关键词: 特发性脊柱侧凸, 核心训练, 青少年, Meta分析

Abstract: ObjectiveTo 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 July 31，2023. 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.ResultsA 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.

Key words: idiopathic scoliosis, core training, teenagers, Meta-analysis