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Efficacy of different exercises on mild to moderate adolescent idiopathic scoliosis: a systematic review and meta-analysis [with consumer summary] |
Cheng P, Daxin L, Tianxiao G, Shuairan L, Yonghui C, Li Z, Jing M |
American Journal of Physical Medicine & Rehabilitation 2024 Jun;103(6):494-501 |
systematic review |
PURPOSE: The aims of this study are to evaluate the effectiveness of different exercise interventions on patients with adolescent idiopathic scoliosis and to provide evidence-based exercise prescriptions for this population. METHODS: The PubMed, Embase, Cochrane Library, Web of Science, CNKI, Chinese Biomedical Literature Database (CBM), VIP, andWanfang Data Knowledge Service Platform were searched until January 2023. The data were pooled and a meta-analysis was conducted. RESULTS: A total of 19 studies were conducted with 778 participants. The Schroth exercises group (mean difference -3.48, 95% confidence interval -4.73 to -2.23, p < 0.00001) and strength training group (mean difference -3.43, 95% confidence interval -4.06 to -2.80, p < 0.00001) had better recovery of the Cobb angle than the other groups. The Cobb angle rehabilitation effect was good in the time of less than 60-min group. In addition, there was no significant difference found between the different intervention periods groups (p > 0.05). CONCLUSIONS: Schroth exercise and strength training significantly improved Cobb angle of adolescent idiopathic scoliosis patients; exercising for less than 60 mins is effective for Cobb angle rehabilitation, but prolonging exercise time cannot improve training effectiveness; 12 wks of exercise significantly improved Cobb angle, but prolonged training periods did not have a significant impact.
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