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[1]田俊松,吳嘉穎,謝紅巖,等.基于足底靜態(tài)參數(shù)探討“分節(jié)段式”脊柱推拿手法治療青少年特發(fā)性脊柱側(cè)凸的臨床療效[J].中醫(yī)正骨,2024,36(04):15-20.
　TIAN Junsong,WU Jiaying,XIE Hongyan,et al.Outcomes of segmental spinal manipulation for treatment of adolescent idiopathic scoliosis:a static plantar parameters-based clinical study[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(04):15-20.
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基于足底靜態(tài)參數(shù)探討“分節(jié)段式”脊柱推拿手法治療青少年特發(fā)性脊柱側(cè)凸的臨床療效()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期數(shù):
2024年04期
頁碼:
15-20
欄目:
臨床研究
出版日期:
2024-04-20

文章信息/Info

Title:
Outcomes of segmental spinal manipulation for treatment of adolescent idiopathic scoliosis:a static plantar parameters-based clinical study
作者:
田俊松1; 吳嘉穎1; 謝紅巖1; 應(yīng)曉明2; 葉鑫2
1.余姚市中醫(yī)醫(yī)院,浙江 余姚 315402; 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; WU Jiaying1; XIE Hongyan1; YING Xiaoming2; YE Xin2
1.Yuyao Hospital of TCM,Yuyao 315402,Zhejiang,China 2.The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310005,Zhejiang,China
關(guān)鍵詞:
脊柱側(cè)凸;  青少年;  推拿; 脊柱;  足;  參數(shù)
Keywords:
scoliosis;  adolescent;  manipulation; spinal;  foot;  parameters
摘要:
目的:基于足底靜態(tài)參數(shù)探討“分節(jié)段式”脊柱推拿手法治療青少年特發(fā)性脊柱側(cè)凸(adolescent idiopathic scoliosis,AIS)的臨床療效。方法:將60例符合要求的AIS患者隨機(jī)分為2組,每組30例。常規(guī)推拿組采用常規(guī)脊柱推拿手法進(jìn)行治療,每周2次,共治療12周; 聯(lián)合推拿組在常規(guī)脊柱推拿手法治療的基礎(chǔ)上增加“分節(jié)段式”脊柱推拿手法,“分節(jié)段式”脊柱推拿手法每周1次,共治療12周。分別于第1次治療前和治療結(jié)束后當(dāng)天,采用USOL三維足底掃描儀采集患者足底靜態(tài)參數(shù),包括長度參數(shù)(足長、足弓長)、寬度參數(shù)(前掌寬、后跟寬)、高度參數(shù)(足弓內(nèi)側(cè)高度、外踝高度)及角度參數(shù)(趾角度)。結(jié)果:①長度參數(shù)。治療前及治療結(jié)束后,2組患者雙側(cè)足長差值、雙側(cè)足弓長差值比較,組間差異均無統(tǒng)計(jì)學(xué)意義(治療前:t=1.684,P=0.098; t=0.359,P=0.721; 治療結(jié)束后:t=0.263,P=0.081; t=0.240,P=0.811); 治療結(jié)束后,2組患者雙側(cè)足長差值、雙側(cè)足弓長差值均較治療前減小(雙側(cè)足長差值:t=5.079,P=0.000; t=21.891,P=0.000; 雙側(cè)足弓長差值:t=15.834,P=0.000; t=12.120,P=0.000)。②寬度參數(shù)。治療前,2組患者雙側(cè)前掌寬差值、雙側(cè)后跟寬差值比較,組間差異均無統(tǒng)計(jì)學(xué)意義(t=-0.748,P=0.457; t=0.372,P=0.711); 治療結(jié)束后,2組患者雙側(cè)前掌寬差值、雙側(cè)后跟寬差值均較治療前減小(雙側(cè)前掌寬差值:t=11.522,P=0.000; t=7.369,P=0.000; 雙側(cè)后跟寬差值:t=16.745,P=0.000; t=11.486,P=0.000); 治療結(jié)束后,聯(lián)合推拿組患者雙側(cè)前掌寬差值、雙側(cè)后跟寬差值均小于常規(guī)推拿組(t=-2.351,P=0.022; t=-2.699,P=0.009)。③高度參數(shù)。治療前,2組患者雙側(cè)足弓內(nèi)側(cè)高度差值、雙側(cè)外踝高度差值比較,組間差異均無統(tǒng)計(jì)學(xué)意義(t=-0.595,P=0.554; t=0.082,P=0.935); 治療結(jié)束后,2組患者雙側(cè)足弓內(nèi)側(cè)高度差值、雙側(cè)外踝高度差值均較治療前減小(雙側(cè)足弓內(nèi)側(cè)高度差值:t=9.616,P=0.000; t=10.269,P=0.000; 雙側(cè)外踝高度差值:t=7.365,P=0.000; t=6.021,P=0.000); 治療結(jié)束后,聯(lián)合推拿組患者雙側(cè)足弓內(nèi)側(cè)高度差值、雙側(cè)外踝高度差值均小于常規(guī)推拿組(t=-2.790,P=0.007; t=-2.455,P=0.017)。④角度參數(shù)。治療前及治療結(jié)束后,2組患者雙側(cè)趾角度差值比較,組間差異均無統(tǒng)計(jì)學(xué)意義(t=0.382,P=0.704; t=0.273,P=0.786); 治療結(jié)束后,2組患者雙側(cè)趾角度差值均較治療前減小(t=6.277,P=0.000; t=12.049,P=0.000)。結(jié)論:“分節(jié)段式”脊柱推拿手法可有效改善AIS患者的足底靜態(tài)參數(shù),相較于常規(guī)脊柱推拿手法具有一定優(yōu)勢。
Abstract:
Objective:To explore the clinical outcomes of segmental spinal manipulation in treatment of adolescent idiopathic scoliosis(AIS)based on the static plantar parameters.Methods:Sixty AIS patients were enrolled in the study and were randomized into conventional manipulation group and combination manipulation group,30 ones in each group.All patients in the 2 groups were treated with conventional spinal manipulation,twice a week for consecutive 12 weeks; moreover,the ones in combination manipulation group were further treated with segmental