Effects of core stabilization exercises on pulmonary function, respiratory muscle strength, peripheral muscle strength, functional capacity and perceived appearance in children with adolescent idiopathic scoliosis: A randomized controlled trial

To investigate the effects of core stabilization exercises on pulmonary function, respiratory muscle strength, peripheral muscle strength, walking capacity, and perceived appearance in children with adolescent idiopathic scoliosis (AIS). This is an evaluator-blinded, randomized controlled trial. A total of 30 patients were randomly allocated to either a training group or a control group. The training group received core stabilization exercises in addition to the traditional scoliosis exercises for 8 weeks. The control group only received the traditional scoliosis exercises for 8 weeks. Spirometry, maximal inspiratory and expiratory pressures, 6 minutes walking test (6 MWT), peripheral muscle strength, and The Walter Reed Visual Assessment Scale (WRVAS) were assessed at the beginning and end of the study. The training group showed statistically significant improvements in maximal inspiratory pressure, maximum expiratory pressure, and WRVAS score which were significantly larger compared to the control group (p<0.05). Core stabilization exercises given in addition to the traditional scoliosis exercise can improve respiratory muscle strength and perceived appearance in patients with AIS.

为探究核心稳定训练对青少年特发性脊柱侧凸（adolescent idiopathic scoliosis, AIS）患儿肺功能、呼吸肌肌力、外周肌肌力、步行能力及外观自评的影响，本研究开展了一项评估者设盲的随机对照试验。共计纳入30例受试者，随机分配至训练组与对照组。训练组在传统脊柱侧凸训练基础上，额外接受为期8周的核心稳定训练；对照组仅接受8周传统脊柱侧凸训练。分别于研究起始与结束阶段，对受试者的肺量测定法（spirometry）、最大吸气压、最大呼气压、6分钟步行试验（6 minutes walking test, 6 MWT）、外周肌肌力及沃尔特里德视觉评估量表（Walter Reed Visual Assessment Scale, WRVAS）评分进行评估。结果显示，训练组的最大吸气压、最大呼气压及WRVAS评分较基线均出现具有统计学意义的改善，且改善幅度显著优于对照组（p<0.05）。综上，在传统脊柱侧凸训练基础上附加核心稳定训练，可改善青少年特发性脊柱侧凸患者的呼吸肌肌力与外观自评水平。