{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:53:02Z","timestamp":1792072382595,"version":"4.4.0"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"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. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescent idiopathic scoliosis (AIS) is a common spinal deformity with significant health impacts. This study aimed to investigate the epidemiology of AIS in a Chinese region and evaluate the efficacy of an integrated sports-medicine rehabilitation (ISMR) strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study had two parts. First, a cross-sectional school-based screening investigated AIS epidemiology in adolescents aged 11\u201319 in Taizhou. Second, a retrospective cohort study evaluated the efficacy of an ISMR strategy. Patients with AIS were allocated to either a Conventional Rehabilitation (CR) group or an ISMR group based on their historical rehabilitation protocol. All received 12\u202fweeks of conservative management. Assessments performed before and after the treatment included Cobb angle, vertebral rotation, apical vertebral translation, trunk rotation angle (ATR), and SRS-22 quality of life scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 66,989 individuals were screened. The overall prevalence was higher in females than males (0.35% vs. 0.16%,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). For the rehabilitation trial, 138 patients were enrolled (CR:\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f71; ISMR:\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f67). After treatment, the ISMR group showed statistically significant but modest improvements in Cobb angle (13.66 \u00b0 vs. 15.04 \u00b0,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.016), vertebral rotation (1.38 \u00b0 vs. 1.59 \u00b0,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.026), apical translation (20.87\u202fmm vs. 21.89\u202fmm,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.033), and ATR (4.84 \u00b0 vs. 5.20\u00b0,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001) compared to the CR group. The ISMR group also demonstrated statistically and clinically relevant improvements in all SRS-22 domains, including function, pain, self-image, and mental health (all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study delineates local epidemiological patterns of AIS and demonstrates that a structured, ISMR strategy is more effective than CR in improving spinal alignment and quality of life for conservatively managed patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1879082","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T05:38:39Z","timestamp":1783316319000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Epidemiological investigation of adolescent idiopathic scoliosis and evaluation of the therapeutic effect of an integrated sports and medicine rehabilitation strategy for scoliosis treatment"],"prefix":"10.3389","volume":"14","author":[{"given":"Xinxuan","family":"Xu","sequence":"first","affiliation":[{"name":"Taizhou School of Clinical Medicine, Nanjing Medical University","place":["Taizhou, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiyuan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Nanjing Drum Tower Hospital","place":["Nanjing, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Taizhou People\u2019s Hospital","place":["Taizhou, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Qiu","sequence":"additional","affiliation":[{"name":"Taizhou School of Clinical Medicine, Nanjing Medical University","place":["Taizhou, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Taizhou People\u2019s Hospital","place":["Taizhou, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Jin","sequence":"additional","affiliation":[{"name":"Taizhou School of Clinical Medicine, Nanjing Medical University","place":["Taizhou, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaonian","family":"Zhao","sequence":"additional","affiliation":[{"name":"Taizhou School of Clinical Medicine, Nanjing Medical University","place":["Taizhou, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2196","DOI":"10.1007\/s00586-023-07709-1","article-title":"Idiopathic adolescent scoliosis and obesity: prevalence study","volume":"32","author":"Catanzariti","year":"2023","journal-title":"European Spine J"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1851","DOI":"10.1007\/s43390-025-01120-0","article-title":"Examining the impact of adolescent idiopathic scoliosis on psychosocial well-being and physical function: revealing insights from patient-reported outcomes","volume":"13","author":"Oeffinger","year":"2025","journal-title":"Spine Deformity."