European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026 · 系統性回顧（依標題推測）
Prehabilitation and preoperative exercise in adolescent idiopathic scoliosis surgery: a systematic review
胸椎 · 青少年特發性脊柱側彎
中文閱讀摘要
系統性回顧顯示青少年特發性脊柱側彎術前運動可改善疼痛、住院時間及併發症，但對手術矯正效果不確定，且研究異質性大。
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原始摘要
Background
Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that can lead to physical and psychological distress, requiring surgical treatment for severe AIS. Exercise has been proposed as a conservative treatment or postoperative rehabilitation. Yet, the effectiveness of preoperative exercise and prehabilitation in improving surgical outcomes remains unclear.
Purpose
This systematic review evaluates the effectiveness of preoperative exercise and prehabilitation in improving surgical outcomes and analyzes which outcomes showed significant improvement.
Methods
Six major databases were searched for studies published before June 2025. Studies recruiting AIS patients aged under 18 undergoing surgeries and performing preoperative exercise or ERAS protocols involving preoperative exercise are included. Outcomes include pain level, hospitalization time, postoperative complications, curve correction, spine flexibility, cardiopulmonary function, re-admission and quality of life.
Results
Nine studies with 574 patients were included, comprising 329 patients as exercise-intervention group and 245 patients receiving no intervention or other preoperative interventions. The average age was 14.86 ± 2.78 [CI: 14.63, 15.09] and mean Cobb angle was 65.59°±13.47° [CI: 64.49, 66.69]. The exercise-intervention group showed lower postoperative VAS scores than control. The average length of hospital stay was 2.5 days shorter in the exercise group compared to control (4.15 [CI: 4.04, 4.26] vs. 6.65 [CI: 6.29, 7.01]). The exercise group also demonstrated fewer postoperative complications (Rate: 5.2% vs. 18.5%), improvement in spine flexibility (from 0.39 to 0.66), better cardiopulmonary function and higher quality of life. The mean rate of re-admission of exercise-intervention groups is 0.9%.
Conclusion
Preoperative exercise has been shown to improve postoperative pain, length of stay, complications, cardiopulmonary recovery, and quality of life. Although its effect on objective surgical correction outcomes remains uncertain, incorporating preoperative exercise into AIS surgical care may enhance recovery experience and functional outcomes. However, given the significant heterogeneity among studies, further research and clinical trials are needed to standardize implementation protocols and outcome measures, as well as to conduct subgroup analysis based on baseline severity and spinal flexibility.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.1007/s00586-026-09980-4
- PMID／PMCID
- 42053791
- 作者
- Tam TH, Cheng HY, Lau AYC
- 首次發表日期
- 2026-04-29Europe PMC 提供，部分日期可能依年份或月份推定。
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- 卷未提供 ／ 期未提供 ／ 頁碼或文章編號未提供
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- Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
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- 來源尚未確認免費全文。 來源授權標示：cc by。
可回溯引用
Tam TH, Cheng HY, Lau AYC. Prehabilitation and preoperative exercise in adolescent idiopathic scoliosis surgery: a systematic review. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2026. PMID: 42053791. doi:10.1007/s00586-026-09980-4
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