{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:26:51Z","timestamp":1791869211804,"version":"4.3.4"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T00:00:00Z","timestamp":1699228800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To observe the effects of scoliosis-specific exercise therapy combined with braces and orthopedic insoles on improved spinal deformity and walking ability in adolescents with idiopathic scoliosis (AIS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      From September 2019 to September 2020, 60 outpatient AIS patients were distributed into brace group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930) at random and brace combined orthopedic insole group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930). Both groups underwent brace dryness, and the observation group used scoliosis-specific exercise therapy combined with brace therapy, and on this basis, orthopedic insole intervention was added for 8\u2005h per day for 2 months. At the same time, 20 adolescents of the same age with normal spinal development were recruited as a healthy group. GaitScan instruments were used to collect gait and plantar pressure measurements from study subjects. First, the gait and plantar pressure data of AIS patients and healthy groups were compared horizontally to ascertain the abnormal indicators, and then the spinal deformity and the above abnormal indicators were compared between the brace group and the brace combined orthopedic insole group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome<\/jats:title>\n                    <jats:p>\n                      The plantar pressure center drift index (CPEI) in the AIS group was higher than that in the healthy group (\n                      <jats:italic>F<\/jats:italic>\n                      \u2009=\u20093.120,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), and there were significant differences in the ratio of medial and lateral heel pressure (M\/l) and total foot pressure (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05) between the AIS group and the healthy group, and no noticeable variations were found in the support phase period, walking speed, and proportion of each phase (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). After treatment, the Cobb angle was significantly reduced in both the brace group and the brace combined with orthopedic insole group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), and there was no significant difference between the groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). There were no significant changes in the pressure ratio of CPEI, M\/l and bilateral full foot in the brace group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). The CPEI decreased in the brace combined with orthopedic insole group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), and the pressure ratio of M\/l and bilateral full foot tended to 1 (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), and was better than that in the brace group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with AIS may have local and worldwide asymmetric changes in plantar pressure distribution. The addition of orthopedic insoles has limited effect on improving scoliosis deformity in patients with AIS, but it can effectively improve the abnormal biomechanics of patients with AIS, so that the patient's force tends to be balanced.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2023.1259746","type":"journal-article","created":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T05:02:58Z","timestamp":1699246978000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":13,"title":["Effect of orthopedic insoles on spinal deformity and walking in adolescents with idiopathic scoliosis summary"],"prefix":"10.3389","volume":"11","author":[{"given":"Yangzheng","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huang","family":"Xiaoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Ye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Songjian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huang","family":"Qianqi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Yining","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changsheng","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,11,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1111","DOI":"10.1007\/s00381-020-04608-4","article-title":"Current concepts in the diagnosis and management of adolescent idiopathic scoliosis","volume":"36","author":"Addai","year":"2020","journal-title":"Childs Nerv Syst"},{"key":"B2","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.rehab.2016.10.008","article-title":"Gait and energy consumption in adolescent idiopathic scoliosis: a literature review","volume":"60","author":"Daryabor","year":"2017","journal-title":"Ann Phys Rehabil Med"},{"key":"B3","first-page":"CD006850","article-title":"Braces for idiopathic scoliosis in adolescents","volume":"6","author":"Negrini","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"B4","first-page":"684","article-title":"Study on orthopedic insoles for postural adjustment of adolescent idiopathic scoliosis","volume":"40","author":"Yan","year":"2018","journal-title":"Chin J Phys Med Rehabil"},{"key":"B5","first-page":"453","article-title":"Correlation of biomechanical factors of scoliosis in adolescents","volume":"24","author":"Fei","year":"2018","journal-title":"Chin J Rehabil Theory Pract"},{"key":"B6","first-page":"3744","article-title":"Design principle and biomechanical function of corrective insole","volume":"24","author":"Xinyu","year":"2020","journal-title":"Chin J Tissue Eng Res"},{"key":"B7","first-page":"193","article-title":"Adolescent idiopathic scoliosis: diagnosis and management","volume":"89","author":"Horne","year":"2014","journal-title":"Am Fam Physician"},{"key":"B8","first-page":"53","article-title":"Local thickening method of orthopedic insole based on analysis of wearable plantar pressure device and pressure center track","author":"Yiqin","year":"2018","journal-title":"Proceedings of the 12th International Convention on Rehabilitation Engineering and Assistive Technology"},{"key":"B9","volume-title":"Adolescent and idiopathic scoliosis","author":"Menger","year":"2020"},{"key":"B10","first-page":"19","article-title":"Adolescent idiopathic scoliosis: common questions and answers","volume":"101","author":"Kuznia","year":"2020","journal-title":"Am Fam