核心肌力训练对轻中度青少年特发性脊柱侧弯患儿肌群肌力改善及Cobb角的影响

Effect of core muscle strength training on muscle strength improvement and Cobb angle in the children with mild to moderate adolescent idiopathic scoliosis

目的探讨核心肌力训练对轻中度青少年特发性脊柱侧弯(AIS)患儿肌群肌力改善及Cobb角的影响。方法选取2018年1月—2019年12月于医院接受治疗的青少年特发性脊柱侧弯(AIS)患儿98例,按照组间基本特征匹配的原则分为对照组与观察组,各49例。对照组采用常规支具治疗与护理,观察组在此基础上采用核心肌力训练干预,比较两组患儿肌群肌力改善情况、Cobb角、视觉模拟疼痛评分(VAS)及肢体运动功能评分(FMA)。结果观察组肌群肌力优于对照组(P<0.05);Cobb角、VAS评分均低于对照组(P<0.05),FMA评分高于对照组(P<0.05)。结论青少年特发性脊柱侧弯(AIS)患儿采用核心肌力训练干预效果明显,可有效提升患儿肌群肌力水平,改善Cobb角,降低疼痛感,促进患儿运动功能恢复。

Objective To investigate the effect of core muscle strength training on muscle strength improvement and Cobb angle in the children with mild to moderate adolescent idiopathic scoliosis.Methods To select 98 children with mild to moderate adolescent idiopathic scoliosis admitted in the hospital from January 2018 to December 2019 as the study objects.According to the principle of balanced comparability between groups and divided equally into the control group and observation group.The control group was given the routine brace treatment and nursing,the control group was undertook the core muscle strength training base on the control group.The improvement of muscle strength,Cobb angle,visual analogue scale(VAS)and limb motor function(FMA)scores were compared between two groups.Results Muscle strength of the obser vation group was better than the control group(P<0.05),the Cobb angle and VAS score in the observation group were lower than the control group(P<0.05),the FMA score was higher than the control group(P<0.05).Conclusion Core muscle strength training was effective for the children with mild to moderate idiopathic scoliosis.The training could improve the level of muscle strength,improve the Cobb angle,release the pain and promote motor function recovery.