Effectiveness of exercise interventions for adolescent idiopathic scoliosis: An umbrella review

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI:10.1016/j.pedn.2026.01.050

Xinchun Wang , Tongnian Yang , Hongyu Chen , Zhihui Li , Jian Yang , Yishan Liu

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引用次数: 0

Abstract

Background

As nonsurgical alternatives, exercise interventions have been widely investigated for the prevention and management of adolescent idiopathic scoliosis (AIS).

Purpose

To systematically review the evidence from existing systematic reviews regarding the effects of exercise interventions on AIS.

Methods

A comprehensive search was conducted in Scopus, EBSCOHost, PubMed, Web of Science, The Cochrane Library, and China National Knowledge Infrastructure. The search period included studies published between January 2015 and November 2025. Two reviewers independently conducted data extraction and assessed methodological quality using the AMSTAR 2 checklist. This review followed the PRISMA 2020 guidelines and was registered in PROSPERO (CRD420251179072).

Results

A total of 14 studies were ultimately included, originating from Spain, China, India, Japan, and the United Kingdom (n = 30,098). Reported health outcomes included improvements in posture and spinal curvature angles, enhanced physical function, and better quality of life among patients. The effects of interventions indicated that moderate-intensity exercise, daily exercise duration exceeding three hours, and outdoor physical activities were associated with significant therapeutic benefits. Among the various programs, integrated therapeutic strategy demonstrated the most favorable overall outcomes.

Conclusion

Exercise is an effective intervention that plays a positive role in the prevention and treatment of AIS.

Practical implications

Exercise interventions can effectively enhance pediatric nursing care, and their integration into routine clinical practice may offer patients with AIS a more positive healthcare experience.

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运动干预对青少年特发性脊柱侧凸的有效性：综述

作为一种非手术治疗方法，运动干预已被广泛研究用于预防和治疗青少年特发性脊柱侧凸（AIS）。目的系统回顾现有系统综述中关于运动干预对AIS影响的证据。方法综合检索Scopus、EBSCOHost、PubMed、Web of Science、Cochrane Library和中国知识基础设施数据库。搜索期包括2015年1月至2025年11月之间发表的研究。两名审稿人独立进行数据提取，并使用AMSTAR 2检查表评估方法学质量。本综述遵循PRISMA 2020指南，并在PROSPERO注册（CRD420251179072）。结果最终纳入14项研究，分别来自西班牙、中国、印度、日本和英国（n = 30,098）。报告的健康结果包括姿势和脊柱弯曲角度的改善，身体功能的增强和患者生活质量的提高。干预措施的效果表明，中等强度的运动、每天超过3小时的运动和户外体育活动与显著的治疗效果相关。在各种方案中，综合治疗策略显示出最有利的总体结果。结论运动是一种有效的干预手段，对AIS的防治具有积极作用。实践意义：运动干预可以有效地加强儿科护理，将运动干预融入日常临床实践可以为AIS患者提供更积极的医疗保健体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.