Schroth疗法联合核心力量训练改善轻度青少年特发性脊柱侧凸患者的侧凸角度  

Schroth therapy combined with core strength training improves scoliosis angle in patients with mild adolescent idiopathic scoliosis

作　　者：张娟娟[1,2] 蒋楠楠 吴亚军[1] 顾倩 何林飞[1] 季勇鑫 刘苏 Zhang Juanjuan;Jiang Nannan;Wu Yajun;Gu Qian;He Linfei;Ji Yongxin;Liu Su(Department of Rehabilitation Medicine,Affiliated Hospital of Nantong University,Nantong 226001,Jiangsu Province,China;School of Nursing and Rehabilitation,Nantong University,Nantong 226001,Jiangsu Province,China)

机构地区：[1]南通大学附属医院康复医学科,江苏省南通市226001 [2]南通大学护理与康复学院,江苏省南通市226001

出　　处：《中国组织工程研究》2025年第27期5876-5882,共7页Chinese Journal of Tissue Engineering Research

基　　金：江苏省研究型医院资助基金(YJXYY202204-XKB07),项目负责人:刘苏。

摘　　要：背景:青少年特发性脊柱侧凸明确的发病原因尚未可知,寻找解决青少年特发性脊柱侧凸的临床方法迫在眉睫。目的:探讨Schroth疗法联合核心力量训练对轻度青少年特发性脊柱侧凸的效果,为轻度青少年特发性脊柱侧凸的临床治疗提供更多依据。方法:选择2022年7月至2024年1月在南通大学附属医院康复医学科与脊柱外科就诊的轻度青少年特发性脊柱侧凸患者110例作为研究对象,根据患者及家长意愿,分为试验组和对照组,每组55例。对照组观察随访,试验组进行Schroth疗法联合核心力量训练,每天45 min,坚持24周。比较两组患者治疗前后影像学参数、体表指标、三维超声成像角度和生活质量的差异。结果与结论:①治疗24周后,试验组主弯Cobb角、顶椎偏距、颈椎前凸角均较治疗前有显著改善(P<0.05),而对照组无显著差异(P>0.05);试验组主弯Cobb角、顶椎偏距明显优于对照组(P<0.05);②治疗24周后,试验组躯干旋转角度明显低于治疗前(P<0.05),而对照组无显著差异(P>0.05);试验组躯干旋转角度明显低于对照组(P<0.05);③治疗24周后,试验组三维超声成像椎板中心法角度明显减小(P<0.05),而对照组无显著差异(P>0.05);试验组三维超声成像椎板中心法角度明显低于对照组(P<0.05);④治疗24周后,在生活质量上,试验组的疼痛维度评分显著增高(P<0.05),试验组和对照组的自我形象维度评分均较治疗前显著增高(P<0.05),两组的心理健康维度评分较治疗前显著降低(P<0.05);疼痛、自我形象、心理健康和满意度维度评分,试验组均明显高于对照组(P<0.05);⑤提示Schroth疗法联合核心力量训练能改善轻度青少年特发性脊柱侧凸患者的主弯Cobb角、顶椎偏距、颈椎前凸角,降低躯干旋转角度,减少三维超声成像角度,提高生活质量,对轻度青少年特发性脊柱侧凸治疗有效。BACKGROUND:The definitive cause of adolescent idiopathic scoliosis is not yet known.The search for a clinical approach to address adolescent idiopathic scoliosis is imminent.OBJECTIVE:To investigate the effect of Schroth therapy combined with core strength training on mild adolescent idiopathic scoliosis and to provide more bases for the clinical treatment of mild adolescent idiopathic scoliosis.METHODS:110 patients with mild adolescent idiopathic scoliosis attending the Department of Rehabilitation Medicine and Department of Spine Surgery of Affiliated Hospital of Nantong University from July 2022 to January 2024 were selected as the study subjects.They were divided into the trial group and the control group according to the wishes of the patients and their parents,with 55 cases in each group.The control group was observed and followed up,and the trial group underwent Schroth therapy combined with core strength training for 45 minutes a day for 24 weeks.The differences in imaging parameters,body surface indexes,three-dimensional ultrasound imaging angle,and quality of life were compared between the two groups before and after treatment.RESULTS AND CONCLUSION:(1)At 24 weeks after treatment,major curve Cobb,apical vertebral translation,and cervical lordosis were significantly improved in the trial group(P<0.05),while there was no significant difference in the control group(P>0.05).Major curve Cobb and apical vertebral translation in the trial group were significantly better than those in the control group(P<0.05).(2)At 24 weeks after treatment,angle of trunk rotation in the trial group was significantly lower than that before treatment(P<0.05),while there was no significant difference between before and after treatment in the control group(P>0.05),and angle of trunk rotation in the trial group was significantly lower than that of the control group(P<0.05).(3)At 24 weeks after treatment,the center of laminae angle of three-dimensional ultrasound imaging was significantly reduced in the trial group(P<0.05),while the

关 键 词：青少年特发性脊柱侧凸 Schroth疗法 核心力量训练 三维超声成像 生活质量 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学] R493