To explore the efficacy rules and mechanisms of core strength-dominated exercise intervention for adolescent track and field athletes with idiopathic scoliosis (ISS), 14 male adolescent track and field athletes aged 16-18 years with mild ISS (Cobb angle 10-25 degrees) were selected as research objects. An 8-week core strength intervention was conducted using a self-control design, with three testing nodes: pre-intervention (T0), 4 weeks (T4), and 8 weeks (T8). Spinal morphology and functional indicators were monitored using a DR digital X-ray machine (GE Definium 8,000) and SpineScan IV electronic spinal measuring instrument, and one-way analysis of variance was performed using SPSS 26.0. The results showed that the intervention efficacy was characterized by “functional priority and morphological lag”. After 4 weeks, spinal flexibility (thoracic backward extension increased by 47.8%) and lumbar stability (left rotation increased by 22.0%) were significantly improved, while there was no statistical difference in morphological indicators. After 8 weeks, the threshold for morphological improvement was broken, with an average reduction of 6.12 degrees in Cobb angle (improvement of 45.8%), and the spinal morphology and function were improved synergistically. There was segmental differentiation in intervention effects, and the improvement in lumbar rotation (45.7%) was significantly better than that in thoracic spine (18.3%). Conclusion: 8 weeks is the optimal intervention cycle, which can achieve synergistic improvement of morphology and function and adapt to the athlete’s training cycle. The constructed “cycle – effect – segment” theoretical framework provides theoretical support and practical basis for precise intervention of ISS in adolescent track and field athletes.
References
[1] Zhao, P., Li, M., He, Y., Wang, J., Wang, R. (2025) The effects of exercise on patients with moderate adolescent idiopathic scoliosis: a systematic review and meta-analysis. Orthopedic Reviews, 17, 137661.
[2] Liu, X., Wang, Y., Liu, M., Zhang, Y., Wu, Q., Wang, Q. (2025) The efficacy of core stabilization exercise in mild and moderate adolescent idiopathic scoliosis: a systematic review and meta-analysis. Journal of Orthopaedic Surgery and Research, 20(1), 1-15.
[3] Jeong, J., Choi, D. H., Shin, C. S. (2021) Core strength training can alter neuromuscular and biomechanical risk factors for anterior cruciate ligament injury. The American Journal of Sports Medicine, 49(1), 183-192.
[4] Zhang, P. (2025) Research on core strength training in track and field. International Journal of Educational Development, 1(3), 43-46.
[5] Faustino-da-Silva, Y. D. S. V., Agostinete, R. R., Werneck, A. O., Maillane-Vanegas, S., Lynch, K. R., Exupério, I. N., Fernandes, R. A. (2018) Track and field practice and bone outcomes among adolescents: a pilot study (abcd-growth study). Journal of Bone Metabolism, 25(1), 35-42.
[6] Gamiz-Bermudez, F., Obrero-Gaitan, E., Zagalaz-Anula, N., Lomas-Vega, R. (2022) Corrective exercise-based therapy for adolescent idiopathic scoliosis: systematic review and meta-analysis. Clinical Rehabilitation, 36(5), 597-608.
[7] Fraje, C. W., Rui, V. L., Julian, J. L. (2025) The margin of stability is bigger in girls with Lenke I adolescent idiopathic scoliosis: a case-control study. Clinical Biomechanics, 106674.
[8] Kuznia, A. L., Hernandez, A. K., Lee, L. U. (2020) Adolescent idiopathic scoliosis: common questions and answers. American Family Physician, 101(1), 19-23.
[9] Zhu, H., Li, C., Tian, Z., Zhang, Q. (2025) Effect of exercise therapy on adolescent idiopathic scoliosis in mild to moderate: a systematic review and network meta-analysis. Frontiers in Medicine, 12, 1708970.
[10] Ma, K., Wang, C., Huang, Y., Wang, Y., Li, D., He, G. (2023) The effects of physiotherapeutic scoliosis-specific exercise on idiopathic scoliosis in children and adolescents: a systematic review and meta-analysis. Physiotherapy, 121, 46-57.
[11] Hong, K. S., Nguyen, T. B. G., Trinh, Q. D., Nguyen, H. N., Pham, V. M. (2025) Stress level of adolescent with idiopathic scoliosis using braces for the treatment: a descriptive study in vietnam. JPO: Journal of Prosthetics and Orthotics, 10, 1097.
[12] Hong, K. S., Nguyen, T. B. G., Trinh, Q. D., Nguyen, H. N., Pham, V. M. (2025) Response to letter to the editor about, “stress level of adolescent with idiopathic scoliosis using braces for the treatment: a descriptive study in vietnam”. JPO: Journal of Prosthetics and Orthotics, 37(4), 210-211.
