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脊柱侧凸特定性训练对轻度青少年特发性脊柱侧凸的治疗价值

袁望舒 沈建雄 陈丽霞 王海 余可谊 丛卉

袁望舒, 沈建雄, 陈丽霞, 王海, 余可谊, 丛卉. 脊柱侧凸特定性训练对轻度青少年特发性脊柱侧凸的治疗价值[J]. 协和医学杂志, 2020, 11(1): 40-44. doi: 10.3969/j.issn.1674-9081.20170193
引用本文: 袁望舒, 沈建雄, 陈丽霞, 王海, 余可谊, 丛卉. 脊柱侧凸特定性训练对轻度青少年特发性脊柱侧凸的治疗价值[J]. 协和医学杂志, 2020, 11(1): 40-44. doi: 10.3969/j.issn.1674-9081.20170193
Wang-shu YUAN, Jian-xiong SHEN, Li-xia CHEN, Hai WANG, Ke-yi YU, Hui CONG. Value of Scoliosis Specific Exercise for Mild Adolescent Idiopathic Scoliosis[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(1): 40-44. doi: 10.3969/j.issn.1674-9081.20170193
Citation: Wang-shu YUAN, Jian-xiong SHEN, Li-xia CHEN, Hai WANG, Ke-yi YU, Hui CONG. Value of Scoliosis Specific Exercise for Mild Adolescent Idiopathic Scoliosis[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(1): 40-44. doi: 10.3969/j.issn.1674-9081.20170193

脊柱侧凸特定性训练对轻度青少年特发性脊柱侧凸的治疗价值

doi: 10.3969/j.issn.1674-9081.20170193
基金项目: 

2018年北京市卫生与健康科技成果和适宜技术推广项目"脊柱侧凸特定性体操的临床推广" 2018-TG-34

详细信息
    通讯作者:

    沈建雄 电话:010-69151988, E-mail:sjxpumch@126.com

  • 中图分类号: R682.3

Value of Scoliosis Specific Exercise for Mild Adolescent Idiopathic Scoliosis

More Information
    Corresponding author: SHEN Jian-xiong Tel: 86-10-69151988, E-mail: sjxpumch@126.com
  • 摘要:   目的  观察脊柱侧凸特定性训练(scoliosis specific exercise, SSE)对轻度青少年特发性脊柱侧凸(adolescent idiopathic scoliosis, AIS)的矫正效果。  方法  回顾性收集2016年1月至3月, 在北京协和医院确诊并开始在物理医学康复科门诊接受SSE矫形治疗的轻度AIS患者临床资料。比较患者治疗前后Cobb角和轴向躯干旋转(axial trunk rotation, ATR)角, 采用脊柱侧凸研究学会患者问卷-22 (Scoliosis Research Society Patient Questionnaire-22, SRS-22)分析患者对治疗效果的主观评价。  结果  共31例符合纳入和排除标准的患者入选本研究。患者治疗后Cobb角和ATR角均较治疗前减小(Cobb角:16.29°±5.05°比19.23°±2.85°, t=2.955, P=0.006;ATR角:5.97°±2.22°比7.16°±1.66°, t=4.799, P=0.000)。SRS-22量表评分中, 治疗后满意度评分较治疗前显著增加[5.0(4.0, 5.0)分比3.0(3.0, 3.0)分, Z=0.000, P < 0.05]。  结论  SSE能延缓甚至改善轻度AIS患者的脊柱畸形。
    利益冲突  无
  • 图  1  胸椎右侧凸、腰椎左侧凸患者的康复矫正施力示意图(冠状位)

    红色直箭头表示冠状面斜向上方的施力,红色弯箭头表示水平面旋转的施力

    图  2  胸椎右侧凸、腰椎左侧凸且脊柱生理曲度消失患者的康复矫正施力示意图(矢状位)

    红色箭头表示矢状位向前的施力

    图  3  腰椎左侧凸患者的康复矫正体位示意图

    表  1  SSE治疗前后SRS-22量表中各项指标的评分比较[M(P25, P75)]

    分组 运动功能 脊柱疼痛 自我感觉 心理健康 满意度
    治疗前 4.6(4.2, 5.0) 4.8(4.6, 5.0) 4.2(4.0, 5.0) 4.8(4.2, 5.0) 3.0(3.0, 3.0)
    治疗后 4.8(4.2, 5.0) 5.0(4.6, 5.0) 4.6(4.0, 5.0) 4.6(4.2, 5.0) 5.0(4.0, 5.0)
    Z -0.532 -0.310 -0.778 -1.039 -4.817
    P >0.05 >0.05 >0.05 >0.05 <0.05
    SSE:脊柱侧凸特定性训练;SRS-22:脊柱侧凸研究学会患者问卷-22
    下载: 导出CSV
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出版历程
  • 收稿日期:  2017-09-12
  • 刊出日期:  2020-01-30

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