骨盆手法结合旋转呼吸训练改善胸椎侧弯旋转度的临床观察OA
Clinical Observation on the Improvement of Thoracic Scoliosis Rotation Degree through Pelvic Manipulation Combined with Rotational Breathing Training
目的:观察骨盆矫正手法合并旋转呼吸训练改善胸椎侧弯旋转度的临床疗效.方法:将符合纳入标准的60例胸椎侧弯患者随机分为观察组和对照组各30例,观察组采用骨盆矫正手法合并旋转呼吸训练,对照组进行Schroth运动训练.两组治疗均为每周3次,每次1h,共治疗8周.比较两组患者的临床疗效以及治疗前后脊柱侧弯Cobb角、躯干旋转角度(ATR)、视觉模拟疼痛评分(VAS)的改善程度.结果:治疗后,观察组VAS评分、ATR角、呼吸肌功能与肺功能改善程度均优于对照组(P<0.05);治疗后,两组患者Cobb角均较治疗前改善(P<0.05),但组间比较差异无统计学意义(P>0.05);两组总有效率均为96.67%,差异无统计学意义(P>0.05).结论:骨盆手法结合旋转呼吸训练可有效矫正胸椎侧弯患者的Cobb角、ATR角,阻止胸椎侧弯病程的进展,改善肺功能,缓解疼痛,提高患者的生活质量.
Objective:To observe the clinical efficacy of pelvic correction manipulation combined with rotational breathing training in improving the rotational degree of thoracic scoliosis.Methods:Sixty patients with thoracic scoliosis who met the inclusion criteria were randomly divided into observation group(n=30)and control group(n=30),the observation group received pelvic correction manipulation combined with rotational breathing training,while the control group underwent Schroth exercise training.Both groups received treatment three times per week,lasting for one hour each time,for a total of 8 weeks.The clinical efficacy and Cobb angle of spinal curvature,angle of trunk rotation(ATR),and visual analog scale(VAS)scores were compared before and after treatment in both groups.Results:After treatment,the observation group showed superior improvements in VAS scores,ATR angles,respiratory muscle function,and lung function compared to the control group(P<0.05).Both groups exhibited improvements in Cobb angles after treatment compared to before treatment(P<0.05),but there was no statistically significant difference between the groups(P>0.05).The overall effective rate of both groups was 96.67%,with no statistically significant difference(P>0.05).Conclusion:Pelvic manipulation combined with rotational breathing training can effectively correct the Cobb angle and ATR angle in patients with thoracic scoliosis,prevent the progression of thoracic scoliosis,improve lung function,alleviate pain,and enhance the life quality of patients.
梁恩龙;唐玉萍;莫雪梅;卢尚波;孟林
广西骨伤医院,广西 南宁 530012广西骨伤医院,广西 南宁 530012广西骨伤医院,广西 南宁 530012广西骨伤医院,广西 南宁 530012广西骨伤医院,广西 南宁 530012
医药卫生
胸椎侧弯骨盆矫正手法旋转呼吸训练Schroth运动训练Cobb角躯干旋转角度肺功能
thoracic scoliosispelvic correction manipulationrotational breathing trainingSchroth exercise trainingCobb angleangle of trunk rotationlung function
《中医康复》 2026 (6)
24-30,7
广西壮族自治区中医药自筹经费科研课题(GXZYA20220015)国家中医药管理局、国家卫生健康委员会中西医协同"旗舰"科室建设项目(国中医药综结合函[2024]221号,序号:385)
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