{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:11:23Z","timestamp":1790187083223,"version":"4.1.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"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":"\n Objectives<\/jats:title>\n This study aimed to determine whether reducing daily brace wear duration, when compensated by intensive Schroth exercise, yields non-inferior long-term curve correction and superior quality of life compared to standard full-time bracing in AIS.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A total of 52 AIS patients (Cobb angle 25\u00b0\u201340\u00b0) were randomly and equally assigned to a control group (full-time brace wear, 20\u201324\u2005h\/day) and an experimental group (part-time brace wear, 14\u201318\u2005h\/day combined with Schroth exercise). Specifically, the Schroth three-dimensional exercise including home-based and supervised outpatient sessions, were performed at least 5 times per week, with a minimum total duration of 4\u20135\u2005h per week. Evaluations of Cobb angle, angle of trunk rotation (ATR), thoracic expansion, and the Scoliosis Research Society 22-item (SRS-22) questionnaire were conducted baseline and after 6 months of treatment. A subsequent follow-up assessment at 12-months was carried out, with the Cobb angle employed as the primary outcome to evaluate the long-term corrective efficacy between the two groups.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The two-way repeated measures ANOVA revealed a significant Time\u2009\u00d7\n \u2009Group<\/jats:sans-serif>\n interaction for the primary outcome, the Cobb angle (\n P<\/jats:italic>\n \u2009&lt;\u20090.001). At both the 6- and 12-month follow-ups, the Cobb angle was significantly reduced from baseline in both groups (\n P<\/jats:italic>\n \u2009&lt;\u20090.01), with the experimental group demonstrating superior improvement compared to the control group (\n P<\/jats:italic>\n \u2009&lt;\u20090.01). Regarding secondary outcomes at 6 months, the experimental group also showed significantly greater improvement than the control group in the ATR, thoracic expansion, and the pain and mental health domains of the SRS-22 (\n P<\/jats:italic>\n \u2009&lt;\u20090.05). Furthermore, within the experimental group, ATR, thoracic expansion, and the pain and mental health domains of the SRS-22 improved significantly from baseline at 6 months (\n P<\/jats:italic>\n \u2009&lt;\u20090.01), whereas in the control group, only the Cobb angle and ATR showed significant improvement (\n P<\/jats:italic>\n \u2009&lt;\u20090.01).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This short-term study provides evidence that a protocol prioritizing intensive Schroth exercise combined with part-time bracing achieved superior corrective efficacy compared to full-time bracing alone for adolescent idiopathic scoliosis. These findings support integrating structured Schroth therapy as a core component within a part-time bracing regimen, suggesting a potential to reduce reliance on full-time wear while maintaining efficacy in the short term.<\/jats:p>\n <\/jats:sec>\n \n Clinical Trial Registration<\/jats:title>\n \n https:\/\/www.chictr.org.cn\/showproj.html?proj=201861<\/jats:ext-link>\n , identifier ChiCTR2300075910.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fped.2026.1774281","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T05:43:31Z","timestamp":1775022211000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Efficacy of a reduced brace wear regimen supported by Schroth exercise in adolescent idiopathic scoliosis: a randomized trial"],"prefix":"10.3389","volume":"14","author":[{"given":"Fanyuan","family":"Meng","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, The School of Rehabilitation, Kunming Medical University","place":["Kunming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, The School of Rehabilitation, Kunming Medical University","place":["Kunming, China"]},{"name":"Department of Rehabilitation, Kunming Municipal Hospital of Traditional Chinese Medicine","place":["Kunming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moxian","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, The School of Rehabilitation, Kunming Medical University","place":["Kunming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Second Affiliated Hospital of Kunming Medical University","place":["Kunming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Wang","sequence":"additional","affiliation":[{"name":"College of Mechanical and Electrical Engineering, Harbin Engineering University","place":["Harbin, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lijuan","family":"Ao","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, The School of Rehabilitation, Kunming Medical University","place":["Kunming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e0249492","DOI":"10.1371\/journal.pone.0249492","article-title":"The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: a single-blind, randomized-controlled trial","volume":"16","author":"Kocaman","year":"2021","journal-title":"PLoS One"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e011812","DOI":"10.1136\/bmjopen-2016-011812","article-title":"Understanding the role of the immune system in adolescent idiopathic scoliosis: immunometabolic connections to scoliosis (ICONS) study protocol","volume":"6","author":"Samaan","year":"2016","journal-title":"BMJ Open"},{"key":"B3","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1097\/PXR.0000000000000117","article-title":"Nonoperative management of adolescent idiopathic scoliosis (AIS) using braces","volume":"46","author":"Grivas","year":"2022","journal-title":"Prosthet Orthot Int"},{"key":"B4","doi-asserted-by":"publisher","first-page":"3058","DOI":"10.1007\/s00586-023-07787-1","article-title":"Can anterior vertebral body tethering provide superior range of motion outcomes compared to posterior spinal fusion in adolescent idiopathic scoliosis? 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