Is Core Stability Exercise Effective in Correcting Idiopathic Scoliosis in Adolescents? A Systematic Review

Background and purpose: Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis and the most complex deformity of the spine and trunk with significant complications. In this systematic review, the effectiveness of core stability exercises (CSE) in improving this disorder is discus...

Full description

Bibliographic Details
Main Authors: Arash Khaledi, Hooman Minoonejad, Hassan Daneshmandi, Mahdieh Akoochakian, Mehdi Gheitasi
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2023-01-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-18482-en.pdf
_version_ 1827698699420041216
author Arash Khaledi
Hooman Minoonejad
Hassan Daneshmandi
Mahdieh Akoochakian
Mehdi Gheitasi
author_facet Arash Khaledi
Hooman Minoonejad
Hassan Daneshmandi
Mahdieh Akoochakian
Mehdi Gheitasi
author_sort Arash Khaledi
collection DOAJ
description Background and purpose: Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis and the most complex deformity of the spine and trunk with significant complications. In this systematic review, the effectiveness of core stability exercises (CSE) in improving this disorder is discussed. Materials and methods: This review was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. Adolescent Idiopathic Scoliosis, Cobb angles, and core stability exercise were our search terms in PubMed, Scopus, MEDLINE, Cochrane Library, CINAHL, and Google Scholar. The search was limited to articles published in Persian and English between 2005 and 2022. Researches on AIS carried out in adolescents aged 10-18 were studied. In one of the groups, only CSE was done and the size of Cobb's angle (an indicator of the severity of scoliosis) was used as one of the dependent variables. The PEDro scale was used to evaluate the quality of articles in terms of risk of bias. Results: In initial search, 268 articles were found. After removing irrelevant articles and those that did not met the study’s inclusion criteria and also qualitative evaluation of the remaining articles, seven articles with an average PEDro score of 6.2 (moderate quality), including 297 participants, were selected. A statistically significant decrease was reported in the Cobb angle in all articles, but only in four articles this decrease was clinically significant (greater than 5˚). Conclusion: CSE are safe, easy and accessible that can be effective in improving AIS, but there is not sufficient evidence to support this hypothesis. Further high-quality studies are required to draw a definite conclusion and making clinical decisions.
first_indexed 2024-03-10T13:34:52Z
format Article
id doaj.art-6573c545bc8e491585dbb8b154dba153
institution Directory Open Access Journal
issn 1735-9260
1735-9279
language English
last_indexed 2024-03-10T13:34:52Z
publishDate 2023-01-01
publisher Mazandaran University of Medical Sciences
record_format Article
series Journal of Mazandaran University of Medical Sciences
spelling doaj.art-6573c545bc8e491585dbb8b154dba1532023-11-21T07:39:55ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792023-01-0132216179191Is Core Stability Exercise Effective in Correcting Idiopathic Scoliosis in Adolescents? A Systematic ReviewArash Khaledi0Hooman Minoonejad1Hassan Daneshmandi2Mahdieh Akoochakian3Mehdi Gheitasi4 PhD Student in Sport Injuries and Corrective Exercises, Department of Sport Science, Kish International Campus, University of Tehran, Kish, Iran Associate Professor, Department of Sport Injuries and Corrective Exercises, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran Professor, Department of Sport Injuries and Corrective Exercises, Faculty of Physical Education and Sport Sciences, University of Guilan, Rasht, Iran Assistant Professor, Department of Sport Sciences, Kish International Campus, University of Tehran, Kish, Iran Assistant Professor, Department of Health and Sport Rehabilitation, Faculty of Sport Science and Health, University of Shahid Beheshti, Tehran, Iran Background and purpose: Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis and the most complex deformity of the spine and trunk with significant complications. In this systematic review, the effectiveness of core stability exercises (CSE) in improving this disorder is discussed. Materials and methods: This review was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. Adolescent Idiopathic Scoliosis, Cobb angles, and core stability exercise were our search terms in PubMed, Scopus, MEDLINE, Cochrane Library, CINAHL, and Google Scholar. The search was limited to articles published in Persian and English between 2005 and 2022. Researches on AIS carried out in adolescents aged 10-18 were studied. In one of the groups, only CSE was done and the size of Cobb's angle (an indicator of the severity of scoliosis) was used as one of the dependent variables. The PEDro scale was used to evaluate the quality of articles in terms of risk of bias. Results: In initial search, 268 articles were found. After removing irrelevant articles and those that did not met the study’s inclusion criteria and also qualitative evaluation of the remaining articles, seven articles with an average PEDro score of 6.2 (moderate quality), including 297 participants, were selected. A statistically significant decrease was reported in the Cobb angle in all articles, but only in four articles this decrease was clinically significant (greater than 5˚). Conclusion: CSE are safe, easy and accessible that can be effective in improving AIS, but there is not sufficient evidence to support this hypothesis. Further high-quality studies are required to draw a definite conclusion and making clinical decisions.http://jmums.mazums.ac.ir/article-1-18482-en.pdfadolescent idiopathic scoliosiscore stability exercisescobb anglesystematic review
spellingShingle Arash Khaledi
Hooman Minoonejad
Hassan Daneshmandi
Mahdieh Akoochakian
Mehdi Gheitasi
Is Core Stability Exercise Effective in Correcting Idiopathic Scoliosis in Adolescents? A Systematic Review
Journal of Mazandaran University of Medical Sciences
adolescent idiopathic scoliosis
core stability exercises
cobb angle
systematic review
title Is Core Stability Exercise Effective in Correcting Idiopathic Scoliosis in Adolescents? A Systematic Review
title_full Is Core Stability Exercise Effective in Correcting Idiopathic Scoliosis in Adolescents? A Systematic Review
title_fullStr Is Core Stability Exercise Effective in Correcting Idiopathic Scoliosis in Adolescents? A Systematic Review
title_full_unstemmed Is Core Stability Exercise Effective in Correcting Idiopathic Scoliosis in Adolescents? A Systematic Review
title_short Is Core Stability Exercise Effective in Correcting Idiopathic Scoliosis in Adolescents? A Systematic Review
title_sort is core stability exercise effective in correcting idiopathic scoliosis in adolescents a systematic review
topic adolescent idiopathic scoliosis
core stability exercises
cobb angle
systematic review
url http://jmums.mazums.ac.ir/article-1-18482-en.pdf
work_keys_str_mv AT arashkhaledi iscorestabilityexerciseeffectiveincorrectingidiopathicscoliosisinadolescentsasystematicreview
AT hoomanminoonejad iscorestabilityexerciseeffectiveincorrectingidiopathicscoliosisinadolescentsasystematicreview
AT hassandaneshmandi iscorestabilityexerciseeffectiveincorrectingidiopathicscoliosisinadolescentsasystematicreview
AT mahdiehakoochakian iscorestabilityexerciseeffectiveincorrectingidiopathicscoliosisinadolescentsasystematicreview
AT mehdigheitasi iscorestabilityexerciseeffectiveincorrectingidiopathicscoliosisinadolescentsasystematicreview