[1]田俊松,应晓明,叶鑫.“分节段式”脊柱推拿手法联合改良Schroth体操治疗青少年特发性脊柱侧凸的临床研究[J].中医正骨,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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“分节段式”脊柱推拿手法联合改良Schroth体操治疗青少年特发性脊柱侧凸的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年07期
页码:
23-27
栏目:
临床研究
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; 应晓明2; 叶鑫2
(1.余姚市中医医院,浙江 余姚 315499; 2.浙江中医药大学附属第三医院,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
关键词:
脊柱侧凸;  推拿; 脊柱;  运动疗法;  临床试验
Keywords:
scoliosis;  manipulation; spinal;  exercise therapy;  clinical trial
摘要:
目的:观察“分节段式”脊柱推拿手法联合改良Schroth体操治疗青少年特发性脊柱侧凸(adolescent idiopathic scoliosis,AIS)的临床疗效。方法:将符合要求的60例AIS患者随机分为2组,每组30例。联合组采用“分节段式”脊柱推拿手法联合改良Schroth体操治疗,Schroth组仅进行改良Schroth体操治疗。“分节段式”脊柱推拿手法每周治疗1次,共治疗24周; 改良Schroth体操每周治疗3次,每次1 h,共治疗24周。采用脊柱侧凸Cobb角、躯干旋转角及脊柱侧凸研究学会22项(scoliosis research society-22,SRS-22)量表评分评价临床疗效。结果:2组患者治疗前的脊柱侧凸Cobb角、躯干旋转角、SRS-22量表评分比较,组间差异均无统计学意义[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]。治疗结束后,2组患者的脊柱侧凸Cobb角、躯干旋转角均较治疗前减小(脊柱侧凸Cobb角:t=11.872,P=0.000; t=8.485,P=0.000。躯干旋转角:t=10.501,P=0.000; t=10.011,P=0.000)。2组患者治疗结束后的SRS-22量表评分均较治疗前增高(t=-16.480,P=0.000; t=-19.615,P=0.000)。联合组治疗结束后的脊柱侧凸Cobb角、躯干旋转角均小于Schroth组(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组治疗结束后SRS-22量表评分的差异无统计学意义[(15.60±2.19)分,(14.65±2.01)分,t=0.944,P=0.160]。结论:“分节段式”脊柱推拿手法联合改良Schroth体操可有效矫正AIS患者的脊柱侧凸畸形,效果优于单纯改良Schroth体操治疗。
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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备注/Memo

备注/Memo:
基金项目:浙江省中医药适宜技术培育项目(2018ZT003)
通讯作者:应晓明 E-mail:whiteantgo@hotmail.com
更新日期/Last Update: 1900-01-01