Sarkisova Natalya, Andras Lindsay M, Yang Joshua, Zaslow Tracy L, Edison Bianca R, Tolo Vernon T, Skaggs David L
Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, California.
Glob Adv Health Med. 2019 Nov 4;8:2164956119887720. doi: 10.1177/2164956119887720. eCollection 2019.
Fishman et al. reported that side plank poses asymmetrically strengthened the convex side of the curve and decreased primary Cobb angle by 49% among compliant patients with adolescent idiopathic scoliosis (AIS).
AIS patients with curves of 10° to 45° were randomized into the front plank (control) or side plank group. The side plank was performed with their curve convex down. A weekly survey monitored compliance, defined by completing poses 4 or more times a week.
A total of 64 patients were enrolled; 34% (22 of 64) of patients (mean age = 13 years) were compliant. In the control group, there were 11 compliant patients with 6 undergoing brace treatment. At enrollment, they had a mean Cobb angle of 30° (range: 14°-40°) and mean scoliometer reading of 13°. At 6 months, they had a mean Cobb angle of 30° (range: 14°-42°) and mean scoliometer of 12°. In the side plank group, there were 11 compliant patients with 5 undergoing brace treatment. At enrollment, they had a mean Cobb angle of 32° (range: 21°-44°) and mean scoliometer reading of 12°. At 6 months, they had a mean Cobb angle of 31° (range: 17°-48°) and a mean scoliometer reading of 13°. There were no significant changes in either the control or side plank group in regards to primary Cobb angle (control: = .53, side plank: = .67) or scoliometer (control: = .22, side plank: = .45).
There were no significant changes in primary Cobb angle or scoliometer after 6 months of side plank exercises. In contrast to a prior study, there was no improvement in curve magnitude in AIS patients performing side plank exercises.
菲什曼等人报告称，在依从性良好的青少年特发性脊柱侧凸（AIS）患者中，侧板姿势不对称地强化了脊柱侧弯曲线的凸侧，并使主 Cobb 角减小了 49%。
将曲线角度为 10°至 45°的 AIS 患者随机分为前平板支撑（对照组）或侧板支撑组。侧板支撑时让脊柱侧弯曲线的凸侧向下。每周进行一次调查以监测依从性，依从性定义为每周完成姿势 4 次或更多次。
共招募了 64 名患者；34%（64 名中的 22 名）患者（平均年龄 = 13 岁）依从性良好。在对照组中，有 11 名依从性良好的患者，其中 6 名正在接受支具治疗。入组时，他们的平均 Cobb 角为 30°（范围：14° - 40°），平均脊柱侧凸测量仪读数为 13°。6 个月时，他们的平均 Cobb 角为 30°（范围：14° - 42°），平均脊柱侧凸测量仪读数为 12°。在侧板支撑组中，有 11 名依从性良好的患者，其中 5 名正在接受支具治疗。入组时，他们的平均 Cobb 角为 32°（范围：21° - 44°），平均脊柱侧凸测量仪读数为 12°。6 个月时，他们的平均 Cobb 角为 31°（范围：17° - 48°），平均脊柱侧凸测量仪读数为 13°。在主 Cobb 角方面（对照组： = 0.53，侧板支撑组： = 0.67）或脊柱侧凸测量仪方面（对照组： = 0.22，侧板支撑组： = 0.45），对照组和侧板支撑组均无显著变化。
侧板支撑锻炼 6 个月后，主 Cobb 角或脊柱侧凸测量仪无显著变化。与先前的一项研究相反，进行侧板支撑锻炼的 AIS 患者的曲线严重程度没有改善。
