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SYSTEMATIC REVIEW article

Front. Sports Act. Living
Sec. Injury Prevention and Rehabilitation
Volume 6 - 2024 | doi: 10.3389/fspor.2024.1492241

Treatment of idiopathic scoliosis with conservative methods based on exercises: a systematic review and meta-analysis

Provisionally accepted
Vanja Dimitrijević Vanja Dimitrijević 1Bojan Rašković Bojan Rašković 1*Miroslav Popović Miroslav Popović 2Dejan Viduka Dejan Viduka 3Siniša Nikolić Siniša Nikolić 4,5Patrik Drid Patrik Drid 1Borislav Obradovic Borislav Obradovic 6
  • 1 University of Novi Sad, Faculty of Sport and Physical Education, Novi Sad, Vojvodina, Serbia
  • 2 Tecnical Faculty, Singidunum University, Belgrade, Belgrade, Serbia
  • 3 Faculty of Applied Management, Economics, and Finance in Belgrade, University of Business Academy, Novi Sad, Serbia, Novi Sad, Serbia
  • 4 Dr Miroslav Zotovic Institute for Physical Medicine and Rehabilitation, Banja Luka, Bosnia and Herzegovina
  • 5 Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
  • 6 Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Vojvodina, Serbia

The final, formatted version of the article will be published soon.

    To systematically assess the effect size of conservative methods based on exercise for respondents with idiopathic scoliosis.This study was developed in accordance with the PRISMA guidelines. PubMed, Cochrane Library, Web of Science, and Google Scholar databases were searched in May 2023.The key search terms were: "Idiopathic scoliosis", "Adolescent idiopathic scoliosis", "Cobb angle", "Angle of trunk rotation", "Quality of life", "Schroth method", and "Core stabilization exercises". Risk of bias was assessed for each randomized trial using the Cochrane Risk of Bias Tool, and the methodological index for non-randomized studies (MINORS). The outcomes included Cobb angle, Angle of trunk rotation, Forced vital capacity, Forced expiratory volume in 1 second, and Quality of life. R 4.0.5 software was used, and standardized mean difference (SMD) and 95% confidence intervals (CI) were calculated for continuous outcomes, random model.Twenty-three studies were included. Depending on the outcome measured, the effect size of the different methods in the treatment of idiopathic scoliosis was from small to large as follows: Cobb angle (SMD = -0.43, p < 0.0001), ATR (SMD = -0.25, p = 0.06), FVC (SMD = 0.48, p = 0.03), FEV1 (SMD = 0.51, p = 0.004), and QoL (SMD = 0.95, p < 0.0001).Our meta-analysis indicates the positive effects of applying conservative methods based on therapeutic exercise on patients with idiopathic scoliosis.

    Keywords: Conservative methods, Idiopathic scoliosis, Cobb angle, ATR, Meta-analysis

    Received: 06 Sep 2024; Accepted: 25 Nov 2024.

    Copyright: © 2024 Dimitrijević, Rašković, Popović, Viduka, Nikolić, Drid and Obradovic. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Bojan Rašković, University of Novi Sad, Faculty of Sport and Physical Education, Novi Sad, Vojvodina, Serbia

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.