小角度推按抗旋正骨手法提高支具治疗青少年特发性脊柱侧弯的即时疗效  

Immediate effect of small-angle Tui-Pushing and An-Pressing anti-rotation bone-setting manipulation in improving the treatment of braces for adolescent idiopathic scoliosis

作　　者：刘路 张微 梁玉磊 高阳 左广 顾川川 高天慈 LIU Lu;ZHANG Wei;LIANG Yulei;GAO Yang;ZUO Guang;GU Chuanchuan;GAO Tianci(Hebei Province Traditional Chinese Medicine Hospital,Shijiazhuang,050017,China;Hebei Technology Innovation Center of TCM Spleen and Kidney Diseases,Shijiazhuang,050017,China;Hebei University of Chinese Medicine,Shijiazhuang,050091,China)

机构地区：[1]Hebei Province Traditional Chinese Medicine Hospital,Shijiazhuang,050017,China [2]Hebei Technology Innovation Center of TCM Spleen and Kidney Diseases,Shijiazhuang,050017,China [3]Hebei University of Chinese Medicine,Shijiazhuang,050091,China

出　　处：《Journal of Acupuncture and Tuina Science》2023年第1期34-39,共6页针灸推拿医学（英文版）

基　　金：河北省中医药管理局科研计划项目,No.2021015;河北省科学技术厅中医药创新专项,No.223777130D。

摘　　要：目的观察小角度推按抗旋正骨手法提高支具矫正青少年特发性脊柱侧弯的即时疗效。方法选取青少年特发性脊柱侧弯患儿50例,均先予支具矫正,拍摄全脊柱正侧位片,测量Cobb角并记录患儿支具穿戴引发的疼痛视觉模拟量表(VAS)评分。卸下支具后给予小角度推按抗旋正骨手法治疗1次。治疗后再次穿戴同一支具拍摄全脊柱正位片,测量Cobb角和记录VAS评分,比较手法干预前后Cobb角及VAS评分变化,评价即时疗效。结果手法治疗后Cobb角明显小于治疗前(P<0.01),VAS评分明显低于治疗前(P<0.01)。结论小角度推按抗旋正骨手法能够提高支具治疗青少年特发性脊柱侧弯的即时疗效,同时可减轻支具穿戴引发的疼痛。Objective To observe the immediate effect of small-angle Tui-Pushing and An-Pressing anti-rotation bone-setting manipulation in improving the correction of braces for adolescent idiopathic scoliosis.Methods A total of 50 cases of adolescent idiopathic scoliosis were selected and given brace correction first.The whole spine anteroposterior and lateral radiographs were taken,the Cobb angle was measured,and the visual analog scale(VAS)score of pain caused by brace wearing was recorded.After removal of the brace,small-angle Tui-Pushing and An-Pressing anti-rotation bone-setting manipulation was performed once.After treatment,the same brace was put on again to take a whole spine anteroposterior radiograph,the Cobb angle was measured,and the VAS score was recorded.The changes in Cobb angle and VAS score after manipulation were compared,and the immediate efficacy was evaluated.Results After the manipulation,the Cobb angle was significantly smaller than that before treatment(P<0.01)and the VAS score was significantly lower than that before treatment(P<0.01).Conclusion Small-angle Tui-Pushing and An-Pressing anti-rotation bone-setting manipulation can improve the immediate efficacy of brace in treating adolescent idiopathic scoliosis and relieve the pain caused by brace wearing at the same time.

关 键 词：推拿 按摩 正骨手法 脊柱侧弯 支具 疼痛测评 视觉模拟量表 

分 类 号：R244.1[医药卫生—针灸推拿学]