Phys"},{"key":"B11","doi-asserted-by":"publisher","first-page":"2407","DOI":"10.1007\/s00586-013-2845-y","article-title":"Asymmetrical gait in adolescents with idiopathic scoliosis","volume":"22","author":"Yang","year":"2013","journal-title":"Eur Spine J"},{"key":"B12","first-page":"953","article-title":"Study on static balance function in adolescents with idiopathic scoliosis","volume":"25","author":"Xuan","year":"2010","journal-title":"Chin J Rehabil Med"},{"key":"B13","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1016\/j.gaitpost.2018.12.024","article-title":"Postural adjustments in adolescent idiopathic thoracic scoliosis during walking","volume":"68","author":"Wu","year":"2019","journal-title":"Gait Posture"},{"key":"B14","first-page":"2897","article-title":"Static balance ability of 48 patients with adolescent idiopathic scoliosis","volume":"25","author":"Shenghua","year":"2019","journal-title":"Med Rev"},{"key":"B15","first-page":"537","article-title":"Analysis of gait kinematics and plantar pressure characteristics in adolescents with idiopathic scoliosis","volume":"35","author":"Guopeng","year":"2013","journal-title":"Chin J Phys Med Rehabil"},{"key":"B16","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1007\/s00221-005-0246-0","article-title":"Sensory deprivation and balance control in idiopathic scoliosis adolescent","volume":"170","author":"Simoneau","year":"2006","journal-title":"Exp Brain Res"},{"key":"B17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12984-018-0395-6","article-title":"Analysis of sensory system aspects of postural stability during quiet standing in adolescent idiopathic scoliosis patients","volume":"15","author":"Sim","year":"2018","journal-title":"J Neuroeng Rehabil"},{"key":"B18","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1016\/j.gaitpost.2017.09.022","article-title":"Concurrent validity of an automated algorithm for computing the center of pressure excursion index (CPEI)","volume":"59","author":"Diaz","year":"2018","journal-title":"Gait Posture"},{"key":"B19","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1080\/17483107.2016.1185649","article-title":"Efficacy of corrective spinal orthoses on gait and energy consumption in scoliosis subjects: a literature review","volume":"12","author":"Daryabor","year":"2017","journal-title":"Disabil Rehabil Assist Technol"},{"key":"B20","doi-asserted-by":"publisher","first-page":"143","DOI":"10.3233\/THC-161271","article-title":"Influence of proprioceptive insoles on spinal curvature in patients with slight idiopathic scoliosis","volume":"25","author":"Noll","year":"2017","journal-title":"Technol Health Care"},{"key":"B21","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1589\/jpts.32.251","article-title":"Indications of sole lift and foot orthoses in the management of mild idiopathic scoliosis: a review","volume":"32","author":"Rothschild","year":"2020","journal-title":"J Phys Ther Sci"},{"key":"B22","doi-asserted-by":"publisher","first-page":"4916","DOI":"10.12659\/MSM.914915","article-title":"Quantitative analysis of foot plantar pressure during walking","volume":"25","author":"Jasiewicz","year":"2019","journal-title":"Med Sci Monit"},{"key":"B23","doi-asserted-by":"publisher","first-page":"2167","DOI":"10.3390\/ijerph17062167","article-title":"Assessment of static plantar pressure, stabilometry, vitamin D and bone mineral density in female adolescents with moderate idiopathic scoliosis","volume":"17","author":"Ca\u0163an","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"B24","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1007\/s13530-017-0331-3","article-title":"Comparison of dynamic plantar foot pressure in normal subjects and patients with adolescent idiopathic scoliosis for health science research","volume":"9","author":"Jeong-Uk","year":"2017","journal-title":"Toxicol Environment Health Ences"},{"key":"B25","first-page":"345","article-title":"A comparative study of spinal deformity and plantar pressure according to the static standing posture of female adolescents with or without idiopathic scoliosis","volume":"48","author":"Kim","year":"2019","journal-title":"Iran J Public Health"},{"key":"B26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1749-799X-5-80","article-title":"Spontaneous regression of curve in immature idiopathic scoliosis-does spinal column play a role to balance? An observation with literature review","volume":"5","author":"Modi","year":"2010","journal-title":"J Orthop Surg Res"},{"key":"B27","first-page":"440","article-title":"Effects of insole type on myoelectric activity and plantar pressure of walking-related muscle groups","volume":"34","author":"Feng","year":"2019","journal-title":"Chin J Rehabil Med"},{"key":"B28","first-page":"440","article-title":"Effects of insole type on pressure of the foot and EMG activity of walking-related muscle group","volume":"34","author":"Huo","year":"2019","journal-title":"Chin J Rehabil Med"},{"key":"B29","doi-asserted-by":"publisher","first-page":"960209","DOI":"10.3389\/fped.2022.960209","article-title":"The results of surgical treatment of preschool and primary school age children with congenital deformation of the spine in isolated hemivertebra: comparative analysis","volume":"10","author":"Nadirov","year":"2022","journal-title":"Front Pediatr"},{"key":"B30","doi-asserted-by":"publisher","first-page":"8","DOI":"10.3389\/fsurg.2017.00008","article-title":"Transcranial motor evoked potentials during spinal deformity corrections\u2014safety, efficacy, limitations, and the role of a checklist","volume":"4","author":"Acharya","year":"2017","journal-title":"Front Surg"},{"key":"B31","doi-asserted-by":"publisher","first-page":"730504","DOI":"10.3389\/fsurg.2022.730504","article-title":"Case report: adult degenerative scoliosis in two patients treated with percutaneous spinal endoscopic-assisted lumbar interbody fusion and percutaneous pedicle screw fixation","volume":"9","author":"Du","year":"2023","journal-title":"Front Surg"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2023.1259746\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T10:00:08Z","timestamp":1699351208000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2023.1259746\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,6]]},"references-count":31,"alternative-id":["10.3389\/fped.2023.1259746"],"URL":"https:\/\/doi.org\/10.3389\/fped.2023.1259746","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,6]]},"article-number":"1259746"}}