Network Meta-analysis of intervention effects of different rehabilitation exercise training on adolescents with idiopathic scoliosis
10.3760/cma.j.cn115682-20240131-00638
- VernacularTitle:不同康复运动训练对青少年特发性脊柱侧凸患者干预效果的网状Meta分析
- Author:
Hong XIAO
1
;
Binglin LI
;
Hongjuan CHANG
;
Jing HUANG
Author Information
1. 武汉科技大学附属普仁医院护理部，武汉 430000
- Publication Type:Journal Article
- Keywords:
Rehabilitation exercise;
Exercise rehabilitation;
Adolescents;
Idiopathic scoliosis;
Network Meta-analysis
- From:
Chinese Journal of Modern Nursing
2025;31(4):470-477
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the intervention effects of different rehabilitation exercise training methods on adolescents with idiopathic scoliosis (AIS) through a network meta-analysis, providing a reference for exercise training interventions for AIS patients.Methods:A computer search was conducted in PubMed, Embase, Web of Science, EBSCO, Ovid, Cochrane Library, China Biology Medicine disc, China National Knowledge Infrastructure, VIP, and Wanfang Database, with the search period up to October 31, 2023. Two researchers independently screened the literature, extracted data, and assessed the risk of bias of the included studies according to preset criteria. A network meta-analysis was performed using RevMan and Stata software.Results:A total of nine randomized controlled trials were included. The network meta-analysis results of different rehabilitation exercise trainings on the Cobb angle in AIS patients showed that Schroth therapy [ SMD=0.50, 95% CI (0.11, 0.88), P<0.05] and Barcelona scoliosis physical therapy school (BSPTS) therapy [ SMD=0.78, 95% CI (0.18, 1.38), P<0.05] were more effective than routine nursing in reducing the Cobb angle. The effects of Schroth therapy [ SMD=-0.83, 95% CI (-1.50, -0.16), P<0.05] and BSPTS therapy [ SMD=-1.11, 95% CI (-2.09, -0.13), P<0.05] on Cobb angle were also better than core exercise therapy. Cumulative probability ranking indicated that BSPTS therapy was the best intervention. Regarding the impact on quality of life, network meta-analysis of different rehabilitation exercise trainings on the Scoliosis Research Society-22 questionnaire's four dimensions showed no significant differences in scores between groups ( P>0.05). Cumulative probability ranking indicated that core exercise therapy was the best intervention for physical function, mental health, and body pain, while BSPTS therapy was the best intervention for self-image perception. Conclusions:Based on current evidence, BSPTS therapy is the most effective in alleviating or reducing the Cobb angle in AIS patients. Core exercise therapy is the best for improving physical function, mental health, and alleviating body pain, while BSPTS therapy is the best for self-image perception in AIS patients.
