摘要
目的比较2种不同类型的运动方式对青少年脊柱侧凸患者的疗效评价。方法纳入2022年1~12月期间脊柱侧弯康复治疗患儿。随机分为2组,其中施罗特和核心组(n=27),家庭运动干预组(n=16)。2组均进行每周2 d,每次1 h练习。治疗期间对身高、体重、BIM、Cobb角、躯干旋转度(脊柱侧凸测量仪)、胸廓扩张(cm)连续疗效评价。结果2022年脊柱侧弯患者康复治疗12个月施罗特和核心组在躯干旋转角右胸段、躯干旋转角左腰段和胸廓扩张度间差异均有统计学意义(P<0.05),家庭运动干预组躯干旋转角左腰段和胸廓扩张度间差异均有统计学意义(P<0.05)。结论运动疗法联合支具对轻、中度脊柱侧弯的躯干旋转度、胸廓扩张均有改善作用,且早发现、早干预,疗效越好。施罗特和核心组运动疗法优于家庭运动干预组。运动疗法对脊柱侧弯躯干旋转角度有一定的影响。
Objective To evaluate the efficacy of two different types of exercise in adolescent patients with scoliosis.Methods 43 children who received rehabilitation treatment for scoliosis from January to December 2022 were included in this study and randomly divided into 2 groups,including Schroth and core group(n=27)and home exercise intervention group(n=16).Both groups exercised for 1 hour,2 days a week.Height,weight,BIM,cobb angle,trunk rotation(scoliosis meter),and thoracic expansion(cm)were continuously evaluated for efficacy during treatment.Results After 12 months of rehabilitative treatment for patients with scoliosis,there were statistical significance between the trunk rotation angles in right thoracic segment and left lumbar segment,and thoracic expansion in Schroth and core group(P<0.05),and there were statistical significance between the trunk rotation angle of left lumbar segment and thoracic expansion in the home exercise intervention group(P<0.05).Conclusion Exercise therapy combined with bracing improved trunk rotation and thoracic expansion in mild and moderate scoliosis,and the earlier the detection and intervention,the better the curative effect.The Schroth and core group exercise therapy was superior to the home exercise intervention.Exercise therapy has an effect on trunk rotation angle in scoliosis.
作者
李彬
莫军
高明珠
吴会东
LI Bin;MO Jun;GAO Mingzhu;WU Huidong(Dept.of Pediatric Rehabilitation,People’s Hospital of Kaiyuan,Kaiyuan Yunnan 661600;Third Affiliated Hospital and School of Clinical Oncology,Kunming Medical University,Kunming Yunnan 650118;School of Rehabilitation,Kunming Medical University,Kunming Yunnan 650500,China)
出处
《昆明医科大学学报》
CAS
2023年第6期59-63,共5页
Journal of Kunming Medical University
基金
云南省科学技术厅基础研究计划专项-青年项目(202201AU070165)。
