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投稿时间：2021-01-31 网络发布日期：2021-09-20
投稿时间：2021-01-31 网络发布日期：2021-09-20
中文摘要: 目的 观察物理治疗脊柱侧弯特定运动（PSSE）对轻度青少年特发性脊柱侧凸（AIS）的治疗效果。方法 回顾性分析2018年10月至2019年10月天津市天津医院康复科接受PSSE疗法干预的轻度AIS 44例患者的临床资料。分别对患者治疗前后的Cobb角、椎体旋转角度（ATR）、Nash-Moe椎体旋转度数、Oswestry功能障碍指数问卷表（ODI）进行评定，观察并分析治疗效果。结果 44例AIS患者经PSSE疗法治疗24周后，Cobb角度［（18.77±4.64）° vs（10.75±4.40）°，t＝10.517, P<0.01］及ATR［（8.43±2.16）° vs（5.09±1.25）°，t＝11.084, P<0.01］ 较治疗前均有显著改善;椎体旋转程度的Nash-Moe分级治疗后（0度18例，Ⅰ度22例，Ⅱ度4例，Ⅲ度0例）较治疗前（0度0例，Ⅰ度7例，Ⅱ度33例，Ⅲ度4例）显著降低（Z＝7.085，P<0.01）;ODI评分较治疗前显著下降［（39.82±4.80）分vs（17.70±5.25）分，t＝20.603，P<0.01］。结论 PSSE可稳定并改善轻度 AIS 的进展，是轻度AIS患者更加科学化、合理化的治疗方法。
Abstract:Objective To observe the therapeutic effect of physical therapy scoliosis-specific exercise (PSSE) on the mild adolescent idiopathic scoliosis (AIS). Methods A retrospective analysis was performed on the clinical data of 44 patients with mild AIS admitted to Rehabilitation Department of Tianjin Hospital for PSSE therapy from October 2018 to October 2019. Before and after treatment, Cobb angle, angle of trunk rotation (ATR), the degree of vertebral rotation (measured with Nash-Moe method) and Oswestry disability index(ODI) questionnaires were evaluated, and the therapeutic effects were observed and analyzed. Results After 24 weeks of PSSE treatment, Cobb angle ［(18.77±4.64)° vs (10.75 ± 4.40) °, t=10.517, P<0.01］ and ATR ［(8.43 ± 2.16) ° vs (5.09 ± 1.25) °, t=11.084, P<0.01］ were significantly improved compared with those before treatment. Compared with that before treatment (0 case of degree 0, 7 cases of degree Ⅰ, 33 cases of degree Ⅱ, and 4 cases of degree Ⅲ) ,the Nash-Moe classification of vertebral rotation degree after treatment (18 cases of degree 0, 22 case of degree Ⅰ, 4 cases of degree Ⅱ, and 0 cases of degree Ⅲ) was significantly decreased (Z=7.085, P<0.01). ODI score significantly decreased compared with that before treatment (17.70±5.25 vs 39.82±4.80, t =20.603, P =0.01). Conclusion PSSE can stabilize and improve mild AIS, and it′s a more scientific and reasonable treatment method for mild AIS.
keywords: Scoliosis, idiopathic Adolescent Physical therapy scoliosis-specific exercise Breathing training Conservative treatment Angle of trunk rotation
文章编号： 中图分类号： 文献标志码：B
基金项目:天津市卫生健康委员会科研项目（ZC20221）
附件
| Author Name | Affiliation |
| MA Si-ming*, WANG Lian-cheng, DU Liang-bo, DONG Jia-xing, WANG Shuai, ZHANG Ya-jie, YUAN Zi-nan, HU Li-jie | *Rehabilitation Department, Tianjin Hospital, Tianjin 300202, China |
引用文本：
马偲铭,王连成,杜良波,等.物理治疗脊柱侧弯特定运动对轻度青少年特发性脊柱侧凸的康复疗效[J].中国临床研究,2021,34(9):1240-1244.
马偲铭,王连成,杜良波,等.物理治疗脊柱侧弯特定运动对轻度青少年特发性脊柱侧凸的康复疗效[J].中国临床研究,2021,34(9):1240-1244.