核心肌群训练纠正轻度青少年特发性脊柱侧弯
Core muscle training to correct mild adolescent idiopathic scoliosis
王开乐 1周佳华 1李佳佳 1周纪平 1孙秀琛 1刘永强 1张洪翠1
作者信息
- 1. 山东省文登整骨医院,山东威海 264400
- 折叠
摘要
[目的]探讨核心肌群训练对轻度青少年特发性脊柱侧弯患者平衡的短期疗效.[方法]收集并分析2021年12月—2023年6月在本院住院治疗的33例符合青少年特发性脊柱侧弯患者的临床资料,依据医患沟通结果,18例采用系统核心肌群训练(核心肌组),15例采用脊柱侧弯传统训练(传统组),比较两组临床及影像资料.[结果]两组所有患者均顺利完成训练,无严重不良反应.两组治疗顺应性VAS评分的差异无统计学意义(P＞0.05).与治疗前相比,治疗10周后,两组患者坐高和身高均增加(P＜0.05),侧弯Cobb角度、C,-CSVL和SVA、红外热成像椎旁肌、腹直肌区域两侧温差,第2～5跖骨及足跟内侧区域足底压力受力转移均显著改善(P＜0.05).治疗10周后,核心肌组的身高[(156.5±4.6)cm vs(155.8±4.3)cm,P＜0.001],坐高[(84.4±4.6)cm vs(82.6±4.4)cm,P＜0.001],主弯 Cobb 角[(15.3±3.1)° vs(17.1±3.9)°,P＜0.001],C,PL-CSVL[(23.3±3.1)mm vs(25.3±3.2)mm,P＜0.001]和SVA[(31.5±3.9)mm vs(33.8±3.9)mm,P＜0.001]优于传统组.[结论]核心肌群训练可加强脊柱两侧核心力量,改善脊柱空间平衡,对预防脊柱畸形意义重大.
Abstract
[Objective]To investigate the short-term outcomes of core muscle training for mild adolescent idiopathic scoliosis.[Meth-ods]A retrospective study was conducted on 33 patients who were hospitalized for adolescent idiopathic scoliosis in our hospital from Decem-ber 2021 to June 2023.According to the results of doctor-patient communication,18 patients received systematic core muscle training(CM group),while other 15 patients received traditional physical training(TP group).The clinical and imaging data of the two groups were com-pared.[Results]All patients in both groups successfully completed the training without serious adverse reactions.There was no significant difference in treatment compliance VAS scores between the two groups(P＞0.05).After 10 weeks of treatment,the standing height and sitting height were increased(P＜0.05),the main curve Cobb angle,C7-CSVL and SVA,the temperature difference between the paravertebral mus-cle and rectus abtris in infrared thermal imaging,and the plantar pressure transfer in the 2～5 metatarsal bone and the medial heel region were significantly improved in both groups(P＜0.05).At 10 weeks after of treatment,CM group proved significantly superior to the TP group in terms of standing height[(156.5±4.6)cm vs(155.8±4.3)cm,P＜0.001],sitting height[(84.4±4.6)cm vs(82.6±4.4)cm,P＜0.001],Main curve Cobb angle[(15.3±3.1)° vs(17.1±3.9)°,P＜0.00l],C7PL-CSVL[(23.3±3.1)mm vs(25.3±3.2)mm,P＜0.001],and SVA[(31.5±3.9)mm vs(33.8±3.9)mm,P＜0.001].[Conclusion]The core muscle training does strengthen the core muscles on both sides of the spine and im-prove the spinal spatial balance,which is of great significance for the prevention of spinal deformity.
关键词
青少年特发性脊柱侧弯/核心肌群训练/红外热成像/足底压力Key words
adolescent idiopathic scoliosis/core muscle training/infrared thermal imaging/plantar pressure引用本文复制引用
基金项目
山东省威海市中医药科技项目(2022N-25)
出版年
2024
NETL
NSTL
万方数据