龙氏手法联合施罗斯疗法在特发性脊柱侧弯患者中的应用效果

Application Effect of Long's Manipulation Combined with Schroth Therapy in Patients with Idiopathic Scoliosis

目的:探讨龙氏手法联合施罗斯疗法对特发性脊柱侧弯患者竖直肌表面肌电、Cobb角及躯干畸形程度的影响。方法:选择2021年11月—2022年12月新余市中医院康复科收治的80例特发性脊柱侧弯患者为研究对象,采用硬币抛掷法分为联合组(n=42)与对照组(n=38)。对照组接受施罗斯疗法,联合组接受龙氏手法联合施罗斯疗法,两组患者治疗6个月。比较两组竖脊肌表面肌电相关指标、Cobb角、躯干畸形程度、总有效率及生活质量。结果:治疗后,联合组凹凸两侧竖脊肌中位频率(MF)、平均功率频率(MPF)及平均肌电值(AEMG)均明显高于对照组,差异均有统计学意义(P<0.05);治疗后,联合组Cobb角、躯干倾斜角(ATI)、躯干旋转角度(ATR)均明显小于对照组,差异均有统计学意义(P<0.05);联合组总有效率及治疗后健康调查量表36(SF-36)各维度评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:对特发性脊柱侧弯患者行龙氏手法联合施罗斯疗法能显著改善竖脊肌协调性与稳定性,使Cobb角降低,有助于恢复脊柱形态,改善躯干畸形,疗效显著,且能提升生活质量。

Objective:To investigate the effects of Long's manipulation combined with Schroth therapy on the surface electromyography of erector spinae,Cobb angle and trunk deformity degree in patients with idiopathic scoliosis.Method:A total of 80 patients with idiopathic scoliosis admitted to Department of Rehabilitation,Xinyu Hospital of Traditional Chinese Medicine from November 2021 to December 2022 were selected as the study objects and divided into the combination group(n=42)and the control group(n=38)by coin toss method.The control group received Schroth therapy,and the combination group received Long's manipulation combined with Schroth therapy.Patients in both groups were treated for 6 months.The surface electromyography related indexes,Cobb angle,trunk deformity degree,total effective rate and quality of life were compared between the two groups.Result:After treatment,the median frequency(MF),mean power frequency(MPF)and averaged electromyography(AEMG)of the erector spinae on both sides of the concave and convex of the combination group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).After treatment,Cobb angle,angle of trunk inclination(ATI)and axial trunk rotation(ATR)in combination group were significantly lower than those in control group,the differences were statistically significant(P<0.05).The total effective rate and the scores of each dimension of short form 36(SF-36)after treatment of the combination group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Long's manipulation combined with Schroth therapy for patients with idiopathic scoliosis can significantly improve the coordination and stability of erector spinae,reduce Cobb angle,help to restore spine shape,improve trunk deformity,and improve the quality of life.