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目的运用Meta分析系统评价核心稳定性训练对青少年脊柱侧凸（AIS）患者的改善效果。方法系统检索知网、万方、维普、PubMed、Web of Science五大数据库，检索方式采用主题词+自由词的方式，检索时间截止至2023年7月31日。采用Revman 5.4和Stata 17.0进行Meta分析，对结局指标（Cobb角、POTSI、SRS-22）进行合并效应量、亚组分析，对性别差异进行亚组分析。结果共纳入14篇文献，包括755名研究对象。Meta分析显示：与对照组相比：(1)核心训练能显著改善Cobb角（SMD=-1.42,95%CI(-1.91,-0.93),P <0.05）、减小POTSI指数（SMD=-1.11,95%CI(-1.70,-0.52)）和提高SRS-22(SMD=2.01,95%CI(1.62,2.41))，差异有统计学意义；(2)亚组分析结果显示：核心肌力训练（SMD=-2.07,95%CI(-2.84,-1.30)）减小Cobb角的效果优于核心稳定性训练（SMD=-0.84,95%CI(-1.28,-0.40)）；干预周期中，8周的干预时间最佳（SMD=-1.92,95%CI(-2.42,-1.41)）；干预频率中，1次/d的频率最佳（SMD=-1.48,95%CI(-1.99,-0.98)）；在性别分析中，男女混合组（SMD=-1.48,95%CI(-2.14,-0.82)）的治疗效果要优于全女生组（SMD=-1.42,95%CI(-1.87,-0.96)）。结论核心训练对青少年特发性脊柱侧凸具有明显的改善效果，可有效减小AIS患者的Cobb角，其中核心肌力训练对减小Cobb角有更明显的效果，更合适的干预周期为8周，干预频率为1次/d效果最佳，男女混合组的治疗效果优于全女生组，核心训练也可改善SRS-22，降低POTSI。
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 July31,2023. 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.
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基本信息:
DOI：10.16389/j.cnki.cn42-1737/n.2025.02.006
中图分类号:G808.1;R682.3
引用信息:
[1]李亚菲,王舜,刘超等.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(02):51-63.DOI:10.16389/j.cnki.cn42-1737/n.2025.02.006.
基金信息:
教育部人文社会科学研究青年基金项目（19YJC890045）