the training program on posture correction and health-related quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using purposive sampling, 13 early adolescents aged between 11 and 13 years with mild scoliosis participated in semi-structured in-depth interviews after completing 30 sessions of training. The data were recorded, transcribed, and coded using thematic analysis with NVivo 10. Significant statements and phrases were categorized into themes and subthemes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>As assessed by X-ray, five early adolescents showed at least a 5\u00b0 Cobb angle reduction in spinal curvature, while eight showed no significant curve progression (a Cobb angle change under 5\u00b0). Several subthemes related to the benefits of the training program on the health-related quality of life were generated, namely (a) posture correction, (b) improvement in body appearance, (c) restoration of muscle relaxation, (d) reduction in bodily pain and fatigue, (e) enhancement of self-confidence\/self-image, and (f) improvement in social functioning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Given its positive effects, the sEMG biofeedback posture training program has the potential to be an alternative early intervention for early adolescents with mild scoliosis. Further empirical studies need to be carried out to substantiate its effectiveness and evaluate the sustainability of its benefits over time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076231203820","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T02:06:01Z","timestamp":1695607561000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Surface electromyography (sEMG) biofeedback posture training improves the physical and mental health of early adolescents with mild scoliosis: A qualitative study"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0210-0772","authenticated-orcid":false,"given":"Mei-Chun","family":"Cheung","sequence":"first","affiliation":[{"name":"Department of Social Work, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China"},{"name":"Research Center for Neuropsychological Well-Being, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Yip","sequence":"additional","affiliation":[{"name":"School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derry","family":"Law","sequence":"additional","affiliation":[{"name":"Department of Design, Caritas Institute of Higher Education and Caritas Bianchi College of Careers, Tseung Kwan O, New Territories, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason Pui Yin","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,9,24]]},"reference":[{"key":"bibr1-20552076231203820","doi-asserted-by":"publisher","DOI":"10.1186\/s13013-017-0145-8"},{"key":"bibr2-20552076231203820","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181c7cb8c"},{"key":"bibr3-20552076231203820","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000664"},{"key":"bibr4-20552076231203820","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2020.01.008"},{"key":"bibr5-20552076231203820","first-page":"299","volume":"8","author":"Tang SP","year":"2003","journal-title":"HK J Paediatr (New Series)"},{"key":"bibr6-20552076231203820","doi-asserted-by":"crossref","unstructured":"Cheung MC, Yip J, Fok LH, et al. 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