康复治疗结合矫形器在青少年脊柱侧弯中的应用23例

A Comparative Study on the Application of Orthosis Combined with Physiotherapy in Adolescent Scoliosis

目的:观察改良型手法复位结合矫形器对青少年脊柱侧弯的治疗效果。方法:入组46例青少年脊柱侧弯患者,随机分为两组,均佩戴脊柱侧弯矫形器,治疗组接受改良型手法复位,对照组行主动性功能康复训练,记录患者治疗前后的主弯侧弯度数(Cobb角)、椎体旋转角度(AVR)、顶椎偏离骶骨中线距离(AVT)。结果:治疗48周后,两组患者在治疗的有效性、Cobb角、AVR及AVT方面均较治疗前改善,差异有统计学意义(P<0.05或P<0.01),且治疗组治疗48周后疗效高于对照组,Cobb角、AVR及AVT改善程度优于对照组,差异有统计学意义(P<0.05或P<0.01)。结论:改良型手法复位结合矫形器可更有效地改善青少年脊柱侧弯功能障碍。

Objective:To observe the therapeutic effect of modified manual reduction combined with orthosis on adolescent scoliosis.Methods:46 adolescent scoliosis patients were randomly divided into two groups.The treatment group received improved manual reduction and the control group received active functional rehabilitation training.Cobb angle and AVR were recorded before and after treatment.Results:After 48 weeks of treatment,the two groups achieved satisfactory results in the effectiveness of treatment,Cobb angle,AVR and AVT improvement.There were significant differences in the observation data between the two groups.The efficacy of the treatment group was higher than that of the control group,and the improvement of Cobb angle,AVR and AVT was better than that of the control group.Conclusion:Modified manual reduction combined with orthosis can effectively improve scoliosis dysfunction in adolescents.