Evidence map›Paper›PMID 41073947›Full record

SynthesisBMC musculoskeletal disorders2025

Effectiveness of physical therapeutic scoliosis exercise (PSSE) intervention for adolescent idiopathic scoliosis: a systematic review and meta-analysis.

Qiqi Jia, Boyuan Zhang, Hong Wang, Weina Zheng

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. An Update on Pain Management in Pediatric Spine Surgery.Current reviews in musculoskeletal medicine · 2026
    Review
  3. Observational
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Qiqi JiaSchool of Wushu, Wuhan Sports University, Wuhan, China.
Boyuan ZhangSchool of Wushu, Wuhan Sports University, Wuhan, China.
Hong WangSchool of Wushu, Wuhan Sports University, Wuhan, China. 2004002@whsu.edu.cn.
Weina ZhengPhysical Education Department, Zhongnan University of Economics and Law, Wuhan, China. 329523913@qq.com.

Funding

Theory and Practice of National Sports Health Promotion Service 6002950
6 · The paper itself

Abstract

objectiveTo systematically evaluate the effects of physiotherapeutic scoliosis-specific exercise (PSSE) on Cobb angle, angle of trunk rotation (ATR) and quality of life (QoL) in patients with adolescent idiopathic scoliosis (AIS), and to explore the modifying role of exercise period, thereby providing an evidence-based foundation for the clinical optimisation of exercise prescriptions.

methodsFollowing PRISMA guidelines, the EMBASE, PubMed, Cochrane Library, and SinoMed databases were searched (up to 15 June 2025) without language restriction; a total of 18 RCTs (involving 1,014 patients with AIS, mean age 13.98 ± 1.81 years) were included. Risk of bias was assessed using the Cochrane RoB 2 (11 low-risk, 7 medium-risk). Standardised mean differences (SMDs) and 95% confidence intervals (CIs) were calculated using a random-effects model, and the frequency of exercise was quantified by subgroup analyses (low: ≤2 times/week; high: ≥3 times/week).

resultsThe combined effect of PSSE on Cobb angle in patients with AIS had an SMD of - 1.00, 95% confidence area [- 1.47, - 0.53], P < 0.001; the combined SMD of ATR was - 1.15, 95% CI [- 1.94, - 0.36], P < 0.001; the combined SMD of QoL was 0.63, 95% CI [0.15, 1.11], P < 0.01. Subgroup analyses showed that high-frequency exercise practice (≥ 3 times/week) was more effective.

conclusionPSSE effectively improves Cobb angle, ATR, and QoL in patients with AIS. High-frequency exercise forms are recommended; however, the actual application needs to be individualised based on patient characteristics. Spreading RCTs are recommended to further define the optimal exercise dose and identify key influencing factors.

Indexed as

Exercise TherapyScoliosisAdolescentHumansQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeAdolescent idiopathic scoliosisAngle of trunk rotationCobb angleMeta-analysisPhysical therapeutic scoliosis exerciseQuality of life

Identifiers

PMID41073947
PMCPMC12512391

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.