Evidence map›Paper›PMID 41413806›Full record

SynthesisBMC musculoskeletal disorders2025

Impact of scoliosis-specific exercises on adolescents with idiopathic scoliosis.

Tingting Sun, Xiaosheng Dong, Ping Hong, Xiao Hou, Hanyue Zhang, Jingjing Yu

Abstract readMeta-AnalysisSystematic Review
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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Tingting Sun *Exercise and Physical Fitness Key Laboratory of Ministry of Education, Beijing Sport University, Beijing, 100084, China.
Xiaosheng Dong *Department of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
Ping HongExercise and Physical Fitness Key Laboratory of Ministry of Education, Beijing Sport University, Beijing, 100084, China. 2471@bsu.edu.cn.
Xiao HouDepartment of Physical Education, Peking University, 100871, Beijing, China. houxiao0327@pku.edu.cn.
Hanyue ZhangSchool of Physical Education, Northeast Normal University, Jilin, Changchun, 130024, China.
Jingjing YuExercise and Physical Fitness Key Laboratory of Ministry of Education, Beijing Sport University, Beijing, 100084, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis meta-analysis aimed to assess the therapeutic efficacy and impact on health-related quality of life (QoL) of physiotherapeutic scoliosis-specific exercises (PSSE) in adolescent idiopathic scoliosis (AIS) patients based on randomized controlled trials (RCTs) and controlled clinical trials (CCTs).

methodsConducted following PRISMA 2020 guidelines and registered with PROSPERO (CRD42023423158), this analysis focused on outcomes including changes in Cobb angle, thoracic kyphosis Cobb angle, angle of trunk rotation (ATR), and health-related QoL.

resultsSixteen studies were included, comprising 12 RCTs and 4 CCTs. PSSE significantly improved the thoracic kyphosis Cobb angle (WMD = -4.97º) and health-related QoL (WMD = 0.14). With significant heterogeneity, PSSE intervention showed improvement in the Cobb angle (mean difference = -4.50º) and ATR (mean difference = -2.27º) in AIS patients. The subgroup analysis results indicated that the combination of Schroth exercise and bracing significantly improved the Cobb angle in patients with moderate AIS (WMD = -2.79; 95% CI [-4.81, -0.76], p = 0.007, I² = 0.0%). Additionally, PSSE improved the thoracic kyphosis Cobb angle in patients with severe AIS (WMD = -4.97; 95% CI [-6.96, -2.98], p < 0.001, I² = 0.0%). Patients with mild symptoms experienced greater improvements in the ATR and QoL compared to those with moderate or severe symptoms.

conclusionsPSSE may provide modest improvements in the thoracic scoliosis Cobb angle and QoL in patients with AIS, particularly in those with mild symptoms or who receive Schroth exercises in combination with brace treatment. However, the mean improvement in Cobb angle was less than 5 degrees, suggesting that the clinical significance of these changes may be limited. Further high-quality studies are needed to confirm the optimal intervention protocols and to clarify their impact on long-term clinical outcomes.

Indexed as

Exercise TherapyScoliosisAdolescentBracesFemaleHumansKyphosisQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeAdolescent idiopathic scoliosisAngle of trunk rotationCobb anglePhysiotherapeutic scoliosis-specific exercisesQuality of lifeThoracic kyphosis cobb angle

Identifiers

PMID41413806
PMCPMC12752081

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.