Dimitrijević Vanja, Rašković Bojan, Popović Miroslav, Viduka Dejan, Nikolić Siniša, Drid Patrik, Obradović Borislav
Faculty of Sports and Physical Education, University of Novi Sad, Novi Sad, Serbia.
Technical Faculty, Singidunum University, Belgrade, Serbia.
Front Sports Act Living. 2024 Dec 23;6:1492241. doi: 10.3389/fspor.2024.1492241. eCollection 2024.
This systematic review and meta-analysis aimed to systematically assess the effect size of conservative methods based on exercise for respondents with idiopathic scoliosis.
This study was developed in accordance with the PRISMA guidelines. The PubMed, Cochrane Library, Web of Science, and Google Scholar databases were searched in May 2023. The key search terms were "Idiopathic scoliosis", "Adolescent idiopathic scoliosis", "Cobb angle", "Angle of trunk rotation", "Quality of life", "Schroth method", and "Core stabilization exercises". Risk of bias was assessed for each randomized trial using the Cochrane risk of bias tool, and the methodological index for non-randomized studies. The outcomes included Cobb angle, angle of trunk rotation (ATR), forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), and quality of life (QoL). R 4.0.5 software was used, and standardized mean differences (SMD) and 95% confidence intervals (CIs) were calculated for continuous outcomes using a random model.
In total, 23 studies were included. Depending on the outcome measured, the effect size of the different methods in the treatment of idiopathic scoliosis ranged from small to large as follows: Cobb angle (SMD = -0.43, < 0.0001), ATR (SMD = -0.25, = 0.06), FVC (SMD = 0.48, = 0.03), FEV1 (SMD = 0.51, = 0.004), and QoL (SMD = 0.95, < 0.0001).
Our meta-analysis indicates the positive effects of applying conservative methods based on therapeutic exercises on patients with idiopathic scoliosis.
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=373554, PROSPERO (CRD42022373554).
本系统评价和荟萃分析旨在系统评估基于运动的保守方法对特发性脊柱侧凸患者的效应大小。
本研究按照PRISMA指南开展。于2023年5月检索了PubMed、Cochrane图书馆、科学网和谷歌学术数据库。关键检索词为“特发性脊柱侧凸”“青少年特发性脊柱侧凸”“Cobb角”“躯干旋转角度”“生活质量”“施罗特方法”和“核心稳定训练”。使用Cochrane偏倚风险工具对每项随机试验的偏倚风险进行评估，并对非随机研究采用方法学指数。结局指标包括Cobb角、躯干旋转角度（ATR）、用力肺活量（FVC）、1秒用力呼气量（FEV1）和生活质量（QoL）。使用R 4.0.5软件，采用随机模型计算连续结局的标准化均数差（SMD）和95%置信区间（CI）。
共纳入23项研究。根据所测量的结局指标，不同方法治疗特发性脊柱侧凸的效应大小从小到大依次为：Cobb角（SMD = -0.43，<0.0001）、ATR（SMD = -0.25，=0.06）、FVC（SMD = 0.48，=0.03）、FEV1（SMD = 0.51，=0.004）和QoL（SMD = 0.95，<0.0001）。
我们的荟萃分析表明，基于治疗性运动的保守方法对特发性脊柱侧凸患者有积极效果。
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=373554，PROSPERO（CRD42022373554）
