Radiological and Clinical Effects of Exercise Intervention Therapy on Adolescent Idiopathic Scoliosis: A Meta-analysis.

IF 1.3 4区医学 Q3 ORTHOPEDICS

Indian Journal of Orthopaedics Pub Date : 2026-06-19 eCollection Date: 2026-10-01 DOI:10.1007/s43465-026-01861-8

Yuxin Zhang, Jiulong Song, Yuxin Fang, Jiexin Gu, Jian Fu

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引用次数: 0

Abstract

Background: To evaluate the radiological and clinical efficacy of exercise intervention therapy in improving Cobb angle, axial trunk rotation (ATR), axial vertebral rotation (AVR), and quality of life in adolescents with adolescent idiopathic scoliosis (AIS).

Methods: Literature was retrieved from databases including CNKI, Wanfang, VIP, Web of Science, and PubMed, and screened according to inclusion criteria. Methodological quality was assessed using Cochrane Risk of Bias Tool. This is a meta-analysis based on a systematic review. RevMan 5.4 software was employed to calculate pooled effect sizes for Cobb angle, ATR, AVR, and the Scoliosis Research Society-22 (SRS-22) quality of life questionnaire. This systematic review was registered at the International Prospective Register of Systematic Reviews.

Results: Ten randomized controlled trials (RCTs) were included. Analysis revealed that compared with conventional interventions, exercise therapy significantly reduced Cobb angle [Standardized Mean Difference (SMD) = - 1.80, 95% Confidence Interval (CI) (- 2.61, - 0.98), P < 0.05], significantly reduced ATR [SMD = - 1.55, 95% CI (- 2.31, - 0.80), P < 0.05], and significantly enhanced quality of life [SMD = 1.35, 95% CI(0.72,1.98), P < 0.05]. However, the pooled results for improving AVR did not show statistical significance [SMD = - 0.09, 95% CI(- 1.14, 0.96), P > 0.05].

Conclusion: Exercise intervention therapy significantly improves radiological parameters including Cobb angle and ATR, effectively improves physical function in AIS patients, and also significantly enhances their quality of life.

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运动干预治疗青少年特发性脊柱侧凸的影像学和临床效果：一项荟萃分析。

背景：评价运动干预治疗在改善青少年特发性脊柱侧凸（AIS）患者Cobb角、躯干轴向旋转（ATR）、椎体轴向旋转（AVR）和生活质量方面的影像学和临床疗效。方法：从CNKI、万方、VIP、Web of Science、PubMed等数据库中检索文献，并根据纳入标准进行筛选。采用Cochrane偏倚风险工具评估方法学质量。这是一个基于系统回顾的元分析。采用RevMan 5.4软件计算Cobb角、ATR、AVR和脊柱侧凸研究协会-22 （SRS-22）生活质量问卷的合并效应量。本系统综述已在国际前瞻性系统综述注册。结果：纳入10项随机对照试验（RCTs）。分析显示，与常规干预措施相比，运动疗法显著降低了Cobb角[标准化平均差(SMD) = - 1.80, 95%可信区间（CI）（- 2.61, - 0.98）， P P P P > 0.05]。结论：运动干预治疗可显著改善AIS患者的Cobb角、ATR等影像学参数，有效改善AIS患者的身体功能，显著提高患者的生活质量。

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

Indian Journal of Orthopaedics ORTHOPEDICS-

CiteScore

1.80

自引率

0.00%

发文量

185

审稿时长

9 months

期刊介绍： IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.