Meta-analysis of the intervention effectiveness on Cobb angle of conservative treatment in patients with adolescent idiopathic scoliosis
10.3969/j.issn.1004-406X.2025.02.06
- VernacularTitle:保守治疗对青少年特发性脊柱侧凸患者Cobb角干预效果的Meta分析
- Author:
Wei ZHANG
1
;
Aijun CHENG
;
Chaoliang LÜ
Author Information
1. 首都体育学院 100191北京市;济宁医学院基础医学院 272067济宁市
- Publication Type:Journal Article
- Keywords:
Conservative treatment;
Cobb angle;
Schroth;
Myofascial chain rehabilitation technique;
Core sta-bility training
- From:
Chinese Journal of Spine and Spinal Cord
2025;35(2):149-155
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To evaluate the treatment effectiveness on Cobb angle systematically of observation,bracing,specific exercise therapy(Schroth,SEAS,etc),traditional Chinese medicine therapy,rehabilitation tech-niques,and general exercise therapy in patients with mild to moderate adolescent idiopathic scoliosis(AIS).Methods:A systematic search of Pubmed,The Cochrane Library,Embase,Web of Science,CNKI,WanFang,and VIP databases was performed for studies related to conservative treatment methods for adolescent scoliosis patients from the time of their inceptions to October 2023.After 2 investigators independently screened the literature,extracted the information,and evaluated the risk of bias in the included studies,reticulated meta-analysis was performed using Stata 14.0 software.Results:A total of 16 studies,including 923 patients,were included.Meta-analysis showed that the surface under the cumulative ranking curve of AIS conservative treat-ment on patients'Cobb angle was,in descending order,as follows:Schroth+Myofascial chain rehabilitation technique＞Schroth+Cheneau brace＞Core stability training+Electro-acupuncture and chiropractic＞Schroth+Myofas-cial chain manipulation＞Schroth+Different sitting position horse riding training＞Schroth+"Segmental"spinal manipulation＞Schroth+"Five-line Du-unblocking"acupuncture＞Schroth+Pingle bone-setting manipulation＞Schroth+Suspension training＞Core stability training＞"Three-step Seven-method"massage＞"Five-line Du-un-blocking"acupuncture＞Schroth＞Active self-correction＞Observation only＞Schroth home therapy+Three-dimen-sional plane massage＞Proprioceptive neuromuscular facilitation＞Schroth home therapy.Conclusions:Schroth combined with myofascial chain rehabilitation technique is the most effective in the conservative treatment modalities of mild to moderate AIS.
