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 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.

Exercise therapy for adolescent idiopathic scoliosis rehabilitation: a bibliometric analysis (1999–2023)

“…The agreement that physical therapy can steady or decrease the magnitude of a spinal malformation or ameliorate functional levels in AIS has been established in recent decades ( 31 , 32 ). Still, some barriers remain for exercise therapy to be successfully applied: (1) There remain several cognitive limitations to be addressed in order to comply with clinical standards and personalized treatment, particularly as many healthcare professionals lack expertise in distinguishing between generalized physiotherapy exercises and PSSE ( 33 , 34 ). (2) Few studies on exercise therapy have prospectively registered their study protocols.…”

“…(1) There remain several cognitive limitations to be addressed in order to comply with clinical standards and personalized treatment, particularly as many healthcare professionals lack expertise in distinguishing between generalized physiotherapy exercises and PSSE (33,34). (2) Few studies on exercise therapy have prospectively registered their study protocols.…”

Exploring the Effectiveness of Hatha Yoga as a Complementary Treatment for Adolescent Idiopathic Scoliosis: Clinical Effect and Future Research Directions

“…Chen et al . team[ 13 ] discovered that, in comparison to conventional AIS treatment, core strength training, Physiotherapeutic Scoliosis-Specific Exercise, yoga, Schroth exercises, and the use of a sling collectively resulted in an average reduction of 3.82°, 3.79°, 4.60°, 3.63°, and 3.30°, respectively, in the Cobb Angle. Notably, yoga demonstrated the most significant decrease in the Cobb Angle.…”

Effectiveness of exercise intervention in relieving symptoms of ankylosing spondylitis: A network meta-analysis

“…probability. Relative to the probability of ranking the best, cumulative probability takes into account the uncertainty of relative effect estimation and relative ranking [26], and therefore researchers mostly use this approach for ranking. Table 2 shows the SUCRA value, cumulative probability, and mean rank for each intervention, and the SUCRA value for each intervention corresponds to the area under the curve in the cumulative probability plot.…”