[Retracted] Effect of Core Stability Training on Correction and Surface Electronic Signals of Paravertebral in Adolescent Idiopathic Scoliosis

Abstract

Objective. To observe the effect of 12-week core stability training on Cobb angle and the ratios of AEMG (averaged EMG) and IEMG (integral EMG) of paravertebral electromyography in thoracic and lumbar segments in adolescent idiopathic scoliosis (AIS) patients and offer a practical-based evidence for the rehabilitation treatment for AIS patients. Methods. 31 AIS female middle school students were randomly divided into an exercise group ( n = 16 , 12 weeks of core stability training, 3 times/week) and AIS group ( n = 15 ). In addition, 15 female secondary school students without scoliosis were included as the normal group (the AIS group and normal group did not perform any regular physical exercise throughout the trial period and only receive regular evaluation and guidance). Before and after the experiment, the digital diagnostic equipment of Philips was used to examine the Cobb angle and Noraxon was used to measure the surface EMG signals of the back thoracic and lumbar paravertebral muscles. Results. Compared with that before training, after 12 weeks of core stability training, the Cobb angle in the exercise group significantly decreased, and the ratio of AEMG (convex/concave) and IEMG (convex/concave) of paravertebral muscles in the thoracolumbar segment significantly decreased ( P < 0.01 , respectively); there was no significant difference in the above indicators in the AIS group before and after the experiment ( P > 0.05 , respectively). After 12 weeks of core stability training, compared with the AIS group, the Cobb angle decreased significantly ( P < 0.01 ), and the ratio of AEMG (convex/concave) and IEMG (convex/concave) of paravertebral muscles in thoracolumbar segment decreased significantly ( P < 0.01 , P < 0.05 ). Compared with the normal group, the ratio of AEMG and IEMG of paravertebral muscles in thoracolumbar segment significantly increased ( P < 0.01 ) in the AIS group ( P < 0.01 , respectively). Conclusions. The core stability training can significantly reduce the Cobb angle of AIS and correct the bad posture of scoliosis patients, which may be related to the balance of the electromyographic activities (convex concave side) of paravertebral muscles in AIS patients.

Short-Term Benefit from Core Stabilization Exercises in Adolescent Idiopathic Scoliosis: A Meta-Analysis of Randomized Controlled Trials

“…Our meta-analysis found that CS exercises had a very shortterm efect to reduce Cobb's angle and improve lumbar muscle strength in AIS patients compared with conventional training in three studies [7,25,26]; however, the subgroup analysis showed no signifcant improvement [16,27,28]. Te subgroup analysis of the efects in Cobb's angle was divided into thoracic and lumbar segments.…”

“…CS exercises may increase the strength of spinal muscles, improve the quality of life, and relieve pain in adolescents with AIS [19] and could correct the bad posture of scoliosis patients, which may be related to the balance of the electromyographic activities (convex concave side) of paravertebral muscles in AIS patients [7]. CS exercises were more efective than traditional exercises alone in the correction of vertebral rotation and reduction of pain in adolescent idiopathic scoliosis [16].…”

“…Te severity of AIS is divided into mild, moderate, and severe, with mild Cobb's angle being less than 25 °, moderate being between 25 °and 45 °Cobb's angle degrees, and severe being greater than 45 Cobb's angle degrees [6]. Te larger the Cobb's angle, the higher the functional limitations in adulthood [7]. Currently, the most efective nonsurgical treatment of AIS is bracing, exercises have an important role as an adjunct modality that can be added to the brace treatment and it only should be considered for AIS curves of less than 20 °, and for curves of higher than 20 °, bracing and exercise is indicated for this population [1].…”

The Efficacy of Different Exercises on Mild to Moderate Adolescent Idiopathic Scoliosis: A Systematic Review and Meta-analysis

“…A total of 1091 relevant literature were retrieved, and a total of 19 articles were finally included. 19,20,22,23,[26][27][28]30,[35][36][37][38][39][40][41][42][43][44][45] The literature inclusion process is shown in Figure 1.…”

Retracted: Effect of Core Stability Training on Correction and Surface Electronic Signals of Paravertebral in Adolescent Idiopathic Scoliosis

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”