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"3065","DOI":"10.1186\/s12889-024-20423-x","article-title":"The societal burden associated with adolescent idiopathic scoliosis: a cross-sectional burden-of-disease study","volume":"24","author":"Hoelen","year":"2024","journal-title":"BMC Public Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"27","DOI":"10.11604\/pamj.2023.45.27.38575","article-title":"Quality of life among adolescents with idiopathic scoliosis in Tunisia","volume":"45","author":"Salah","year":"2023","journal-title":"Pan Afr Med J"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"Cd007837","DOI":"10.1002\/14651858.CD007837.pub3","article-title":"Therapeutic exercises for idiopathic scoliosis in adolescents","volume":"2024","author":"Romano","year":"2024","journal-title":"Cochrane Database Syst Rev"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e19175","DOI":"10.7717\/peerj.19175","article-title":"Evaluating exercise therapies in adolescent idiopathic scoliosis: a systematic review with Bayesian network meta-analysis","volume":"13","author":"Jiang","year":"2025","journal-title":"PeerJ"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1261","DOI":"10.3233\/bmr-220391","article-title":"A scoping review of the different types of exercise programs proposed for the improvement of postural balance in adolescents with idiopathic scoliosis","volume":"36","author":"Baik","year":"2023","journal-title":"J Back Musculoskelet Rehabil"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1342327","DOI":"10.3389\/fped.2023.1342327","article-title":"Exercise therapy for adolescent idiopathic scoliosis rehabilitation: a bibliometric analysis (1999\u20132023)","volume":"11","author":"Ma","year":"2023","journal-title":"Front Pediatr"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"26784","DOI":"10.1038\/s41598-024-77712-z","article-title":"Association between postural habits and lifestyle factors of adolescent idiopathic scoliosis in Syria","volume":"14","author":"Khadour","year":"2024","journal-title":"Sci Rep"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e586","DOI":"10.1016\/j.pedn.2023.10.037","article-title":"Psychosocial interventions for teenagers with adolescent idiopathic scoliosis: a systematic literature review","volume":"73","author":"Yan","year":"2023","journal-title":"J Pediatr Nurs"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"e084487","DOI":"10.1136\/bmjopen-2024-084487","article-title":"Promotion of sports, exercise and physical activity participation during postoperative interventions for adolescent idiopathic scoliosis: protocol for an international e-Delphi study","volume":"14","author":"Tucker","year":"2024","journal-title":"BMJ Open"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"276","DOI":"10.3390\/sports12100276","article-title":"Physical therapy in neurorehabilitation with an emphasis on sports: a bibliometric analysis and narrative review","volume":"12","author":"Pamboris","year":"2024","journal-title":"Sports"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1007\/s12178-023-09830-6","article-title":"Mental health and involuntary retirement from sports post-musculoskeletal injury in adult athletes: a systematic review","volume":"16","author":"Furie","year":"2023","journal-title":"Curr Rev Musculoskelet Med"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.1186\/s12889-025-22237-x","article-title":"A theoretical model of sports and health integration to promote active health","volume":"25","author":"Wang","year":"2025","journal-title":"BMC Public Health"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1111\/jpc.16650","article-title":"Effects of spinal mobilisation in adolescent idiopathic scoliosis: a randomised controlled trial","volume":"60","author":"K\u00fc\u00e7\u00fck","year":"2024","journal-title":"J Paediatr Child Health"},{"key":"ref16","first-page":"43","article-title":"Adolescent idiopathic scoliosis: modern management guidelines","volume":"15","author":"Shindle","year":"2006","journal-title":"J Surg Orthop Adv"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1007\/s43390-020-00060-1","article-title":"Establishing consensus on the best practice guidelines for the use of bracing in adolescent idiopathic scoliosis","volume":"8","author":"Roye","year":"2020","journal-title":"Spine Deformity"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"2381","DOI":"10.1097\/00007632-200009150-00018","article-title":"Further development and validation of the Scoliosis Research Society (SRS) outcomes instrument","volume":"25","author":"Asher","year":"2000","journal-title":"Spine"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/s13013-017-0145-8","article-title":"2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth","volume":"13","author":"Negrini","year":"2018","journal-title":"Scolios Spin Disord"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"3836","DOI":"10.1007\/s00586-023-07892-1","article-title":"Developing a new tool for scoliosis screening in a tertiary specialistic setting using artificial intelligence: a retrospective study on 10,813 patients: 2023 SOSORT award winner","volume":"32","author":"Negrini","year":"2023","journal-title":"European