推拿治疗青少年特发性脊柱侧凸对Cobb角、背部倾斜角及生活质量的影响

Effect of Massage Therapy on Cobb Angle,Back Inclination and Life Quality of Patients with Adolescent Idiopathic Scoliosis

目的:对青少年特发性脊柱侧凸(AIS)患者进行三维平面推拿治疗,观察该治疗方法对患者Cobb角和生活质量改变的影响。方法:将107例确诊AIS患者随机分为治疗组54例和对照组53例,治疗组给予家庭脊柱操指导结合三维平面的推拿治疗,对照组予单纯家庭脊柱操指导,分析治疗前后两组Cobb角、背部倾斜角(scoliometer)改变,以及健康相关生存质量量表(SRS-22)中功能活动、疼痛、心理健康、自我外观形象四方面评分值变化。结果:经过3个月治疗,治疗组治疗前后的Cobb角、背部倾斜角、心理健康分值、自我外观形象分值改善较对照组显著,差异有统计学意义(P<0.05);两组间治疗前后功能活动、疼痛分值改善差异无统计学意义(P>0.05)。结论:从三维平面对AIS患者进行推拿治疗可改善其侧弯角度与背部不对称形态,提高患者的心理健康及自我形象。

Objective:To observe the effect of three-dimensional plane massage on Cobb angle and life quality of patients with adolescent idiopathic scoliosis(AIS).Method:A total of 107 AIS patients were randomly divided into the treatment group(54 cases)and the control group(53 cases).The treatment group was treated with family remedial gymnastic and three dimensional massage therapy.The control group was given family remedial gymnastic.The changes of Cobb angle,back inclination and scores of functional activity,pain,mental health and self-image in SRS-22 were observed before and after treatment.Results:After the treatment of three months,the Cobb angle,back inclination,mental health score and self-image score of the treatment group were significantly better than those of the control group(P<0.05).There was no difference in functional activity and pain score between the two groups before and after treatment(P>0.05).Conclusion:Three-dimensional plane massage therapy can improve the side bending angle and abnormal back shape of AIS patients,and promote their mental health and self-image.