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Abstract Objective To study the effects of brace therapy，specific exercise therapy，and a combination of the two on the curve，quality of life and trunk muscle strength of adolescent patients with idiopathic scoliosis.Methods 60 adolescent idiopathic scoliosis patients underwent bracing，exercise and combined treatment of the bracing and exercise in Tianjin Hospital from September 2018 to February 2021 with 20 patients in each group.Among them，there were 4 males and 16 females in the brace group，and the ages ranged from 10 to 15 years with an average age of (13.46±1.46)years.There were 7 males and 13 females in the exercise group，and the ages ranged from 10.00 to 14.50 years with an average age of (12.83±1.77)years.In the combined group，there were 6 males and 14 females，and the age ranged from 10 to 15 years with an average age of (13.02±1.56)years.The three groups were treated in accordance with the established individualized plan.The general data and imaging data before treatment and at the last follow-up were recorded，as well as the SRS-22 questionnaire (scoliosis research society-22) and the surface electromyography(EMG) signals on both sides of the paraspinal muscles.Results Compared with before treatment，the three groups of treatments can prevent the progression of scoliosis Cobb angle and ATR (angle of trunk rotation，ATR).The Cobb angle，ATR in the combined group and ATR of the exercise group had statistically significant differences compared those before treatment (P＜0.05).In terms of quality of life，the improvement of pain，mental health and treatment satisfaction in the exercise group and the combined group was better than that of the brace group (P＜0.05).The surface EMG results showed the convex side was higher than the concave side near the apical vertebra in the brace group and exercise group，(P＜0.05).The root mean square(RMS) between the brace group and the combination group was statistically different (P＜0.05).Conclusion The combination of brace and specific exercise therapy can more effectively improve the Cobb angle and ATR of patients，and improve the quality of life and paraspinal muscle strength.
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