Risk Prevention of Adolescent Idiopathic Scoliosis in the View of "Healthy Fujian"
BackgroundWith the publication of the policy document《Healthy Fujian 2030》,more attention has been paid to scoliosis in children and adolescents in schools.The treatment of scoliosis often has physical and men-tal side-effects on patients,so the prevention of adolescent idiopathic scoliosis(AIS)is particularly important.Objective The aim of this study is to explore whether spinal exercises can reduce the risk of scoliosis in primary school students.Methods 60subjects from primary school with high risk of scoliosis(ATR≥4°)were randomly as-signed to 4 groups(N=15):control group(completed daily physical activity only),intervention group 1(out-door spinal exercise+indoor stretching exercise),intervention group 2(indoor stretching exercise),and inter-vention group 3(outdoor spinal exercise).The intervention was conducted for 12 weeks.Adams test combined with scoliosis measuring instrument was used to measure angle of trunk rotation(ATR),vital capacity was meas-ured by spirometry,and body mass index(BMI)was calculated from height and weight.One-way analysis of va-riance was used for data analysis.Results1.After 12-weeks intervention,ANOVA test showed significant differ-ences in ATR values among the groups(P＜0.001).2.Compared with the control group,the ATR values of the outdoor plus indoor groups were significantly different(P＜0.001),and the outdoor group also had a significant difference in ATR values(P＜0.001).However,there was no significant difference in ATR values between the indoor group and control group(P=0.07).3.There was no significant difference in BMI among groups by ANO-VA test(P=0.68).4.Compared with the control group,there was no significant difference in vital capacity be-tween each intervention group(P=0.084,P=0.149,P=0.693).Conclusion The 12-week spinal exercise in-tervention effectively improved ATR,with outdoor spinal exercise being the most effective.
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