Chen Chenting, Xu Jialu, Li Haifeng
Department of Rehabilitation, Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
National Clinical Medical Research Center of Child Health and Disease, Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
Children (Basel). 2024 Jul 1;11(7):806. doi: 10.3390/children11070806.
(1) Background: This meta-analysis aims to systematically assess the effect size of Schroth three-dimensional exercise training on adolescent idiopathic scoliosis, especially for Cobb angles, angles of trunk rotation, and quality of life. (2) Methods: Randomized controlled trials (RCTs) focused on the effect of Schroth exercise on patients with adolescent idiopathic scoliosis (AIS) were retrieved from six databases, including PubMed, Embase, Cochrane Library, Web of Science, CNKI, and Wanfang. All publications until July 2023 were searched. Two researchers screened and evaluated the literature. Review manager (RevMan 5.3) statistical software was used for meta-analyses, and subgroup analysis and sensitivity analysis of the literature with high heterogeneity were further conducted. (3) Results: In total, 14 studies were included, including 538 adolescent idiopathic scoliosis patients. Compared with conventional physical therapy, Schroth 3D exercise training is more effective at reducing the Cobb angle (WMD = -3.32, 95%CI [-4.15, -2.50], < 0.001) and improving the trunk rotation angle (WMD = -2.24, 95%CI [-3.00, -1.48], < 0.001), quality of life (SMD = 2.80, 95%CI [1.53, 4.06], < 0.001), and WRVAS (WMD = -2.92, 95%CI [-3.25, -2.60], < 0.001), as well as enhancing the strength of the lumbar extensor (SMD = 1.79, 95%CI [1.46, 2.12], < 0.001). (4) Conclusion: Compared with traditional therapy, Schroth 3D exercises are more effective at decreasing the Cobb angle and ATR in adolescent idiopathic scoliosis, improving patients' quality of life, as well as enhancing the strength of the lumbar extensor.
(1) 背景：本荟萃分析旨在系统评估施罗斯三维运动训练对青少年特发性脊柱侧凸的效应大小，尤其是对 Cobb 角、躯干旋转角度和生活质量的影响。(2) 方法：从包括 PubMed、Embase、Cochrane 图书馆、科学网、中国知网和万方在内的六个数据库中检索聚焦于施罗斯运动对青少年特发性脊柱侧凸（AIS）患者影响的随机对照试验（RCT）。检索截至2023年7月的所有出版物。两名研究人员对文献进行筛选和评估。使用Review Manager（RevMan 5.3）统计软件进行荟萃分析，并对异质性高的文献进一步进行亚组分析和敏感性分析。(3) 结果：共纳入14项研究，包括538例青少年特发性脊柱侧凸患者。与传统物理治疗相比，施罗斯三维运动训练在减小 Cobb 角（加权均数差 = -3.32，95%置信区间[-4.15, -2.50]，P < 0.001）、改善躯干旋转角度（加权均数差 = -2.24，95%置信区间[-3.00, -1.48]，P < 0.001）、提高生活质量（标准化均数差 = 2.80，95%置信区间[1.53, 4.06]，P < 0.001）和腰部旋转肺活量计测量值（加权均数差 = -2.92，95%置信区间[-3.25, -2.60]，P < 0.001）以及增强腰伸肌力量（标准化均数差 = 1.79，95%置信区间[1.46, 2.12]，P < 0.001）方面更有效。(4) 结论：与传统治疗相比，施罗斯三维运动在降低青少年特发性脊柱侧凸的 Cobb 角和主动胸椎旋转角度、改善患者生活质量以及增强腰伸肌力量方面更有效。
