正骨推拿牵引治疗青少年特发性脊柱侧凸的疗效评估OA

Objective:To analyze the efficacy and clinical value of osteopathic manipulation combined with traction therapy in adolescents with idiopathic scoliosis(AIS).Methods:From September 2021 to March 2024,70 adolescents with idiopathic scoliosis were enrolled and randomly divided into a control group and an observation group(n=35 each)using a random number table method.The control group received a combination of single traction therapy and the selection of an appropriate orthopedic brace based on the patient's scoliosis apex position,with a daily wearing time of more than 21 hours.Simultaneously,during traction therapy,a lumbar traction bed was used for horizontal traction along the longitudinal axis of the body,with a traction force of 1/2 of the patient's body weight,once a day for 15 minutes,for a continuous treatment period of 3 months.The observation group received,in addition to the control group's treatment,combined orthopedic manipulation therapy twice a week,also for a continuous treatment period of 3 months.Clinical indicators such as Cobb angle,trunk displacement,apical vertebral rotation,and quality of life scores were compared before and after treatment,and clinical efficacy was evaluated.Results:Before treatment,there was no significant difference in the baseline levels of core biomechanical indexes,functional biomechanical indexes,and health-related quality of life scores between the two groups(P>0.05).After treatment,in terms of core biomechanics,the improvement of Cobb angle,trunk displacement,and apical vertebral rotation in the observation group was significantly better than that in the control group(P<0.05).In terms of functional activity,the lumbar flexion and extension activities of the two groups were improved,and the activity of the observation group increased more significantly(P<0.05).The scores of health-related quality of life in the two groups showed different degrees of improvement(P<0.05),and the improvement of the five dimensions in the observation group was significantly better than that in the control group(P<0.05).After treatment,the total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion:The overall therapeutic effect of orthopedic manipulation combined with traction is significant,which can significantly improve the clinical indicators of adolescent idiopathic scoliosis patients and enhance their health-related quality of life,with prominent clinical application value.