个体化体疗干预治疗青少年特发性脊柱侧凸的效果分析

Effect analysis of individualized physical exercise therapy intervention on adolescent idiopathic scoliosis

目的探讨和分析个体化体疗干预治疗青少年特发性脊柱侧凸的临床效果。方法选择我院2016年1~12月收治的208例青少年特发性脊柱侧凸患者作为研究对象,依据患者不同的脊柱侧凸的具体形态,将其分为3C(37例)、4C(54例)、N3N4(60例)、单腰弯/胸腰弯(57例)等四种侧凸类型,根据患者不同的侧凸类型为其提供个体化的体疗干预,比较干预前后的Cobb角改善情况、躯干旋转程度及机体疼痛评分。结果干预前,患者躯干旋转程度多集中在3°~4°,干预后患者躯干旋转程度多集中在1°~2°,干预后,患者平均Cobb角为(8.4±2.1)°,明显低于干预前的(27.3±5.4)°,患者机体疼痛评分为(2.7±1.4)分,明显低于干预前的(8.6±2.3)分,差异均有统计学意义(P<0.05)。结论对青少年特发性脊柱侧凸患者采用个体化体疗干预治疗,不仅能有效改善患者的脊柱畸形状态,同时还能降低其脊柱的疼痛,具有良好的治疗功效。

Objective To explore the clinical effects of individualized physical exercise therapy intervention on adolescent idiopathic scoliosis.Methods A total of 208 patients with adolescent idiopathic scoliosis who were admitted to our hospital from January to December in 2016 were selected as subjects.According to the specific morphology of scoliosis,the participants were divided into four types such as 3 C（n=37）,4 C（n=54）,N3 N4（n=60）,and single lumbar/thoracolumbar scoliosis（n=57）.The individualized physical exercise therapies were targeted on different types of scoliosis.The improvement of Cobb angles,trunk rotation,and score of body pain before and after interventions were compared.Results Before intervention,patients′ trunk rotation was mostly concentrated at 3°-4°,while after therapy,the rotation was at 1°-2°.After the intervention,the average Cobb angle was（8.4±2.1）°,significantly lower than before the intervention,（27.3±5.4）°.The patient′s body pain score was（2.7±1.4） points,greatly lower than the pre-intervention,（8.6±2.3） points with a significant difference（P〈0.05）.Conclusion Individualized physical exercise therapy as an intervention for adolescent idiopathic scoliosis can not only effectively improve patient′s spine deformity,but also reduce the pain of the spine.Therefore,it has a good therapeutic effect.