| 摘要 |
[Objectives] This meta-analysis evaluated the efficacy of Traditional Chinese Medicine (TCM) manual therapies (Tuina, Daoyin, acupotomology) for idiopathic scoliosis (IS), with dual focus on radiographic outcomes (Cobb angle, vertebral rotation) and patient-centered metrics (pain, disability, quality of life). [Methods] This study systematically searched PubMed, Cochrane Library, EMBASE, Web of Science, CNKI, Wanfang, and VIP databases (from inception to July 2025) for randomized controlled trials (RCTs) comparing TCM manual therapies against controls (bracing, exercise, sham, or no intervention). Two reviewers independently extracted data and assessed methodological quality using the PEDro scale. Meta-analyses employed random-effects models (Stata 18) to calculate Hedges’ g with 95% confidence intervals (CI). Heterogeneity was quantified via I2 statistics, and subgroup analyses examined intervention types (standalone versus combined) and control groups. [Results] Radiographic outcomes: TCM therapies significantly reduced Cobb angle (Hedges’ g=-0.93; 95% CI: -1.37, -0.49; p<0.001) and vertebral torsion rotation (VTR; g=-0.71; 95% CI: -0.91, -0.51; p<0.001) versus controls; patient-centered outcomes: substantial pain reduction (VAS: g=-1.47; 95% CI: -2.64, -0.30; p=0.01) and disability improvement (ODI: g=-1.10; 95% CI: -1.57, -0.64; p<0.001) were observed. Quality of life (SRS-22) showed non-significant gains (g=2.01; 95% CI: -0.43, 4.45; p=0.11). [Conclusions] TCM manual therapies significantly improve spinal alignment and reduce pain/disability in IS patients, particularly when integrated with exercise regimens. While results support their role as complementary interventions, standardization of protocols and long-term efficacy studies are needed for clinical implementation. |
