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[1]田俊松,應(yīng)曉明,葉鑫.“分節(jié)段式”脊柱推拿手法聯(lián)合改良Schroth體操治療青少年特發(fā)性脊柱側(cè)凸的臨床研究[J].中醫(yī)正骨,2021,33(07):23-27.
　TIAN Junsong,YING Xiaoming,YE Xin.A clinical study of segmental spinal manipulation combined with modified Schroth gymnastics for treatment of adolescent idiopathic scoliosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(07):23-27.
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“分節(jié)段式”脊柱推拿手法聯(lián)合改良Schroth體操治療青少年特發(fā)性脊柱側(cè)凸的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年07期
頁(yè)碼:
23-27
欄目:
臨床研究
出版日期:
2021-07-20

文章信息/Info

Title:
A clinical study of segmental spinal manipulation combined with modified Schroth gymnastics for treatment of adolescent idiopathic scoliosis
作者:
田俊松1; 應(yīng)曉明2; 葉鑫2
(1.余姚市中醫(yī)醫(yī)院,浙江 余姚 315499; 2.浙江中醫(yī)藥大學(xué)附屬第三醫(yī)院,浙江 杭州 310005)
Author(s):
TIAN Junsong1; YING Xiaoming2; YE Xin2
1.Yuyao Hospital of TCM,Yuyao 315499,Zhejiang,China2.The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310005,Zhejiang,China
關(guān)鍵詞:
脊柱側(cè)凸;  推拿; 脊柱;  運(yùn)動(dòng)療法;  臨床試驗(yàn)
Keywords:
scoliosis;  manipulation; spinal;  exercise therapy;  clinical trial
摘要:
目的:觀察“分節(jié)段式”脊柱推拿手法聯(lián)合改良Schroth體操治療青少年特發(fā)性脊柱側(cè)凸(adolescent idiopathic scoliosis,AIS)的臨床療效。方法:將符合要求的60例AIS患者隨機(jī)分為2組,每組30例。聯(lián)合組采用“分節(jié)段式”脊柱推拿手法聯(lián)合改良Schroth體操治療,Schroth組僅進(jìn)行改良Schroth體操治療。“分節(jié)段式”脊柱推拿手法每周治療1次,共治療24周; 改良Schroth體操每周治療3次,每次1 h,共治療24周。采用脊柱側(cè)凸Cobb角、軀干旋轉(zhuǎn)角及脊柱側(cè)凸研究學(xué)會(huì)22項(xiàng)(scoliosis research society-22,SRS-22)量表評(píng)分評(píng)價(jià)臨床療效。結(jié)果:2組患者治療前的脊柱側(cè)凸Cobb角、軀干旋轉(zhuǎn)角、SRS-22量表評(píng)分比較,組間差異均無統(tǒng)計(jì)學(xué)意義[24.86°±7.00°,24.30°±7.29°,t=0.243,P=0.809; 10.20°±3.86°,10.55°±3.41°,t=-0.304,P=0.763;(12.90±2.45)分,(12.85±2.03)分,t=0.070,P=1.432]。治療結(jié)束后,2組患者的脊柱側(cè)凸Cobb角、軀干旋轉(zhuǎn)角均較治療前減小(脊柱側(cè)凸Cobb角:t=11.872,P=0.000; t=8.485,P=0.000。軀干旋轉(zhuǎn)角:t=10.501,P=0.000; t=10.011,P=0.000)。2組患者治療結(jié)束后的SRS-22量表評(píng)分均較治療前增高(t=-16.480,P=0.000; t=-19.615,P=0.000)。聯(lián)合組治療結(jié)束后的脊柱側(cè)凸Cobb角、軀干旋轉(zhuǎn)角均小于Schroth組(14.15°±4.23°,17.90°±4.49°,t=-2.165,P=0.037; 5.45°±2.16°,7.20°±2.84°,t=-2.192,P=0.035),2組治療結(jié)束后SRS-22量表評(píng)分的差異無統(tǒng)計(jì)學(xué)意義[(15.60±2.19)分,(14.65±2.01)分,t=0.944,P=0.160]。結(jié)論:“分節(jié)段式”脊柱推拿手法聯(lián)合改良Schroth體操可有效矯正AIS患者的脊柱側(cè)凸畸形,效果優(yōu)于單純改良Schroth體操治療。
Abstract:
To observe the clinical curative effects of segmental spinal manipulation combined with modified Schroth gymnastics in treatment of adolescent idiopathic scoliosis(AIS).Methods:Sixty AIS patients were enrolled in the study and were randomly divided into 2 groups,30 cases in each group,and they were treated with segmental spinal manipulation combined with modified Schroth gymnastics(combination group)and modified Schroth gymnastics alone(Schroth group)respectively.The segmental spinal manipulation was performed once a week for consecutive 24 weeks; and the modified Schroth gymnastics was conducted three times a week for consecutive 24 weeks,1 hour at a time.The clinical curative effects were evaluated and compared between the 2 groups by using scoliotic Cobb angle,angle of trunk rotation(ATR)and scoliosis research society-22(SRS-22)scores.Results:There was no statistical difference in scoliotic Cobb angle,ATR and SRS-22 scores between the 2 groups before the treatment(24.86±7.00 vs 24.30±7.29 degrees,t=0.243,P=0.809; 10.20±3.86 vs 10.55±3.41 degrees,t=-0.304,P=0.763; 12.90±2.45 vs 12.85±2.03 points,t=0.070,P=1.432).The scoliotic Cobb angle and ATR decreased,while the SRS-22 scores increased after the end of the treatment compared to pretreatment in the 2 groups(scoliotic Cobb angle:t=11.872,P=0.000; t=8.485,P=0.000.ATR:t=10.501,P=0.000; t=10.011,P=0.000; t=-16.480,P=0.000; t=-19.615,P=0.000).After the end of the treatment,the scoliotic Cobb angle and ATR were smaller in combination group compared to Schroth group(14.15±4.23 vs 17.90±4.49 degrees,t=-2.165,P=0.037; 5.45±2.16 vs 7.20±2.84 degrees,t=-2.192,P=0.035); whereas there was no statistical difference in SRS-22 scores between the 2 groups(15.60±2.19 vs 14.65±2.01 points,t=0.944,P=0.160).Conclusion:The segmental spinal manipulation combined with modified Schroth gymnastics can effectively correct the scoliosis deformity in AIS patients,and its curative effect is better than that of monotherapy of modified Schroth gymnastics.

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備注/Memo

備注/Memo:
基金項(xiàng)目:浙江省中醫(yī)藥適宜技術(shù)培育項(xiàng)目(2018ZT003)
通訊作者:應(yīng)曉明 E-mail:[email protected]
更新日期/Last Update: 1900-01-01