Frontiers in sports and active living · 2026 · 統合分析（依標題推測）
Comparative efficacy of different scoliosis-specific exercise protocols on cobb angle in adolescent idiopathic scoliosis: a network meta-analysis
胸椎 · 青少年特發性脊柱側彎
中文閱讀摘要
網路統合分析比較AIS運動處方，Schroth結合感覺統合訓練效果最大，但證據稀疏，結果需謹慎解讀。
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原始摘要
Objective
To compare the efficacy of different scoliosis-specific exercise protocols on the Cobb angle in adolescent idiopathic scoliosis (AIS) using a network meta-analysis, and to rank the five key prescription parameters-exercise type, intervention period, session duration, frequency, and intensity-within a unified evidence framework, thereby moving beyond the traditional question of "whether exercise works" to address "which parameter combinations have the highest probability of producing optimal improvement."
Methods
A systematic search was performed in PubMed, Web of Science, Embase, Cochrane Library, CNKI, Wanfang Data, and VIP databases for randomized controlled trials from inception to December 2025. Two researchers independently screened studies, extracted data, and assessed risk of bias. RevMan 5.3 and Stata 16.0 were used for data analysis.
Results
A total of 24 studies involving 1,149 patients were included. The network meta-analysis showed that: regarding exercise type, Schroth combined with sensory integration training showed the greatest effect size [MD = -8.01, 95% CI (-11.47, -4.54)]; regarding intervention period, 12-18 weeks showed the greatest effect size [MD = -3.67, 95% CI (-5.52, -1.81)]; regarding session duration, 60 min showed the greatest effect size [MD = -4.00, 95% CI (-5.76, -2.23)]; regarding frequency, three times per week showed the greatest effect size [MD = -3.55, 95% CI (-4.76, -2.35)]; regarding intensity, moderate intensity showed the greatest effect size [MD = -3.78, 95% CI (-5.99, -1.57)]. The SUCRA rankings placed these parameters first in their respective networks.
Conclusion
Based on probability ranking, Schroth combined with sensory integration training, delivered at moderate intensity, three times per week, 30-60 min per session, for 12-18 weeks, is likely to be among the most effective protocols for improving the Cobb angle in AIS. However, this finding is derived from a limited number of studies, and each protocol component is supported by sparse evidence within its respective network. These results should be interpreted with caution and must be individualized in clinical practice.
Systematic review registration
identifier PROSPERO CRD420251249777.
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
- 10.3389/fspor.2026.1847841
- PMID／PMCID
- 42427910 / PMC13346065
- 作者
- Wang P, Xi Y, Wang X
- 首次發表日期
- 2026-06-25Europe PMC 提供，部分日期可能依年份或月份推定。
- 卷／期／頁碼或文章編號
- 8 ／ 期未提供 ／ 1847841
- 書目來源與查核日期
- 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。
- 全文與授權
- 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。 來源授權標示：cc by。
可回溯引用
Wang P, Xi Y, Wang X. Comparative efficacy of different scoliosis-specific exercise protocols on cobb angle in adolescent idiopathic scoliosis: a network meta-analysis. Frontiers in sports and active living. 2026;8:1847841. PMID: 42427910. PMCID: PMC13346065. doi:10.3389/fspor.2026.1847841
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