The effect of an exercise intervention on adolescent idiopathic scoliosis: a network meta-analysis

Abstract Purpose To explore the effect of exercise intervention on adolescent idiopathic scoliosis (AIS), various exercise forms were compared and the sequence of the possibility of improving the effect of each exercise form was sorted out. We expect that our findings will provide clinicians and pat...

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Main Authors: Yonghuan Chen, Zhendong Zhang, Qiuhan Zhu
Format: Article
Language:English
Published: BMC 2023-09-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-023-04137-1
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author Yonghuan Chen
Zhendong Zhang
Qiuhan Zhu
author_facet Yonghuan Chen
Zhendong Zhang
Qiuhan Zhu
author_sort Yonghuan Chen
collection DOAJ
description Abstract Purpose To explore the effect of exercise intervention on adolescent idiopathic scoliosis (AIS), various exercise forms were compared and the sequence of the possibility of improving the effect of each exercise form was sorted out. We expect that our findings will provide clinicians and patients with more effective treatments and references. Method A thorough search was done on CNKI, Wanfang, WOS, Cochrane library, Embase, PubMed, Scopus and obtained the publication time from the database establishment to May 6, 2023. The relevant contents of the literature that passed the screening criteria were extracted, including relevant information about the sample, first author, intervention measures, intervention time, and outcome indicators. Analysis was performed by Review Manager 5.4 and Stata17.0. Result The study finally included 12 articles with 538 samples. After comparison, it was found that exercise interventions to reduce Cobb's angle were more effective than conventional therapies and reached a statistically significant difference. Compared with conventional therapy, core strength training, Physiotherapeutic Scoliosis-Specific Exercise (PSSE), yoga, Schroth, and sling reduced the Cobb angle by an average of 3.82 degrees, 3.79 degrees, 4.60 degrees, 3.63 degrees, and 3.30 degrees, respectively. However, the therapeutic effects on AIS did not show statistically significant differences between the exercise interventions. According to the SUCRA value and the cumulative probability, the MeanRank of improving the AIS effect by various sports intervention measures as follows: yoga (2.2), core strength training (2.8), PSSE (2.8), Schroth exercise (3.2), and sling exercise (4.0). Conclusion Exercise intervention can significantly improve AIS. There was no significant difference in the improvement effect of AIS among different exercise forms. Yoga may have the best effect on AIS improvement.
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spelling doaj.art-4706613ad348419bb54f7b4db72edb922023-11-26T13:49:26ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-09-011811910.1186/s13018-023-04137-1The effect of an exercise intervention on adolescent idiopathic scoliosis: a network meta-analysisYonghuan Chen0Zhendong Zhang1Qiuhan Zhu2Department of Physical Education, Pukyong National UniversitySchool of Physical Education, Zhengzhou Sias UniversitySchool of Physical Education, Zhengzhou UniversityAbstract Purpose To explore the effect of exercise intervention on adolescent idiopathic scoliosis (AIS), various exercise forms were compared and the sequence of the possibility of improving the effect of each exercise form was sorted out. We expect that our findings will provide clinicians and patients with more effective treatments and references. Method A thorough search was done on CNKI, Wanfang, WOS, Cochrane library, Embase, PubMed, Scopus and obtained the publication time from the database establishment to May 6, 2023. The relevant contents of the literature that passed the screening criteria were extracted, including relevant information about the sample, first author, intervention measures, intervention time, and outcome indicators. Analysis was performed by Review Manager 5.4 and Stata17.0. Result The study finally included 12 articles with 538 samples. After comparison, it was found that exercise interventions to reduce Cobb's angle were more effective than conventional therapies and reached a statistically significant difference. Compared with conventional therapy, core strength training, Physiotherapeutic Scoliosis-Specific Exercise (PSSE), yoga, Schroth, and sling reduced the Cobb angle by an average of 3.82 degrees, 3.79 degrees, 4.60 degrees, 3.63 degrees, and 3.30 degrees, respectively. However, the therapeutic effects on AIS did not show statistically significant differences between the exercise interventions. According to the SUCRA value and the cumulative probability, the MeanRank of improving the AIS effect by various sports intervention measures as follows: yoga (2.2), core strength training (2.8), PSSE (2.8), Schroth exercise (3.2), and sling exercise (4.0). Conclusion Exercise intervention can significantly improve AIS. There was no significant difference in the improvement effect of AIS among different exercise forms. Yoga may have the best effect on AIS improvement.https://doi.org/10.1186/s13018-023-04137-1Exercise interventionAdolescentCobb's angleScoliosisNetwork meta-analysis
spellingShingle Yonghuan Chen
Zhendong Zhang
Qiuhan Zhu
The effect of an exercise intervention on adolescent idiopathic scoliosis: a network meta-analysis
Journal of Orthopaedic Surgery and Research
Exercise intervention
Adolescent
Cobb's angle
Scoliosis
Network meta-analysis
title The effect of an exercise intervention on adolescent idiopathic scoliosis: a network meta-analysis
title_full The effect of an exercise intervention on adolescent idiopathic scoliosis: a network meta-analysis
title_fullStr The effect of an exercise intervention on adolescent idiopathic scoliosis: a network meta-analysis
title_full_unstemmed The effect of an exercise intervention on adolescent idiopathic scoliosis: a network meta-analysis
title_short The effect of an exercise intervention on adolescent idiopathic scoliosis: a network meta-analysis
title_sort effect of an exercise intervention on adolescent idiopathic scoliosis a network meta analysis
topic Exercise intervention
Adolescent
Cobb's angle
Scoliosis
Network meta-analysis
url https://doi.org/10.1186/s13018-023-04137-1
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