手法松动联合运动呼吸综合训练治疗青少年特发性脊柱侧弯症的临床研究  

Clinical study of mobilization combined with exercise breathing comprehensive training in the treatment of adolescent idiopathic scoliosis

作　　者：董卫华[1] 徐宁[1] 王渭芳 DONG Weihua;XU Ning;WANG Weifang(Department of Rehabilitation,Wujin Affiliated Hospital,Nanjing University of Chinese Medicine,Nanjing 213100,China)

机构地区：[1]南京中医药大学武进附属医院康复科,江苏南京213100

出　　处：《包头医学院学报》2022年第6期17-21,29,共6页Journal of Baotou Medical College

基　　金：综合康复训练治疗青少年特发性脊柱侧弯症的临床研究(ws201953)。

摘　　要：目的:分析手法松动联合运动呼吸综合训练治疗青少年特发性脊柱侧弯症的效果。方法:选取2019年9月-2021年3月于本院进行治疗的特发性脊柱侧弯症青少年患者72例为研究对象,随机分为对照组(n=36,常规运动训练)和联合组(n=36,手法松动联合运动呼吸综合训练治疗),比较两组患儿治疗前后Cobb角、日常生活能力以及生存质量变化情况。结果:治疗后,两组患儿Cobb角、Oswestry腰痛功能障碍指数均变小,生存质量各维度评分及总分均升高,且与对照组比较,联合组患儿Cobb角、Oswestry腰痛功能障碍指数变小幅度更大,生存质量各维度评分及总分升高幅度也更大(P<0.05)。治疗后,联合组治疗有效率明显高于对照组,差异具有统计学意义(P<0.05)。结论:采用手法松动联合运动呼吸综合训练治疗青少年特发性脊柱侧弯症可以有效脊柱侧弯症状,改善腰痛功能和生存质量。Objective:To analyze the effect of mobilization combined with exercise breathing comprehensive training in the treatment of adolescent idiopathic scoliosis.Methods:A total of 72 adolescent patients with idiopathic scoliosis treated in our hospital from September 2019 to March 2021 were selected as the research objects and randomly divided into the control group(n=36,routine exercise training)and the combined group(n=36,mobilization combined with comprehensive exercise and respiration training).The Cobb angle,daily living ability and quality of life of the two groups before and after treatment were compared.Results:After treatment,the index of Cobb angle and Oswestry lumbago dysfunction decreased in both groups,and the scores and total scores of all dimensions of quality of life were increased.Compared with the control group,the Cobb angle and Oswestry lumbago dysfunction index in the combined group were smaller and the scores and total scores of all dimensions of the quality of life increased significantly(P<0.05).After treatment,the effective rate of the combined group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The combination of mobilization and exercise breathing comprehensive training in the treatment of adolescent idiopathic scoliosis can effectively improve the symptoms of scoliosis,improve low back pain function and quality of life.

关 键 词：特发性脊柱侧弯症 青少年 手法松动 运动呼吸综合训练 

分 类 号：R726.8[医药卫生—儿科]