颈腰痛杂志2024,Vol.45Issue(1) :87-91.DOI:10.3969/j.issn.1005-7234.2024.01.018

Schroth康复锻炼计划对特发性脊柱侧凸青少年患者脊柱和足部的矫正效果

Effect of Schroth rehabilitation exercise program on alignment of spine and foot in adolescent patients with idiopathic scoliosis

孙岩 张雅萍 孙运强 唐帅
颈腰痛杂志2024,Vol.45Issue(1) :87-91.DOI:10.3969/j.issn.1005-7234.2024.01.018

Schroth康复锻炼计划对特发性脊柱侧凸青少年患者脊柱和足部的矫正效果

Effect of Schroth rehabilitation exercise program on alignment of spine and foot in adolescent patients with idiopathic scoliosis

孙岩 1张雅萍 1孙运强 1唐帅1
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作者信息

  • 1. 解放军联勤保障部队第九六七医院软伤科,辽宁 大连 116011
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摘要

目的 探讨Schroth康复锻炼计划对特发性脊柱侧凸(idiopathic scoliosis,IS)青少年患者脊柱和足部的矫正效果.方法 选择2019 年 1 月~2020 年 12 月在该院接受康复治疗的47 例IS患者作为研究对象,患者均采用Schroth康复锻炼.观察患者干预前后侧凸Cobb角、Adam向前弯曲测试(Adam Test)、腰椎前凸角和跟骨外翻角.结果 干预后,患者Cobb角、Ad-am Test结果、腰椎前凸角、左侧跟骨外翻角、右侧跟骨外翻角均较干预前显著减小(P<0.05);亚组分析显示,侧凸 10~19°组和侧凸20~29°组患者干预后Cobb角、Adam Test结果、腰椎前凸角、左侧跟骨外翻角、右侧跟骨外翻角均较干预前显著减小(P<0.05),但2 个亚组患者Cobb角、Adam Test结果、腰椎前凸角、左侧跟骨外翻角、右侧跟骨外翻角的变化差值差异无统计学意义(P<0.05).结论 Schroth康复锻炼计划治疗IS 可有效改善侧凸、Adam Test结果、腰椎前凸和跟骨外翻,不同侧凸Cobb角的患者均可从锻炼中获益,该康复方案是治疗IS的有效方法.

Abstract

Objective To investigate the effect of Schroth rehabilitation exercise program on the alignment of spine and foot in ado-lescent patients with idiopathic scoliosis(IS).Methods Forty-seven patients who received rehabilitation treatment in our hospital from January 2019 to December 2020 were selected as the research object.The patients were treated with Schroth rehabilitation exer-cise.Cobb angle,Adam test,lumbar lordosis angle and calcaneal valgus angle were observed before and after intervention.Results The Cobb angle,Adam Test results,lumbar lordosis angle,left calcaneal valgus angle and right calcaneal valgus angle of patients after intervention were significantly lower and smaller than those before intervention(P<0.05).Subgroup analysis showed that Cobb angle,Adam Test results,lumbar lordosis angle,left calcaneus valgus angle and right calcaneus valgus angle of patients in the 10-19°and 20-29°groups with lateral convexity were significantly lower and smaller than those before intervention(P<0.05).However,there was no significant difference in Cobb angle,Adam Test results,lumbar lordosis angle,left calcaneal valgus angle and right calcaneal valgus angle between the two subgroups(P<0.05).Conclusion Schroth rehabilitation exercise program can improve scoliosis,Ad-am Test results,lumbar lordosis and calcaneus valgus by treating IS.Patients with different Cobb angles can benefit from exercise,which is an effective method for treating IS.

关键词

青少年/特发性脊柱侧凸/脊柱畸形/Schroth康复训练/跟骨外翻角

Key words

teenagers/idiopathic scoliosis/spinal deformities/Schroth rehabilitation training/calcaneal valgus angle

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出版年

2024
颈腰痛杂志
安徽医科大学

颈腰痛杂志

CSTPCD
影响因子:1.006
ISSN:1005-7234
参考文献量9
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