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OBJECTIVE: At present, there are a variety of treatment methods for scoliosis using specific exercise therapy, but there is a lack of comparison of efficacy between different specific exercise therapy. This article compared the effectiveness of different specific exercise therapies to treat adolescent idiopathic scoliosis through a network meta-analysis. METHODS: Domestic and foreign electronic databases of relevant studies were searched for randomized controlled trials of specific exercise therapy for adolescent idiopathic scoliosis. Search time was from January 2000 to July 2023. The literature was screened by two reviewers using RevMan 5.4 and Stata 16.0 software to extract data and assess the bias risk of of inclusion studies. RESULTS: (1) This article includes 20 randomized controlled trials with 1 377 patients. Of them, 12 studies involved Schroth therapy; 2 studies involved BSPTS therapy, and 6 studies involved SEAS therapy. (2) The network meta-analysis indicated that in terms of improving Cobb angle and reducing trunk rotation angle in scoliosis patients, the BSPTS therapy group and Schroth therapy group were better than the conventional control group [WMD=-4.60, 95%CI(-8.37, -0.82), P < 0.05; WMD=-3.37, 95%CI(-4.98, -1.75), P < 0.05; WMD=-3.20, 95%CI(-5.50, -0.90), P < 0.05; WMD=-2.13, 95%CI(-3.16, -1.09), P < 0.05]. The Schroth therapy group performed better than the conventional control group effective in improving the International Society for Scoliosis Research-22 Questionnaire quality of life score [WMD=1.41, 95%CI(0.07, 2.75), P < 0.05]. CONCLUSION: Given the current evidence, BSPTS therapy group and Schroth therapy group were better than the conventional control group in improving Cobb angle and reducing trunk rotation angle. In the comparison of different specific exercise therapies, BSPTS therapy can be preferred to improve Cobb angle and reduce trunk rotation angle in adolescent idiopathic scoliosis patients. In addition, Schroth therapy may be the best treatment to improve the quality of life of adolescent idiopathic scoliosis patients. Limited by the quantity and quality of the included studies, the above conclusions should be interpreted with caution and need more high-quality studies to further validation. [ABSTRACT FROM AUTHOR]

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Copyright of Chinese Journal of Tissue Engineering Research / Zhongguo Zuzhi Gongcheng Yanjiu is the property of Chinese Journal of Tissue Engineering Research and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

OBJECTIVE: Resistive exercises can effectively increase bone mineral density in postmenopausal women, but there is no consensus on the choice of exercise intensity and exercise frequency. This paper evaluates the effect of different resistance training programs on bone mineral density in postmenopausal women based on a network Meta-analysis. METHODS: We systematically searched CNKI, WanFang, China Biomedical Database (CBM), ProQuest, PubMed, Cochrane Library, Embase, and Web of Science for literature regarding the use of resistance training programs to improve the bone mineral density of postmenopausal women. The search time was from database inception to May 2022. The two reviewers dependently screened the included literature, extracted relevant data, evaluated the risk quality of the literature using the Cochrane manual and the PEDro scale, and conducted a Meta-analysis using Stata 16.0. RESULTS: A total of 20 studies including 1 087 subjects were included. Results from the network Meta-analysis showed that (1) compared with the control group, the medium-intensity resistance training was significantly better in improving lumbar and femoral neck bone mineral density (P < 0.05). In terms of improving the bone mineral density of the total hip and femoral greater trochanter, the moderate-intensity resistance training was better, but there was no significant difference among the groups (P > 0.05). (2) In terms of exercise frequency, the 3 days/week moderate-intensity resistance exercise was better than 2 days/week moderate-intensity resistance exercise to improve the bone mineral density of the lumbar vertebra. Moreover, at the exercise frequency of 3 days/week, moderate-intensity exercise was significantly better than low- and high-intensity exercises (P < 0.05). (3) The cumulative probability ranking results showed that the moderate-intensity resistance training of 3 days/week was the best in improving the bone mineral density of the lumbar vertebra, femoral neck, total hip, and greater trochanter. CONCLUSION: Based on the current evidence, moderate-intensity resistance exercise with a frequency of 3 days per week can be selected to improve the reduced bone mineral density in postmenopausal women. The above conclusions need to be verified by more high-quality research. [ABSTRACT FROM AUTHOR]