首页|超声下探究功能性训练对青少年特发性脊柱侧弯患者脊柱周围肌肉形态的影响

超声下探究功能性训练对青少年特发性脊柱侧弯患者脊柱周围肌肉形态的影响

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目的 应用超声检测顶锥周围肌肉厚度变化探讨 1个月的功能性训练对青少年特发性脊柱侧弯(AIS)患者脊柱周围肌肉形态的影响.方法 选取昆明市中医医院康复科 2022 年 8 月—2023 年 3 月收治的 30 例AIS患者为研究对象,进行 1个月的功能性训练,治疗前、后均测量Cobb角,通过超声检测顶锥周围肌肉厚度,比较治疗前后的变化情况.结果 训练 1 个月后,30 例患者的顶锥左、右侧肌群厚度均厚于训练前,左右两侧肌肉厚度差小于训练前,差异有统计学意义(P<0.05);30 例患者的Cobb角小于训练前,差异无统计学意义(P>0.05).结论 1 个月的功能训练可增加AIS患者脊柱左右两侧肌肉厚度,缩小左右两侧肌肉厚度差,改善AIS患者脊柱周围肌肉形态;脊柱周围肌肉形态检测配合脊柱全长片对脊柱侧弯的早期治疗具有指导意义.
Effect of Functional Training on Spinal Muscle Morphology in Adolescent Ptients with Idiopathic Scoliosis under Ultrasound
Objective To investigate the effect of functional training for 1 month on the shape of the muscles around the spine in adolescent patients with idiopathic scoliosis(AIS).Methods Thirty AIS patients admitted to the Rehabilitation Department of Kunming Municipal Hospital of Traditional Chinese Medicine from August 2022 to March 2023 were selected as the study subjects.Functional training was performed for 1 month.The Cobb Angle was measured before and after treatment,and the muscle thickness around the top cone was detected by ultrasound.Results After 1 month of training,the thickness of the left and right muscle groups of the top cone in 30 patients was thicker than before training,and the difference between the left and right muscle thickness was smaller than before training,the difference was statistically significant(P<0.05);the Cobb Angle of 30 patients was lower than before training,and the difference was not statistically significant(P>0.05).Conclusion 1 month functional training can increase the muscle thickness of the left and right sides of the spine in AIS patients,reduce the thickness difference between the left and right sides of the muscle,and improve the shape of the muscle around the spine in AIS patients.The detection of muscle morphology around the spine combined with the full-length spine film is of guiding significance for the early treatment of scoliosis.

Adolescent idiopathic scoliosisFunctional trainingMuscle morphology

宋艳萍、陈奇刚、黄丽、陈红波、姚娜

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昆明市中医医院康复科,云南昆明 650011

青少年特发性脊柱侧弯 功能性训练 肌肉形态

昆明市卫生健康委员会卫生科研课题

2022-1101-004

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(9)
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