spinal manipulation,once a week for consecutive 12 weeks.Before the first treatment and after the end of treatment,the static plantar parameters,including length parameters(foot length,foot arch length),width parameters(forefoot width,heel width),height parameters(medial arch height,lateral malleolus height),and angle parameter(big toe angle)were collected,respectively,by using a USOL three-dimensional plantar scanner.Results:①Length parameters.The difference between the bilateral foot length and difference between the bilateral foot arch length were compared between the 2 groups before the treatment and after the end of the treatment,and the results revealed no significant differences(pretreatment:t=1.684,P=0.098; t=0.359,P=0.721; after the end of the treatment:t=0.263,P=0.081; t=0.240,P=0.811); the difference between the bilateral foot length and difference between the bilateral foot arch length decreased in the 2 groups after the end of treatment compared to pretreatment(the difference between the bilateral foot length:t=5.079,P=0.000; t=21.891,P=0.000; the difference between the bilateral foot arch length:t=15.834,P=0.000; t=12.120,P=0.000).②Width parameters.The difference between the bilateral forefoot width and the difference between the bilateral heel width were compared between the 2 groups before the treatment,and the results revealed no significant differences(t=-0.748,P=0.457; t=0.372,P=0.711).The difference between the bilateral forefoot width and the difference between the bilateral heel width decreased in the 2 groups after the end of treatment compared to pretreatment(the difference between the bilateral forefoot width:t=11.522,P=0.000; t=7.369,P=0.000; the difference between the bilateral heel width:t=16.745,P=0.000; t=11.486,P=0.000),and they were smaller in combination manipulation group compared to conventional manipulation group(t=-2.351,P=0.022; t=-2.699,P=0.009).③Height parameters.The difference between the bilateral medial arch height and the difference between the bilateral lateral malleolus height were compared between the 2 groups before the treatment,and the results revealed no significant differences(t=-0.595,P=0.554; t=0.082,P=0.935).The difference between the bilateral medial arch height and the difference between the bilateral lateral malleolus height decreased in the 2 groups after the end of treatment compared to pretreatment(the difference between the bilateral medial arch height:t=9.616,P=0.000; t=10.269,P=0.000; the difference between the bilateral lateral malleolus height:t=7.365,P=0.000; t=6.021,P=0.000),and they were smaller in combination manipulation group compared to conventional manipulation group(t=-2.790,P=0.007; t=-2.455,P=0.017).④Angle parameter.The difference between the bilateral big toe angle was compared between the 2 groups before the treatment and after the end of the treatment,and the result revealed no significant difference(t=0.382,P=0.704; t=0.273,P=0.786),and it decreased in the 2 groups after the end of treatment compared to pretreatment(t=6.277,P=0.000; t=12.049,P=0.000).Conclusion:The segmental spinal manipulation can effectively improve the static plantar parameters in AIS patients.It has certain advantages over the conventional spinal manipulation.

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備注/Memo

備注/Memo:
基金項(xiàng)目:寧波市衛(wèi)生健康科技計(jì)劃項(xiàng)目(2022Y50); 余姚市衛(wèi)生健康科技計(jì)劃項(xiàng)目(2022YYB08); 浙江中醫(yī)藥大學(xué)附屬第三醫(yī)院院級課題(YJKY-2020-01)
更新日期/Last Update: 1900-01-01