Ko Kwang-Jun, Kang Seol-Jung
Department of Sports Medicine, National Health Fitness Center, Seoul, Korea.
Department of Physical Education, Changwon National University, Changwon, Korea.
J Exerc Rehabil. 2017 Apr 30;13(2):244-249. doi: 10.12965/jer.1734952.476. eCollection 2017 Apr.
To identify the effects of core stabilization exercise on the Cobb angle and lumbar muscle strength of adolescent patients with idiopathic scoliosis. Subjects in the present study consisted of primary school students who were confirmed to have scoliosis on radiologic examination performed during their visit to the National Fitness Center in Seoul, Korea. Depending on whether they participated in a 12-week core stabilization exercise program, subjects were divided into the exercise (n=14, age 12.71±0.72 years) or control (n=15, age 12.80±0.86 years) group. The exercise group participated in three sessions of core stabilization exercise per week for 12 weeks. The Cobb angle, flexibility, and lumbar muscle strength tests were performed before and after core stabilization exercise. Repeated-measure two-way analysis of variance was performed to compare the treatment effects between the exercise and control groups. There was no significant difference in thoracic Cobb angle between the groups. The exercise group had a significant decrease in the lumbar Cobb angle after exercise compared to before exercise (<0.001). The exercise group also had a significant increase in lumbar flexor and extensor muscles strength after exercise compared to before exercise (<0.01 and <0.001, respectively). Core stabilization exercise can be an effective therapeutic exercise to decrease the Cobb angle and improve lumbar muscle strength in adolescents with idiopathic scoliosis.
为了确定核心稳定性训练对青少年特发性脊柱侧弯患者的Cobb角和腰背部肌肉力量的影响。本研究的受试者为在韩国首尔国家健身中心就诊时经放射学检查确诊患有脊柱侧弯的小学生。根据是否参加为期12周的核心稳定性训练计划，将受试者分为训练组（n = 14，年龄12.71±0.72岁）和对照组（n = 15，年龄12.80±0.86岁）。训练组每周参加3次核心稳定性训练，共12周。在核心稳定性训练前后进行Cobb角、柔韧性和腰背部肌肉力量测试。采用重复测量双向方差分析比较训练组和对照组的治疗效果。两组之间的胸椎Cobb角无显著差异。训练组训练后腰椎Cobb角较训练前显著减小（<0.001）。训练组训练后腰大肌和竖脊肌力量较训练前也显著增加（分别为<0.01和<0.001）。核心稳定性训练可能是一种有效的治疗运动，可减小青少年特发性脊柱侧弯患者的Cobb角并提高腰背部肌肉力量。
