大脑学习训练法对Lenke 1型青少年特发性脊柱侧凸的临床效果评估OA

Objective:To investigate the application of Brain Learning Training Method(BLTM)in the non-surgical treat-ment of Lenke type 1 adolescent idiopathic scoliosis(AIS),and to evaluate the comprehensive effects of BLTM on spinal struc-ture,posture aesthetics,and quality of life in patients with AIS.Methods:A prospective study enrolled 50 patients with Lenke type 1 AIS who underwent BLTM intervention from February to August 2025.The training content included spine extension con-trol,respiratory pattern reconstruction,and multi-channel sensory feedback.By comparing the spinal imaging parameters,posture aesthetic indicators,and quality of life scores of AIS patients before and at the last follow-up,the intervention effect was compre-hensively evaluated.Results:After BLTM intervention,the Cobb angle of the main thoracic curve decreased from 29.14°±9.28° to 22.69°±9.23°(P<0.01),and the lumbar lordosis angle(LL)decreased from 45.60°±8.60°to 39.33°±8.16°(P<0.01).The pelvic inciclence-lunbar lordosis(PI-LL)increased from 0.58°±9.31°to 7.62°±6.04°(P<0.01),and the sagittal vertical axis(SVA)increased from(0.15±2.97)cm to(3.11±2.76)cm(P<0.01).In terms of body aesthetics,trunk rotation angle(ATR)decreased from 5.45°±3.15°to 2.88°±2.41°(P<0.01),and median shoulder area index 2(SAI2)decreased from 98.62%to 92.54%(P=0.049).Quality of life assessment showed that the VAS pain score decreased from 2.90±2.07 to 1.49±1.15(P<0.01),and the total score of SRS-22 increased from 3.74±0.47 to 3.97±0.39(P<0.01).Conclusion:BLTM training can improve coronal deformity and trunk rotation in AIS patients in the short term,and enhance body perception,self-image,and psychological well-being.However,sagittal balance showed a trend of forward movement and decreased shoulder area index percentage during the training,suggesting that the recovery of external morphology and visual symmetry may not occur synchronously.This method has application value in the non-surgical management of AIS,but its multidimensional comprehensive effects should be carefully considered in clinical decision-making.