Schroth疗法联合关节突关节松解治疗青少年脊柱侧弯的临床研究OA
Effectiveness of Schroth Therapy Combined with Facet Joint Release in the Treatment of Adolescent Idiopathic Scoliosis
目的:评估Schroth疗法联合关节突关节松解在青少年特发性脊柱侧弯(AIS)治疗中的临床效果及协同作用.方法:选择2023年5月～2024年8月本院收治的60例青少年特发性脊柱侧弯(AIS)患者作为研究对象,采用计算机随机分为观察组和对照组各30例.对照组采用Schroth疗法,观察组则在Schroth疗法基础上联合关节突关节松解,比较两组患者治疗前后的Cobb角、脊柱旋转角度(ATR)、SRS-22问卷及肺功能.结果:治疗后,两组患者ATR及Cobb角均较治疗前降低,且观察组ATR值及Cobb角均低于对照组,差异均有统计学意义(P<0.05).两组患者SRS-22问卷中自我形象、功能状况、疼痛和心理健康四个方面均有不同程度的好转,且观察组在自我形象、功能状况和心理健康三个方面的缓解程度显著大于对照组,差异均有统计学意义(P<0.05),但两组患者在疼痛方面的改善差异无统计学意义(P>0.05).治疗后,两组患者肺功能均有不同程度的好转,且观察组VC、FVC、FEV1均高于对照组,差异均有统计学意义(P<0.05),两组FEV1/FVC值差异则无统计学意义(P>0.05).结论:Schroth疗法联合关节突关节松解不仅可以显著减小AIS患者的Cobb角和ATR,增强肺功能和脊柱功能,并且对于改善AIS患者的自我形象和心理有很大的益处.
Objective:To investigate the clinical efficacy and synergistic effect of Schroth therapy combined with facet joint release on adolescent idiopathic scoliosis(AIS).Methods:From May 2023 to August 2024,60 patients with adolescent idiopathic scoliosis(AIS)admitted to our hospital were selected as the study subjects,who were randomly divided into an observation group and a control group,with 30 patients in each group.The control group received Schroth therapy,while the observation group underwent Schroth therapy combined with facet joint release.The Cobb angle,angle of trunk rotation(ATR),SRS-22 questionnaire scores,and pulmonary function were compared between the two groups before and after treatment.Results:After treatment,both groups showed a decrease in ATR and Cobb angle compared to before treatment,with the observation group having lower ATR value and Cobb angle than the control group,and the differences were statistically significant(P<0.05).Both groups showed varying degrees of improvement in self-image,function status,pain,and mental health on the SRS-22 questionnaire,with the observation group experiencing significantly greater relief in self-image,function status,and mental health than the control group,and the differences were statistically significant(P<0.05).However,there was no statistically significant difference in pain improvement between the two groups(P>0.05).After treatment,both groups showed varying degrees of improvement in pulmonary function,with the observation group having higher VC,FVC,and FEV1 values than the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in FEV1/FVC values between the two groups(P>0.05).Conclusion:The combination of Schroth therapy and facet joint release can not only significantly reduce the Cobb angle and ATR in patients with AIS,and enhance pulmonary function and spinal function,but also greatly benefit patients with AIS in terms of improving their self-image and psychological state.
周甜甜;苏文杰;连松勇
泉州医学高等专科学校,福建 泉州 362100中国人民解放军联勤保障部队第九一〇医院,福建 泉州 362000中国人民解放军联勤保障部队第九一〇医院,福建 泉州 362000
医药卫生
青少年特发性脊柱侧弯Schroth疗法关节突关节松解Cobb角脊柱旋转角度生活质量
adolescent idiopathic scoliosisSchroth therapyfacet joint releaseCobb angleangle of trunk rotationquality of life
《中医康复》 2026 (7)
34-39,6
泉州市医疗卫生领域指导性科技计划项目(2022N007S)中国人民解放军联勤保障部队第九一〇医院院级课题(910YK202303)
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