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首页> 外文期刊>Physiotherapy theory and practice >Physical exercises in the treatment of adolescent idiopathic scoliosis: an updated systematic review.
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Physical exercises in the treatment of adolescent idiopathic scoliosis: an updated systematic review.

机译：体育锻炼治疗青少年特发性脊柱侧弯：最新系统综述。

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Two years ago we published an update of another of our previous systematic reviews about the effectiveness of physical exercises (PEs), and we found that the evidence on exercises for AIS was of level 1b. Now we have updated these results in the field of exercises for AIS with the final aim to find the strongest evidence as possible about PEs. Our goal was to verify if treatment with specific exercises for AIS has changed in these years. The study design was a systematic review. A bibliographic search with strict inclusion criteria (patients treated exclusively with exercises, outcome Cobb degrees, all study designs) has been performed on the main electronic databases. We found a new paper about active autocorrection (Negrini et al, 2008 b), a prospective controlled cohort observational study on patients never treated before so the number of manuscripts considered in the systematic review was 20. The highest quality study (RCT) compared 2 groups of 40 patients, showing an improvement of the curve in all treated patients after 6 months. All studies confirmed the efficacy of exercises in reducing the progression rate (mainly in early puberty) and/or improving the Cobb angles (around the end of growth). Exercises were also shown to be effective in reducing brace prescription. Appendices of the popular exercise protocols that have been used in the research studies that are examined are included with detailed description and illustrations. This study (like the previously published systematic reviews) showed that PEs can improve the Cobb angles of individuals with AIS and can improve strength, mobility, and balance. The level of evidence remains 1b according to the Oxford Centre for Evidence-based Medicine, as previously documented.
机译：两年前，我们发布了另一篇有关体育锻炼（PEs）有效性的系统评价的更新，我们发现AIS锻炼的证据为1b级。现在，我们已经在AIS的练习领域中更新了这些结果，最终目的是找到关于PE的最强有力的证据。我们的目标是验证近年来针对AIS进行的特定锻炼的治疗是否发生了变化。研究设计是系统的审查。在主要的电子数据库上进行了具有严格纳入标准的书目搜索（患者仅接受运动治疗，结局Cobb学位，所有研究设计）。我们发现了一篇有关主动自动校正的新论文（Negrini等，2008 b），这是一项对从未接受过治疗的患者进行的前瞻性对照队列观察性研究，因此系统评价中考虑的手稿数量为20。最高质量的研究（RCT）比较2每组40例患者，显示6个月后所有接受治疗的患者的曲线均有改善。所有研究都证实了锻炼在降低进展速度（主要在青春期早期）和/或改善Cobb角（在生长末期）方面的功效。锻炼也被证明可以有效减少牙套处方。在详细的说明和插图中包括了在所研究的研究中使用的流行运动规程的附录。这项研究（像以前发表的系统评价一样）表明，PE可以改善AIS患者的Cobb角，并可以改善力量，活动性和平衡能力。如先前所记录，根据牛津循证医学中心，证据水平仍为1b。

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