[13] Zheng, J., Wan, W., Duan, C. (2025) Impact of fixed-point rotational reduction of the spine on pain scores and lower limb motor function in patients with lumbar facet joint disorder. BMC Musculoskeletal Disorders, 26(1), 376.
[14] Weiss, H. R., Çolak, T. K., Lay, M., Borysov, M. (2021) Brace treatment for patients with scoliosis: state of the art. South African Journal of Physiotherapy, 77(2), 1573.
[15] Lott, C., Capraro, A., Qiu, C., Talwar, D., Gordon, J., Flynn, J. M., Cahill, P. J. (2025) How does anterior vertebral body tethering compare to posterior spinal fusion for thoracic idiopathic scoliosis? A nonrandomized clinical trial. Clinical Orthopaedics and Related Research®, 483(12), 2366-2376.
[16] Yeşilmen, N., Baydoğan, M. P., Danacı, Ç., Tuncer, S. A., Çınar, A., Tuncer, T. (2025) Multi-class idiopathic scoliosis detection based on Cobb angle using a hybrid ViT model. Signal, Image and Video Processing, 19(14), 1225.
[17] Aali, S., Rezazadeh, F., Imani, F., Sefidekhan, M. N., Badicu, G., Poli, L., Greco, G. (2025) Effects of exercise-based rehabilitation on lumbar degenerative disc disease: a systematic review. Healthcare, 13(15), 1938.
[18] Hameed, F., Atta, S., Amjad, S., Alam, M. S., Asim, H. M., Waqas, S. (2023) Risk of injury based on fundamental movement pattern among non-professional adolescent soccer players: risk of injury among non-professional soccer players. Pakistan Journal of Health Sciences, 168-172.
[19] Giordamni, M. A., Chandolias, K., Pollatos, D., Chalkia, A., Trevlaki, E. (2021) Adolescent idiopathic scoliosis: review of conservative treatment with physiotherapy scoliosis specific exercises. International Journal of Health Sciences and Research, 11(1), 88-89.
[20] Nasto, L. A., Ulisse, P., Sieczak, A., Pola, E. (2025) A case of severe idiopathic adolescent scoliosis: the importance of a three-dimensional approach for optimal surgical outcomes, case report, and literature review. Child’s Nervous System, 41(1), 285.
[21] Nguyen, T. N., Pham, T. T., Le, L. H., Emery, D. J., Stampe, K., Hryniuk, S. S., Lou, E. (2025) Correction: Combining ultrasound and surface topography on curve assessment versus radiographic measurements for children with adolescent idiopathic scoliosis – a pilot study. European Spine Journal, 1-3.
[22] Golbakhsh, M., Esmaeili, S., Soleimani, M., Rahimian, A., Talebiyan, P. (2025) Unmasking myopathy: a case of postoperative worsening of sagittal imbalance in adolescent idiopathic scoliosis. International Journal of Surgery Case Reports, 111977.
[23] Nikolaidis, P. T., Son’kin, V. D. (2023) Sports Physiology in adolescent track-and-field athletes: a narrative review. Open Access Journal of Sports Medicine, 59-68.
[24] Ma, R. T., Wu, Q., Xu, Z. D., Zhang, L., Wei, Y. X., Gao, Q. (2024) Exercise therapy for adolescent idiopathic scoliosis rehabilitation: a bibliometric analysis (1999-2023). Frontiers in Pediatrics, 11, 1342327.
[25] Trobisch, P. D., Kobbe, P., Baroncini, A. (2020) Dynamic scoliosis correction as alternative treatment for patients with adolescent idiopathic scoliosis: a non-fusion surgical technique. Zeitschrift für Orthopädie und Unfallchirurgie, 158(06), 641-646.
[26] Pereverzev, V. S., Kolesov, S. V., Kazmin, A. I., Morozova, N. S., Shvets, V. V. (2023) Anterior dynamic versus posterior transpedicular spinal fusion for lenke type 5 idiopathic scoliosis: a comparison of long-term results. Traumatology and Orthopedics of Russia, 29(2), 18-28.
Share and Cite
Guo, W., Wang, M., Dong, X., Li, Y., Guo, Y., Wang, J., Ning, L., Zhou, J. (2025) Research on the Efficacy Rules and Mechanisms of Core Strength-dominated Exercise Intervention for Adolescent Track and Field Athletes with Idiopathic Scoliosis. Journal of Disease and Public Health, 1(2), 1-11. https://doi.org/10.71052/jdph/TURF2459
