Department of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
School of Kinesiology, Shanghai University of Sport, Shanghai, People's Republic of China.
Clin Rehabil. 2021 May;35(5):669-680. doi: 10.1177/0269215520975105. Epub 2020 Dec 27.
To systematically assess the effectiveness of core-based exercise for correcting a spinal deformity and improving quality of life in people with scoliosis.
The PubMed, Embase, Cochrane Library, Cumulative Index of Nursing and Allied Health Literature (CINAHL), and Web of Science databases were searched from inception up to September 30, 2020.
Clinical controlled trials were eligible if they compared the effectiveness of core-based exercise to other nonsurgical interventions in people with scoliosis. The revised Cochrane risk of bias assessment tool for randomized trials and the methodological index for non-randomized studies scale were used to assess the risk of bias. The outcomes included the Cobb angle, the angle of trunk rotation and quality of life. RevMan 5.3 was used, and intergroup differences were determined by calculating mean differences (MD) and 95% confidence intervals (CIs).
After screening 1348 studies, nine studies with 325 participants met the inclusion criteria. The exercise group had significantly lower Cobb angles (MD = -2.08, 95% CI: -3.89 to -0.28, = 0.02) and significantly better quality of life as measured by the Scoliosis Research Society-22 questionnaire (MD = 0.25, 95% CI: 0.02 to 0.49, = 0.03) than the control groups. However, no significant difference was observed regarding the angle of trunk rotation between groups (MD = -0.69, 95% CI: -2.61 to 1.22, = 0.48). Furthermore, no serious adverse events were reported. The overall quality of evidence ranged from low to very low.
Core-based exercise may have a beneficial role in reducing the Cobb angle and improving quality of life in people with scoliosis in the short term.
CRD42020160509 (Available at http://www.crd.york.ac.uk/prospero/).
系统评估基于核心的运动在矫正脊柱畸形和改善脊柱侧凸患者生活质量方面的效果。
从建库至 2020 年 9 月 30 日，检索了 PubMed、Embase、Cochrane 图书馆、护理学及相关健康学科联合数据库（Cumulative Index of Nursing and Allied Health Literature，CINAHL）和 Web of Science 数据库。
如果临床试验比较了基于核心的运动与脊柱侧凸患者的其他非手术干预措施的效果，则符合纳入标准。使用修订后的 Cochrane 随机试验偏倚风险评估工具和非随机研究方法学指数量表评估偏倚风险。结局指标包括 Cobb 角、躯干旋转角度和生活质量。使用 RevMan 5.3 进行分析，通过计算均数差值（mean difference，MD）和 95%置信区间（confidence interval，CI）来确定组间差异。
经过筛选，共有 1348 项研究，其中 9 项研究（325 名参与者）符合纳入标准。与对照组相比，运动组的 Cobb 角显著更低（MD=-2.08，95%CI：-3.89 至-0.28， = 0.02），Scoliosis Research Society-22 问卷评分（用于评估生活质量）也显著更高（MD=0.25，95%CI：0.02 至 0.49， = 0.03）。然而，两组间躯干旋转角度无显著差异（MD=-0.69，95%CI：-2.61 至 1.22， = 0.48）。此外，未报告严重不良事件。总体证据质量为低至极低。
在短期内，基于核心的运动可能对降低脊柱侧凸患者的 Cobb 角和提高生活质量具有有益作用。
PROSPERO 注册号：CRD42020160509（可在 http://www.crd.york.ac.uk/prospero/ 获得）。
