中医康复临床实践指南·儿童青少年特发性脊柱侧弯

Clinical Practice Guidelines of Traditional Chinese Medicine Rehabilitation for Idiopathic Scoliosis in Children and Adolescents

儿童青少年特发性脊柱侧弯是指在儿童青少年时期出现不明原因的脊柱侧弯。中医康复是预防其发生和改善临床症状的有效方法之一。为规范我国儿童青少年脊柱侧弯的诊断与治疗,提高社会对儿童青少年脊柱侧弯的重视程度,保障其中医康复诊疗规范,专家组基于循证医学理念与方法并结合专家论证及临床评价等证据,按照临床诊疗指南报告规则撰写本指南。本指南从技术范围、规范性引用文件、术语和定义(Cobb角、特发性脊柱侧弯、功能性脊柱侧弯、前屈试验、躯干旋转角度、弱链接、核心肌力训练、督灸)、临床诊断(临床症状、临床评估、影像学检查)、中医辨证分型、康复治疗[中医康复治疗(中药内服、推拿疗法、灸法、针刺疗法、针刀疗法、悬吊推拿运动技术和中国传统功法)、现代康复疗法(物理因子治疗、运动疗法、支具治疗和心理治疗)、预防和管理]和疗效评价等方面进行规范制定。本指南可为我国各级各类康复机构,其他中医医院或综合医院的康复科、儿科等中医师、康复治疗师等开展儿童青少年特发性脊柱侧弯中医康复治疗提供规范化诊治流程,并为临床决策实践提供可靠的证据参考,具有良好的临床适用性、安全性及有效性。

Idiopathic scoliosis in children and adolescents refers to the development of unexplained scoliosis during childhood and adolescence.Chinese medicine rehabilitation is one of the effective methods to prevent its occurrence and improve clinical symptoms.In order to standardize the diagnosis and treatment of scoliosis in children and adolescents in China,to raise the attention to scoliosis in children and adolescents in society,and to ensure the standardization of Chinese medicine rehabilitation diagnosis and treatment,the expert group wrote this guideline based on the concept and method of evidence-based medicine,combined with evidence from expert discussion and clinical evaluation,and in accordance with the reporting rules of clinical treatment guidelines.This guideline covered and standardized the technical scope,normative references,terms and definitions(Cobb angle,idiopathic scoliosis,functional scoliosis,forward bending test,trunk rotation angle,weak link,core muscle strengthening,and Du-moxibustion),clinical diagnosis(clinical symptoms,clinical assessment,and imaging),TCM pattern differentiation,rehabilitation treatment[TCM rehabilitation treatment(oral administration of Chinese medicine,massage therapy,moxibustion,acupuncture therapy,acupotomy therapy,sling exercise training and traditional Chinese exercrises),modern rehabilitation therapy(physical agent modalities,exercise therapy,brace therapy and psychotherapy),prevention and management],and efficacy evaluation.This guideline can provide standardized diagnosis and treatment procedures for Chinese medicine practitioners and rehabilitation therapists in implementing Chinese medicine rehabilitation treatment of idiopathic scoliosis in children and adolescents in various rehabilitation institutions at all levels in China,the departments of rehabilitation or pediatrics in other Chinese medicine hospitals or general hospitals and provide a reliable evidence reference for clinical decision-making practice,with good clinical applicability,safety and effectiveness.