江汉大学学报（自然科学版）2025，Vol.53Issue(2)：51-63,13.DOI:10.16389/j.cnki.cn42-1737/n.2025.02.006
核心训练对治疗青少年特发性脊柱侧凸效果的Meta分析
A Meta-analysis of Core Training Effect on Treating Adolescent Idiopathic Scoliosis
摘要
Abstract
Objective To evaluate the improvement effect of core stability training on adolescent idiopathic scoliosis(AIS)patients using Meta-analysis.Methods The systematic search of five major databases,CNKI,Wanfang,VIP,PubMed,and Web of Science,was performed by subject words+free words,and the search time was up to July 31,2023.Meta-analysis was performed using Revman 5.4 and Stata 17.0.Combined effect sizes and subgroup analyses were performed for the outcome indicators(Cobb angle,POTSI,and SRS-22),and subgroup analysis was performed for gender differences.Results A total of 14 articles were included,involving 755 research subjects.The results of the Meta-analysis showed that compared with the control group,① core training significantly improved the Cobb angle(SMD=-1.42,95%CI(-1.91,-0.93),P<0.05),reduced the POTSI index(SMD=-1.11,95%CI(-1.70,-0.52)),increased the SRS-22(SMD=2.01,95%CI(1.62,2.41)),and the difference was statistically significant;② the results of subgroup analyses showed that core plyometrics training(SMD=-2.07,95%CI(-2.84,-1.30))was more effective in reducing Cobb's angle than core stability training(SMD=-0.84,95%CI(-1.28,0.40));among the intervention cycles,8 weeks was the best intervention duration(SMD=-1.92,95%CI(-2.42,-1.41)),among the intervention frequencies,1 session/day was the best frequency(SMD=-1.48,95%CI(-1.99,-0.98)),and in the gender analysis,the mixed group(SMD=-1.48,95%CI(-2.14,-0.82))had a better treatment effect than the all-girls group(SMD=-1.42,95%CI(-1.87,-0.96)).Conclusion Core training has a significant improvement effect on AIS and can effectively reduce the Cobb angle in patients with AIS.Core plyometric training has a more obvious effect on reducing the Cobb angle,and a more appropriate intervention cycle of 8 weeks,the intervention frequency of 1 time/day has the best effect.The treatment effect of the mixed group of men and women is better than that of the all-girls group,and the core training also improves the SRS-22 and reduces the POTSI.关键词
特发性脊柱侧凸/核心训练/青少年/Meta分析Key words
idiopathic scoliosis/core training/teenagers/Meta-analysis分类
教育学引用本文复制引用
李亚菲,王舜,刘超,高佳文,荆纪东..核心训练对治疗青少年特发性脊柱侧凸效果的Meta分析[J].江汉大学学报（自然科学版）,2025,53(2):51-63,13.基金项目
教育部人文社会科学研究青年基金项目(19YJC890045) （19YJC890045）
