杠杆定位手法结合施罗斯矫形术治疗特发性脊柱侧弯的临床研究

Clinical Research on Treating Idiopathic Scoliosis by Lever Positioning Manipulation and Schroth Method

[目的]观察研究杠杆定位手法结合施罗斯矫形术对特发性脊柱侧弯(idiopathic scoliosis,IS)患者Cobb角与顶椎偏距(apical vertebra translation,AVT)的影响。[方法]将符合纳入标准与诊断标准的70例IS患者分为杠杆定位手法结合施罗斯矫形术组(观察组)和施罗斯矫形术组(对照组),分别对两组患者的临床疗效、治疗前后Cobb角与AVT的变化进行评估比较。[结果]与治疗前比较,治疗后两组患者Cobb角均减小,差异有统计学意义(P<0.05)。治疗后两组间比较,观察组Cobb角变化优于对照组,差异有统计学意义(P<0.05)。与治疗前比较,治疗后两组患者AVT均减小,差异有统计学意义(P<0.05)。治疗后两组间比较,观察组AVT变化优于对照组,差异有统计学意义(P<0.05)。观察组总有效率优于对照组,差异有统计学意义(P<0.05)。[结论]与施罗斯矫形术相比,杠杆定位手法结合施罗斯矫形术能更有效地治疗IS,使患者Cobb角、AVT明显改善,临床疗效显著。

[Objective]To observe the clinical efficacy and the influence on Cobb angle and apical vertebra translation(AVT)of lever positioning manipulation and Schroth Method in treating idiopathic scoliosis(IS).[Methods]Seventy patients with IS who met the criteria for inclusion were randomly divided into group of lever positioning manipulation and Schroth Method(observation group)and Schroth Method group(control group).The clinical efficacy,Cobb angle and AVT of two groups were evaluated and compared.[Results]The Cobb angle of two groups decreased after treatment(P<0.05).After treatment,the Cobb angle of observation group was lower than that of control group,and the difference was statistical(P<0.05).The AVT of two groups decreased after treatment(P<0.05).After treatment,the AVT of the observation group was lower than that of control group,and the difference was statistical(P<0.05).The total effective rate of observation group was significantly better than that of control group,the data of two groups were statistically different(P<0.05).[Conclusion]Compared with Schroth Method,lever positioning manipulation and Schroth Method together can more effectively treat IS,which can improve Cobb angle and AVT significantly,and have significant clinical effect.