基于姿势解密技术的手法治疗青少年特发性脊柱侧弯的疗效观察  

The efficacy of manual therapy in treating adolescent idiopathic scoliosis

作　　者：范文星 尹帅[1] 王强[1] 孟萍萍[1] 王玉阳[1] 张筱文 陈美竹 Fan Wenxing;Yin Shuai;Wang Qiang;Meng Pingping;Wang Yuyang;Zhang Xiaowen;Chen Meizhu(Department of Rehabilitation Medicine,The Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院康复医学科,青岛266000

出　　处：《中华物理医学与康复杂志》2024年第5期430-434,共5页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：山东省自然科学基金(ZR2020MH282;ZR2021QH143)。

摘　　要：目的:观察基于姿势解密技术的手法治疗青少年特发性脊柱侧弯(AIS)的临床疗效。方法:选取36例AIS患者随机分为观察组和对照组,每组18例,但治疗期间,因个人原因观察组脱落1例,对照组脱落2例,最终完成本研究33例。2组患者均采用侧移训练矫正疗法作为常规康复训练,侧移训练每周4次,每次训练10 min,共治疗4周;在此基础上,观察组增加姿势解密技术手法治疗,对照组则增加悬吊训练治疗,每周治疗1次(错开侧移训练日),每次治疗20 min,共治疗4周。分别于治疗前和治疗4周结束后(治疗后),对2组患者的脊柱侧方弯曲度(Cobb角)、锁骨角(CA)、躯干旋转角(ATR)、椎体旋转度(VR)、脊柱侧凸研究会患者问卷表22项(SRS-22)进行评估。结果:治疗后,观察组患者的Cobb角[(16.76±6.67)°]、锁骨角[(1.35±0.50)°]、ATR[(6.18±3.23)°]和SRS-22评分[(88.18±5.47)分]均较组内治疗前[(20.12±6.98)°、(2.53±1.20)°、(8.65±4.15)°、(84.65±6.76)分]有明显改善(P<0.05),对照组的Cobb角[(17.31±6.83)°]、ATR[(6.31±2.52)°]、SRS-22评分[(86.25±10.53)分]较组内治疗前[(18.13±7.08)°、(7.06±2.84)°、(85.00±11.02)]明显改善(P<0.05),但锁骨角改善并不明显(P>0.05);且治疗后观察组的Cobb角、ATR、锁骨角和SRS-22评分的改善程度均明显高于对照组(P<0.05)。而2组患者的VR改善程度组内及组间比较,差异均无统计学意义(P>0.05)。结论:姿势解密技术手法能有效改善AIS患者的脊柱侧弯、肩部失衡程度,有更好的整体治疗效果。Objective To observe the clinical efficacy of manual therapy based on the Discovery of Posture Secret(DPS)in treating adolescent idiopathic scoliosis(AIS).Methods Thirty-six AIS patients were randomly divided into an observation group of 17 and a control group of 16.In addition to 10 minutes of side-shift training each week,the control group was given 20 minutes of sling exercise training(SET),while the observation group underwent weekly 20-minute manual therapy sessions based on DPS on the days without SET.Before and after the 4 weeks of treatment spine curvature(Cobb angle),clavicular angle(CA),angle of trunk rotation(ATR)and vertebral rotation(VR)were measured,and the Scoliosis Research Society′s patient ques-tionnaire 22(SRS-22)was administered.Results After the treatment the average Cobb angle,CA,ATR and SRS-22 score of the observation group had improved significantly compared with before the treatment.The aver-age Cobb angle,ATR and SRS-22 score of the control group were also significantly higher,but the improvements were not as great as in the observation group.There was no significant difference in VR improvement between the two groups.Conclusion Manual therapy based on the DPS can effectively ameliorate the scoliosis and shoul-der imbalance of AIS patients.

关 键 词：青少年特发性脊柱侧弯 手法治疗 悬吊训练 

分 类 号：R682.3[医药卫生—骨科学] R493[医药卫生—外科学]