Spine J"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"e217","DOI":"10.52225\/narra.v3i3.217","article-title":"Etiopathogenesis of adolescent idiopathic scoliosis (AIS): role of genetic and environmental factors","volume":"3","author":"Aulia","year":"2023","journal-title":"Narra J"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1186\/s13018-024-05102-2","article-title":"Single nucleotide polymorphisms of estrogen receptors are risk factors for the progression of adolescent idiopathic scoliosis: a systematic review and meta-analyses","volume":"19","author":"Rao","year":"2024","journal-title":"J Orthop Surg Res"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1524073","DOI":"10.3389\/fped.2025.1524073","article-title":"Prevalence of and risk factors for adolescent scoliosis from a multi-year school screening programme in eastern China","volume":"13","author":"Xu","year":"2025","journal-title":"Front Pediatr"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"2857","DOI":"10.3390\/healthcare13222857","article-title":"Factors related to curve progression in adolescent idiopathic scoliosis girls at skeletal maturity","volume":"13","author":"Geagea","year":"2025","journal-title":"Healthcare"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1186\/s13018-025-05743-x","article-title":"Conservative treatment of adolescent idiopathic scoliosis: the effectiveness of rigid bracing","volume":"20","author":"Trofimchuk","year":"2025","journal-title":"J Orthop Surg Res"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"2507","DOI":"10.3390\/jcm12072507","article-title":"Outcome of conservative therapy of adolescent idiopathic scoliosis (AIS) with Ch\u00eaneau-brace","volume":"12","author":"Pepke","year":"2023","journal-title":"J Clin Med"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"81","DOI":"10.18502\/ijph.v53i1.14685","article-title":"Core stabilization exercises vs. Schroth\u2019s three dimensional exercises to treat adolescent idiopathic scoliosis: a systematic review","volume":"53","author":"Khaledi","year":"2024","journal-title":"Iran J Public Health"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"331","DOI":"10.23736\/s1973-9087.24.08177-2","article-title":"Physiotherapeutic scoliosis-specific exercises (PSSE-Schroth) can reduce the risk for progression during early growth in curves below 25\u00b0: prospective control study","volume":"60","author":"Karavidas","year":"2024","journal-title":"Eur J Phys Rehabil Med"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"954","DOI":"10.3390\/children10060954","article-title":"Schroth physiotherapeutic scoliosis-specific exercise (PSSE) trials-systematic review of methods and recommendations for future research","volume":"10","author":"Schreiber","year":"2023","journal-title":"Children"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"2950","DOI":"10.3390\/jcm14092950","article-title":"Compliance of physiotherapeutic scoliosis-specific exercise in adolescent idiopathic scoliosis: a scoping review","volume":"14","author":"Fazalbhoy","year":"2025","journal-title":"J Clin Med"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"e0340585","DOI":"10.1371\/journal.pone.0340585","article-title":"Comparative efficacy of Schroth and core training for early postoperative recovery in adolescent idiopathic scoliosis: a single blind randomized controlled trial","volume":"21","author":"Meng","year":"2026","journal-title":"PLoS One"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"e0334713","DOI":"10.1371\/journal.pone.0334713","article-title":"Effects of different physical therapy training protocols on patients with idiopathic scoliosis: short-term results","volume":"20","author":"Lu","year":"2025","journal-title":"PLoS One"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1479","DOI":"10.1007\/s11845-023-03593-2","article-title":"The effect of Schroth best practice exercises and Cheneau brace treatment on perceptual and cognitive asymmetry in adolescent idiopathic scoliosis with thoracic major curve","volume":"193","author":"Ak\u00e7ay","year":"2024","journal-title":"Ir J Med Sci"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"100231","DOI":"10.1016\/j.xnsj.2023.100231","article-title":"The economic and societal burden associated with adolescent idiopathic scoliosis: a burden-of-disease study protocol","volume":"14","author":"Hoelen","year":"2023","journal-title":"North American Spine Soc J"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1879082\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:39:59Z","timestamp":1792071599000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1879082\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,6]]},"references-count":34,"alternative-id":["10.3389\/fpubh.2026.1879082"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1879082","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,6]]},"article-number":"1879082"}}