青少年特发性脊柱侧凸康复诊疗指南(2024版)  

Guideline for rehabilitation assessment and treatment of adolescent idiopathic scoliosis(2024 edition)

作　　者：中华医学会物理医学与康复学分会 何成奇[2] 仉建国[3] 俞杭平 王谦[5] 余可谊[6] 李子全[6] Chinese Society of Physical Medicine and Rehabilitation;He Chengqi;Zhang Jianguo;Yu Hangping(不详;Rehabilitation Medicine Center,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Orthopedics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;School of Medicine,Shanghai Institute for Advanced Study,Zhejiang University,Hangzhou 310058,China)

机构地区：[1]不详 [2]四川大学华西医院康复医学中心,成都610041 [3]中国医学科学院北京协和医院骨科,北京100730 [4]浙江大学医学院、浙江大学上海高等研究院,杭州310058 [5]四川大学华西医院康复医学中心 [6]中国医学科学院北京协和医院骨科

出　　处：《中华医学杂志》2024年第39期3647-3660,共14页National Medical Journal of China

基　　金：国家重点研发计划(2023YFC2507700);北京市自然科学基金-海淀原始创新联合基金(L232022)。

摘　　要：脊柱侧凸是一种复杂的脊柱三维畸形,影响青少年脊柱的健康生长发育,造成家庭和社会的沉重负担。根据脊柱侧凸的治疗原则,大部分青少年特发性脊柱侧凸(AIS)需要康复干预。目前,我国AIS康复尚缺乏科学、循证而规范的评估和治疗方法。因此,为促进我国AIS康复诊疗的规范化,中华医学会物理医学与康复学分会组织国内康复医学科、骨科、小儿外科、放射科、循证医学等多学科领域专家,遵循科学性、安全性、有效性和先进性原则,采用推荐意见分级的评估、制定及评价(GRADE)方法和卫生实践指南报告标准(RIGHT),遴选出8类19条推荐意见。通过证据检索、评价以及确立推荐意见方向和强度等步骤,最终形成19条推荐意见,涉及AIS的筛查、康复评估和康复治疗。Scoliosis is a complex three-dimensional deformity of the spine that affects the growth of the spine in adolescent,leading to a heavy burden on families and society.According to the guidelines for the treatment of scoliosis,most adolescent idiopathic scoliosis(AIS)requires rehabilitative intervention.So far there has been a lack of scientific,evidence-based,and standardized rehabilitation assessment and treatment for AIS in China.Therefore,in order to promote the standardization of rehabilitation assessment and treatment for AIS,Chinese Society of Physical Medicine and Rehabilitation organized the domestic experts in multiple disciplines such as rehabilitation medicine,orthopedics,pediatric surgery,radiology,evidence-based medicine,etc.,who has conformed to the principles of scientificity,safety,efficacy and advancement to propose the 19 recommendations of 8 categories using the Grading of Recommendations Assessment,Development and Evaluation(GRADE)and Reporting Items for Practice Guidelines in Healthcare(RIGHT).Through the steps of literature search,evaluation,and establishment of direction and intensity of recommendation opinions,19 recommendations were formed,involving AIS screening,assessment and treatment.

关 键 词：脊柱侧凸 青少年特发性脊柱侧凸 康复 评估 治疗 指南 

分 类 号：R47[医药卫生—护理学]