Schroth康复锻炼计划对特发性脊柱侧凸青少年患者脊柱和足部的矫正效果

Effect of Schroth rehabilitation exercise program on alignment of spine and foot in adolescent patients with idiopathic scoliosis

目的探讨Schroth康复锻炼计划对特发性脊柱侧凸(idiopathic scoliosis,IS)青少年患者脊柱和足部的矫正效果。方法选择2019年1月~2020年12月在该院接受康复治疗的47例IS患者作为研究对象,患者均采用Schroth康复锻炼。观察患者干预前后侧凸Cobb角、Adam向前弯曲测试(Adam Test)、腰椎前凸角和跟骨外翻角。结果干预后,患者Cobb角、Adam Test结果、腰椎前凸角、左侧跟骨外翻角、右侧跟骨外翻角均较干预前显著减小(P<0.05);亚组分析显示,侧凸10~19°组和侧凸20~29°组患者干预后Cobb角、Adam Test结果、腰椎前凸角、左侧跟骨外翻角、右侧跟骨外翻角均较干预前显著减小(P<0.05),但2个亚组患者Cobb角、Adam Test结果、腰椎前凸角、左侧跟骨外翻角、右侧跟骨外翻角的变化差值差异无统计学意义(P<0.05)。结论Schroth康复锻炼计划治疗IS可有效改善侧凸、Adam Test结果、腰椎前凸和跟骨外翻,不同侧凸Cobb角的患者均可从锻炼中获益,该康复方案是治疗IS的有效方法。

Objective To investigate the effect of Schroth rehabilitation exercise program on the alignment of spine and foot in adolescent patients with idiopathic scoliosis(IS).Methods Forty-seven patients who received rehabilitation treatment in our hospital from January 2019 to December 2020 were selected as the research object.The patients were treated with Schroth rehabilitation exercise.Cobb angle,Adam test,lumbar lordosis angle and calcaneal valgus angle were observed before and after intervention.Results The Cobb angle,Adam Test results,lumbar lordosis angle,left calcaneal valgus angle and right calcaneal valgus angle of patients after intervention were significantly lower and smaller than those before intervention(P<0.05).Subgroup analysis showed that Cobb angle,Adam Test results,lumbar lordosis angle,left calcaneus valgus angle and right calcaneus valgus angle of patients in the 10-19°and 20-29°groups with lateral convexity were significantly lower and smaller than those before intervention(P<0.05).However,there was no significant difference in Cobb angle,Adam Test results,lumbar lordosis angle,left calcaneal valgus angle and right calcaneal valgus angle between the two subgroups(P<0.05).Conclusion Schroth rehabilitation exercise program can improve scoliosis,Adam Test results,lumbar lordosis and calcaneus valgus by treating IS.Patients with different Cobb angles can benefit from exercise,which is an effective method for treating IS.