Department of Physical Education and Research, Changchun University, Changchun 130000, China.
Academic Affairs Office, Changchun University, Changchun 130000, China.
J Environ Public Health. 2022 Jul 31;2022:4263393. doi: 10.1155/2022/4263393. eCollection 2022.
To observe the effects of core stabilization training on the Cobb angle, respiratory muscle strength (maximum inspiratory pressure, MIP; maximal expiratory pressure, MEP), and pulmonary function (forced vital capacity, FVC; forced expiratory volume, FEV1.0; FEV1.0/FVC%) in adolescent patients with idiopathic scoliosis (AIS) and offer practical-based evidence for the rehabilitation treatment for AIS patients.
36 AIS patients were assigned to the core stability training (CST) group ( 18) and control group ( = 18); the CST group participated in three sessions of core stabilization exercise per week for 12 weeks and the control group did not perform regular physical training during 12 weeks of study. Then, the Cobb angle, respiratory muscle strength (MIP and MEP), and pulmonary function (FVC, FEV1.0, and FEV1.0/FVC%) were measured before and after core stabilization training.
After 12 weeks of core stabilization training, compared with the pretest, the Cobb angle showed a significant decrease, FVC, FEV1, MIP, and MEP a significant increase ( < 0.01 respectively), and there was no statistical difference in FEV1/FVC in the CST group; there was no significant difference ( > 0.05 respectively) before and after an experiment in the control group except MEP decreased significantly ( < 0.01, < 0.05). After 12 weeks of core stabilization training, compared with the control group, the Cobb angle significantly decreased ( < 0.01), FVC, FEV1, MIP, and MEP significantly increased ( < 0.05 respectively) in the CST group, but there was no significant difference ( > 0.05, respectively) in FEV1/FVC between the control group and CST group.
Core stabilization exercise can be considered to have a positive effect on the normal physiological curvature of the spine in AIS patients, as it decreases the Cobb angle and strengthens respiratory muscle strength and pulmonary function.
观察核心稳定性训练对特发性脊柱侧凸（AIS）青少年患者 Cobb 角、呼吸肌力量（最大吸气压力，MIP；最大呼气压力，MEP）和肺功能（用力肺活量，FVC；第 1 秒用力呼气量，FEV1.0；FEV1.0/FVC%）的影响，为 AIS 患者的康复治疗提供实践依据。
将 36 例 AIS 患者分为核心稳定性训练（CST）组（18 例）和对照组（18 例）；CST 组每周进行 3 次核心稳定性运动，共 12 周，对照组在 12 周研究期间不进行常规体育锻炼。然后，在核心稳定性训练前后测量 Cobb 角、呼吸肌力量（MIP 和 MEP）和肺功能（FVC、FEV1.0 和 FEV1.0/FVC%）。
经过 12 周的核心稳定性训练，与术前相比，CST 组 Cobb 角明显下降，FVC、FEV1、MIP 和 MEP 明显增加（分别为<0.01），FEV1/FVC 无统计学差异；对照组实验前后除 MEP 明显下降（分别为<0.01、<0.05）外，差异无统计学意义（分别为>0.05）。经过 12 周的核心稳定性训练，与对照组相比，CST 组 Cobb 角明显下降（<0.01），FVC、FEV1、MIP 和 MEP 明显增加（分别为<0.05），但对照组与 CST 组 FEV1/FVC 差异无统计学意义（分别为>0.05）。
核心稳定性运动可考虑对 AIS 患者脊柱正常生理曲度有积极影响，可降低 Cobb 角，增强呼吸肌力量和肺功能。
