Meta-analysis of the intervention effectiveness on Cobb angle of conservative treatment in patients with adolescent idiopathic scoliosis

English Keywords:Conservative treatment  Cobb angle  Schroth  Myofascial chain rehabilitation technique  Core stability training

English Abstract:

  【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 techniques, 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 treatment 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+Myofascial 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-unblocking" acupuncture>Schroth>Active self-correction>Observation only>Schroth home therapy+Three-dimensional 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.