| Biofeedback training for scoliosis management: a systematic review and meta-analysis |
| Paper ID : 1090-SPORTCONGRESS (R2) |
| Authors |
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Fateme Khorramroo *1, Reza Rajabi2, Mostafa Jalili Bafrouei3, Seyed Hamed Mousavi3 1Department of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran Iran. 2Department of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Iran. 3Department of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Iran |
| Abstract |
| Introduction: Scoliosis, a complex spinal deformity, disrupts postural control and biomechanical function. Biofeedback training has gained attention as a non-invasive intervention to improve spinal alignment and neuromuscular symmetry. This systematic review and meta-analysis synthesizes evidence on biofeedback’s efficacy in scoliosis management. Methods: we searched PubMed, Scopus, Web of Science, and Embase (inception–3rd May 2025) for randomized and non-randomized trials evaluating biofeedback training (visual, auditory, haptic, or proprioceptive) in scoliosis patients. Risk of bias was evaluated using RoB-2 and ROBINS-I. Meta-analysis (CMA v3) calculated mean differences (MD). Results: Twenty four studies were included. Visual biofeedback showed the most consistent benefits, with Cobb angle reductions and curve stabilization (69–93% of participants). Trapezius muscle asymmetry significantly improved (SMD = -0.933, p = 0.012), but effects on other muscles were inconsistent. Auditory and haptic feedback had conflicting results, while multimodal approaches enhanced adherence. Biofeedback also reduced pain, improved quality of life and gait parameters. Conclusion: Biofeedback, particularly visual modalities, supports scoliosis rehabilitation by enhancing postural control. However, heterogeneity in protocols and limited long-term data necessitate further high-quality trials. Future research should focus on refining multimodal systems based on scoliosis subtypes to improve intervention precision and personalization. Clinically, visual biofeedback may be effectively integrated into conservative treatment plans to enhance patient engagement, especially in early-stage scoliosis or in pediatric settings, potentially improving long-term outcomes and adherence. |
| Keywords |
| Posture, Cobb angle, Feedback |
| Status: Abstract Accepted (Poster Presentation) |
