Schroth体操联合正骨推拿在早期青少年特发性脊柱侧弯中的康复效果研究

Study on the Rehabilitation Effect of Schroth Exercise Combinedwith Orthopedic Massage in Early Adolescent Idiopathic Scoliosis

目的:探究Schroth(施罗斯)体操联合正骨推拿在早期青少年特发性脊柱侧弯(AIS)中的康复效果。方法:将80例AIS患者根据康复方案分组;对照组(n=44)患者接受Schroth体操训练,观察组(n=36)患者在此基础上增加正骨推拿治疗;选取临床疗效、形态学指标、疼痛程度以及生活质量为评价指标,比较两组的康复效果。结果:两组干预前各指标差异均不显著(P>0.05)。干预后,观察组临床总有效率、生活质量各维度评分均显著较对照组高(P<0.05);Cobb角、躯干位移距离、顶椎椎体旋转度、VAS评分均显著较对照组低(P<0.05)。结论:在早期AIS患者的康复治疗中应用Schroth体操训练联合正骨推拿,可有效提高临床疗效,显著改善患者的形态学指标及疼痛程度,明显提升患者的生活质量,值得临床推广。

Objective:To investigate the rehabilitation effect of Schroth exercise combined with orthopedic massage in early adolescent idiopathic scoliosis(AIS).Methods:A total of 80 patients with AIS were grouped according to their rehabilitation programs.The control group(n=44)received Schroth exercise training,while the observation group(n=36)received orthopedic massage treatment in addition to Schroth exercise.Clinical efficacy,morphological indicators,pain levels,and quality of life were selected as evaluation indicators to compare the rehabilitation effects between the two groups.Results:Before the intervention,there were no significant differences in any indicators between the two groups ( P >0.05). After the intervention, the clinical total effective rate and scores of all dimensions of quality of life in the observation group were significantly higher than those in the control group( P <0.05). Cobb angle, trunk displacement distance, apical vertebral rotation, and VAS score were significantly lower in the observation group compared to the control group( P <0.05). Conclusion: The application of Schroth exercise training combined with orthopedic massage in the rehabilitation treatment of early AIS patients can effectively improve clinical efficacy, significantly improve morphological indicators and pain levels, and markedly enhance the quality of life of patients. This combined treatment is worthy of clinical promotion.