特定运动疗法对特发性脊柱侧弯的效果

Effects of scoliosis-specific exercise therapy on idiopathic scoliosis

目的观察特定运动疗法对特发性脊柱侧弯畸形和关节松弛的疗效。方法2021年4月至10月在新华医院脊柱侧弯康复中心就诊的特发性脊柱侧弯患儿100例,根据患儿意愿分为对照组和试验组各50例,分别接受常规运动疗法和特定运动疗法,共6个月。治疗前后,测量侧弯最大Cobb角和骨密度,采用Beighton量表和中文版脊柱侧凸研究学会22项问卷(SRS-22)进行评定。结果治疗后,试验组最大Cobb角变化量大于对照组(Z=-2.202,P<0.05),改善率高于对照组(χ^(2)=-2.405,P<0.05);试验组骨密度显著下降(|Z|>2.127,P<0.05);两组SRS-22总分均提高(F时间=106.57,P<0.001),试验组高于对照组(F=4.969,P<0.05);试验组功能活动和自我形象分提高(|Z|>2.149,P<0.05),对照组心理健康分降低(Z=-2.096,P<0.05);试验组心理健康分高于对照组(Z=-2.260,P<0.05)。结论特定运动疗法有利于改善患儿脊柱畸形和生活质量,但对关节松弛和骨密度效果不明显,有待进一步完善。

Objective To observe the effects of specific exercise therapy on spinal deformity and joint hypermobility of idiopathic scoliosis.Methods From April to October,2021,100 children with idiopathic scoliosis in the Scoliosis Rehabilitation Center of Xinhua Hospital were divided into control group(n=50)and experimental group(n=50),who accepted routine exercise therapy or scoliosis-specific exercise therapy in accordance with their wishes,for six months.The maximum Cobb angle and bone mineral density were measured,and they were assessed with Beighton Scale and Chinese version of the Scoliosis Research Society-22 Questionnaire Scores(SRS-22)before and after treatment.Results The change of the maximum Cobb angle was more in the experimental group than in the control group(Z=-2.202,P<0.05)after treatment,and the incidence of respondent was more(χ^(2)=-2.405,P<0.05).The bone mineral density decreased in the experimental group after treatment(|Z|>2.127,P<0.05).For SRS-22,the total scores increased in both groups after treatment(Ftime=106.57,P<0.001),and increased more in the experimental group than in the control group(F=4.969,P<0.05);the scores of function domain and self-image domain increased in the experimental group(|Z|>2.149,P<0.05),while the mental health domain score decreased in the control group(Z=-2.096,P<0.05);and the mental health domain score was more in the experimental group than in the control group(Z=-2.260,P<0.05).Conclusion The scoliosis-specific exercise therapy is effective on spinal deformity and quality of life for children with idiopathic scoliosis,but less helpful for joint hypermobility and bone mineral density,which need to further improve.