施罗斯疗法联合普拉提训练在青少年特发性脊柱侧弯康复治疗中的应用  

Application of Schloss therapy combined with Pilates training in rehabilitation treatment of adolescent idiopathic scoliosis

作　　者：何晓沛 田秋慧[1] 任麦青 邱明明 HE Xiao-pei;TIAN Qiu-hui;REN Mai-qing;QIU Ming-ming(Department of Children's Rehabilitation,Zhengzhou Central Hospital,Zhengzhou 450000,Henan,CHINA;Department of Children's Health Care and Rehabilitation,Zhumadian Traditional Chinese Medicine Hospital,Zhumadian 463000,Henan,CHINA)

机构地区：[1]郑州市中心医院儿童康复科,河南郑州450000 [2]驻马店市中医院儿童保健康复科,河南驻马店463000

出　　处：《海南医学》2024年第23期3383-3387,共5页Hainan Medical Journal

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20200426)。

摘　　要：目的研究施罗斯疗法联合普拉提训练在青少年特发性脊柱侧弯(AIS)康复治疗中的应用效果。方法选择2020年1月至2024年4月郑州市中心医院收治的81例AIS患者作为研究对象,按随机数表法分为对照组41例和研究组40例,对照组患者采用施罗斯疗法治疗,研究组患者在对照组基础上联合普拉提训练,均持续治疗3个月。治疗3个月后,比较两组患者的疗效,以及治疗前、治疗3个月后的Cobb角、脊柱旋转角度(ATR),并采用脊柱侧凸研究会22修订问卷(SRS-22)评价两组患者治疗前、治疗3个月后的生活质量。结果治疗3个月后,研究组患者的总有效率为97.50%,明显高于对照组的65.85%,差异有统计学意义(P<0.05);治疗前,两组患者的Cobb角、ATR及SRS-22评分比较差异均无统计学意义(P>0.05);治疗3个月后,两组患者的Cobb角、ATR较治疗前均缩小,且研究组患者的Cobb角、ATR分别为(10.49±2.48)°、(13.57±2.94)°,明显小于对照组的(13.57±2.94)°、(6.03±0.85)°,差异均有统计学意义(P<0.05);治疗3个月后,两组患者的SRS-22评分较治疗前均增加,且研究组患者的SRS-22评分为(76.53±8.60)分,明显高于对照组的(62.36±7.93)分,差异均有统计学意义(P<0.05)。结论施罗斯疗法联合普拉提训练能够提高AIS患者的康复效果,促进Cobb角度及ATR改善,减轻患者疼痛,提高其生活质量。Objective To study the application effect of Schloss therapy combined with Pilates training in the rehabilitation of adolescent idiopathic scoliosis(AIS).Methods Eighty-one AIS patients admitted to Zhengzhou Central Hospital from January 2020 to April 2024 were selected and randomly divided into a control group of 41 cases and a study group of 40 cases using a random number table method.Patients in the control group were treated with Schroder therapy,while those in the study group were treated with Pilates training in addition to the treatment in the control group,all for 3 months.After 3 months of treatment,the efficacy of the two groups was compared,as well as the Cobb angle and angle of trunk rotation(ATR)before and after treatment,and the quality of life of the two groups was evaluated by using the Scoliosis Research Society-22(SRS-22)questionnaire before and after treatment.Results After 3 months of treatment,the total effective rate of the study group was 97.50%,which was significantly higher than the control group's 65.85%(P<0.05).Before treatment,there was no statistically significant difference in Cobb angle,ATR,and SRS-22 scores between the two groups(P>0.05).After 3 months of treatment,the Cobb angle and ATR of both groups of patients decreased compared to those before treatment,and the Cobb angle and ATR of the study group were(10.49±2.48)°and(13.57±2.94)°,respectively,which were significantly lower than(13.57±2.94)°and(6.03±0.85)°of the control group,with statistically significant differences(P<0.05).After 3 months of treatment,the SRS-22 scores of both groups increased compared to those before treatment,and the SRS-22 score of the study group was(76.53±8.60)points,which was significantly higher than(62.36±7.93)points of the control group,with statistically significant differences(P<0.05).Conclusion Schloss therapy combined with Pilates training can improve the rehabilitation effect of AIS patients,promote the improvement of Cobb angle and ATR,relieve the patients'pain,and improve their qua

关 键 词：青少年 特发性脊柱侧弯 施罗斯矫正 普拉提 COBB角 

分 类 号：R682.3[医药卫生—骨科学]