摘要
目的 探讨三维平衡正脊手法联合脊柱稳定性训练在青少年特发性脊柱侧弯中的应用效果,以期为临床治疗提供参考。方法 本研究选取2023年1月-2024年12月收治的102例青少年特发性脊柱侧弯患者进行研究。对照组患者接受常规治疗及脊柱稳定性训练指导。研究组患者在对照组操作基础上联合三维平衡正脊手法治疗。2组患者均干预4周。比较2组患者治疗前后Cobb角、骨盆倾斜角、腰椎前屈和后伸肌力、腰椎前屈和后伸活动度;比较2组患者疗效。结果研究组患者治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,2组患者Cobb角及骨盆倾斜角比较,差异无统计学意义(P>0.05)。治疗后,2.组患者Cobb角及骨盆倾斜角小于治疗前,且研究组小于对照组,差异均有统计学意义(P<0.05)。治疗前,2组患者前屈、后伸肌力及前屈、后伸活动度比较,差异无统计学意义(P>0.05)。治疗后,2组患者前屈、后伸肌力及前屈、后伸活动度大于治疗前,且研究组大于对照组,差异均有统计学意义(P<0.05)。治疗前,2组患者脊柱侧凸研究学会22项量表(SRS-22)中功能活动、疼痛、自我形象及心理状况评分比较,差异无统计学意义(P>0.05)。治疗后,2组患者SRS-22中功能活动、疼痛、自我形象及心理状况评分均高于治疗前,且研究组高于对照组,差异均有统计学意义(P<0.05)。结论 三维平衡正脊手法联合脊柱稳定性训练通过结构矫正与功能重塑的协同作用,显著改善了青少年特发性脊柱侧弯患者的脊柱形态、腰椎功能及生活质量,值得临床推广应用。
Objective To explore the clinical effect of three-dimensional balance spinal manipulation combined with spinal stability training in adolescents with idiopathic scoliosis,with the aim of providing a reference for clinical treatment.Methods This study selected 102 adolescents with idiopathic scoliosis treated between January 2023 and December 2024.The control group received conventional treatment and spinal stability training guidance.The study group received three-dimensional balance spinal manipulation in addition to the treatment in the control group.Both groups underwent 4 weeks of intervention.The Cobb angle,pelvic tilt angle,lumbar flexion and extension muscle strength,and lumbar flexion and extension range of motion before and after treatment were compared between the two groups.The clinical effectiveness of both groups was also compared.Results The overall response rate of treatment in the study group was significantly higher than in the control group(P<0.05).Before treatment,no significant differences were found between the two groups in Cobb angle and pelvic tilt angle(P>0.05).After treatment,both groups showed a reduction in Cobb angle and pelvic tilt angle,and the study group had a smaller angle compared to the control group,with statistically significant differences(P<0.05).Before treatment,no significant differences were noted between the two groups in flexion and extension muscle strength or range of motion(P>0.05).After treatment,both groups showed improvements in flexion and extension muscle strength and range of motion,with the study group outperforming the control group,and the differences were statistically significant(P<0.05).Before treatment,no significant differences were observed in the Scoliosis Research Society-22(SRS-22)scores for functional activities,pain,self-image,and mental health between the two groups(P>0.05).After treatment,the SRS-22 for functional activities,pain,self-image,and mental health subscales were all higher than before treatment,with the study group scoring higher than the control group,and the differences were statistically significant(P<0.05).Conclusion The combination of three-dimensional balance spinal manipulation and spinal stability training significantly improves the spinal morphology,lumbar function,and quality of life in adolescents with idiopathic scoliosis through the synergistic effect of structural correction and functional remodeling,warranting clinical promotion and application.
作者
张怡
肖蕾
朱凡
赵焕
谷媛媛
何照照
邢军
Zhang Yi;Xiao Lei;Zhu Fan;Zhao Huan;Gu Yuanyuan;He Zhaozhao;Xing Jun(Department of Rehabilitation Medicine,The 983rd Hospital of Joint Logistics Support Force of Chinese People's Liberation Army,Tianjin 300000,China;General Administrative Office,Tianjin Pharmaceutical Profession Association,Tianjin 300000,China)
出处
《保健医学研究与实践》
2025年第8期103-108,共6页
Health Medicine Research and Practice
基金
天津市卫生健康委员会科技项目(TJWJ2023MS070)。
关键词
三维平衡正脊手法
脊柱稳定性训练
青少年特发性脊柱侧弯
Three-dimensional balance spinal manipulation
Spinal stability training
Adolescent idiopathic scoliosis
