Gámiz-Bermúdez Francisca, Obrero-Gaitán Esteban, Zagalaz-Anula Noelia, Lomas-Vega Rafael
Poniente de Almería Health District, Andalusian Health Service, Adra, Spain.
Department of Health Sciences, 16747University of Jaén, Jaén, Spain.
Clin Rehabil. 2022 May;36(5):597-608. doi: 10.1177/02692155211070452. Epub 2021 Dec 28.
to analyze the efficacy of Corrective exercise-based therapy in the improvement of deformity and quality of life in adolescent idiopathic scoliosis.
PubMed Medline, Scopus, Web of Science (WOS), Physiotherapy Evidence Database, CINAHL Complete and SciELO, until June 2021.
Randomized controlled trials was selected, including participants diagnosed with adolescent idiopathic scoliosis, in which the experimental group received Corrective exercise-based therapy. Two authors independently searched the scientific literature in the data sources, extracted the data and assessed the risk of bias. A pairwise meta-analysis using the random-effects model was performed.
Eight randomized controlled trials providing data from 279 adolescent idiopathic scoliosis patients were included. Seven randomized controlled trials including 236 patients showed moderate-quality evidence for a medium effect (SMD = -0.52, 95% CI -0.96 to -0.1), favoring corrective exercise-based therapy for spinal deformity reduction. Corrective exercise-based therapy was better than no intervention (SMD = -0.59, 95% CI -1.18 to -0.01) but similar to other intervention (SMD = -0.2, 95% CI -0.67 to 0.27), and a medium effect was found (SMD = -0.51, 95% CI -0.89 to -0.13) when corrective exercise-based therapy was used with other therapies. Four studies including 151 patients showed low-quality evidence of a large effect of Corrective exercise-based therapy on Scoliosis Research Society measurement (SRS-22) total score improvement (SMD = 1.16, 95% CI 0.36 to 1.95).
In mild and moderate adolescent idiopathic scoliosis patients, corrective exercise-based therapy could be used to reduce spinal deformity and to improve quality of life as isolated treatment or as coadjuvant treatment combined with other therapeutic resources.
分析基于矫正运动的疗法在改善青少年特发性脊柱侧凸畸形和生活质量方面的疗效。
截至2021年6月的PubMed Medline、Scopus、科学网（WOS）、物理治疗证据数据库、CINAHL Complete和SciELO。
选取随机对照试验，纳入被诊断为青少年特发性脊柱侧凸的参与者，其中实验组接受基于矫正运动的疗法。两位作者独立检索数据源中的科学文献，提取数据并评估偏倚风险。采用随机效应模型进行成对荟萃分析。
纳入八项随机对照试验，提供了279例青少年特发性脊柱侧凸患者的数据。七项随机对照试验（包括236例患者）显示中等质量证据表明存在中等效应（标准化均数差[SMD]= -0.52，95%可信区间[-0.96至-0.1]），支持基于矫正运动的疗法用于减少脊柱畸形。基于矫正运动的疗法优于无干预（SMD= -0.59，95%可信区间[-1.18至-0.01]），但与其他干预相似（SMD= -0.2，95%可信区间[-0.67至0.27]），并且当基于矫正运动的疗法与其他疗法联合使用时发现存在中等效应（SMD= -0.51，95%可信区间[-0.89至-0.13]）。四项研究（包括151例患者）显示低质量证据表明基于矫正运动的疗法对脊柱侧凸研究学会测量（SRS-22）总分改善有较大效应（SMD= 1.16，95%可信区间[0.36至1.95]）。
在轻度和中度青少年特发性脊柱侧凸患者中，基于矫正运动的疗法可作为单独治疗或与其他治疗资源联合作为辅助治疗用于减少脊柱畸形和改善生活质量。
