Dimitrijević Vanja, Rašković Bojan, Popović Miroslav P, Marinković Dragan, Kojić Miloš, Nikolić Siniša, Jevtić Nikola, Obradović Borislav
Faculty of Sports and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia.
Functionally Aware Motoric Activity (FAMA) Center, 21000 Novi Sad, Serbia.
Healthcare (Basel). 2025 Jul 18;13(14):1742. doi: 10.3390/healthcare13141742.
The aim of this research was to evaluate the size of the effect of conservative methods based on exercises on the reduction in the kyphotic angle through a meta-analysis. In our research, we followed the Cochrane guidelines and the PRISMA guidelines. In October 2024, we searched the following databases: Scopus, Pub Med, Web of Science, and Cochrane Library. The following keywords were used for the search: ("Kyphosis" OR "Hyperkyphosis" OR "Kyphotic angle" OR "Spinal curve" OR "Sagittal spinal") AND ("Conservative methods" OR "Conservative treatment" OR "Corrective exercise" OR "Physical exercise" OR "Exercise therapy" OR "Training"). The risk of bias was assessed for each randomized trial using the Cochrane Risk of Bias Tool and the Methodological Index for Non-Randomized Studies (MINORS). The study's main outcome and estimated effects were the kyphotic angle. R 4.3.2 software with the meta package was used for analyses, and standardized mean difference (SMD) and 95% confidence interval (CI), a randomized model for continuous outcomes, were used as effect size. Twenty-one studies were included in the qualitative analysis, while 19 studies were included in the quantitative analysis. Depending on the analysis, the effect sizes ranged from (SMD = 0.27 to SMD = 0.73). Heterogeneity ranged from 0% to 58%, while the quality of evidence (GRADE) ranged from very low to moderate. : Our meta-analysis indicates the positive effects of applying conservative methods based on exercise in subjects without and with osteoporosis diagnosed with hyperkyphosis.
本研究的目的是通过荟萃分析评估基于运动的保守方法对减少后凸角的效果大小。在我们的研究中，我们遵循了Cochrane指南和PRISMA指南。2024年10月，我们检索了以下数据库：Scopus、PubMed、科学网和Cochrane图书馆。搜索使用了以下关键词：（“脊柱后凸”或“严重脊柱后凸”或“后凸角”或“脊柱曲线”或“脊柱矢状面”）以及（“保守方法”或“保守治疗”或“矫正运动”或“体育锻炼”或“运动疗法”或“训练”）。使用Cochrane偏倚风险工具和非随机研究方法学指数（MINORS）对每个随机试验的偏倚风险进行评估。该研究的主要结局和估计效应是后凸角。使用带有meta包的R 4.3.2软件进行分析，标准化均数差（SMD）和95%置信区间（CI），一种用于连续结局的随机模型，用作效应量。定性分析纳入了21项研究，定量分析纳入了19项研究。根据分析，效应量范围为（SMD = 0.27至SMD = 0.73）。异质性范围为0%至58%，而证据质量（GRADE）范围为极低至中等。我们的荟萃分析表明，对诊断为脊柱后凸的无骨质疏松症和有骨质疏松症的受试者应用基于运动的保守方法具有积极效果。
