功能性康复训练改善青少年特发性脊柱侧弯的研究

发布时间：2018-08-23 15:03

【摘要】：背景:青少年特发性脊柱侧弯(AIS)的康复手段众多,功能性康复训练可为临床康复治疗提供支持和可操作性建议。目的:分析运动对脊柱力学紊乱薄弱环节的积极作用,通过运动康复全面改善脊柱侧弯。方法:将19例青少年特发性脊柱侧弯患者随机分成试验组10人,采用手法复位+功能性康复方案,对照组9人,采用手法复位+常规肌力训练。用X射线摄片,脊柱测量仪测量青少年特发性脊柱侧弯患者不同姿势下的脊柱形态,用Back-Check等长肌力测试仪测量躯干侧屈力,用关节角度尺测量腰部活动度,用SRS-22问卷测量患者的主观感觉,所得数据进行t检验。结果与结论:(1)通过32周的干预,干预后试验组与对照组相比在Cobb角,顶锥偏离骶骨中线距离差异有显著性意义(P0.05);矢状面脊柱关节角度更接近于生理曲线;(2)在肌力方面,试验组和对照组在干预前后的差值有显著性意义(P0.05);(3)试验组与对照组相比,在腰部活动度前屈有非常显著性意义(P0.01),在后伸、右侧屈方面有显著性意义(P0.05);(4)在主观感觉功能活动、疼痛、自我形象、心理健康和治疗满意程度5个维度的问卷上试验组分值均高于对照组(P0.05);(5)结果说明,功能性康复运动提高了脊柱深层肌群对腰椎的控制能力和脊柱凸侧肌肉的力量和耐力,促进其健康成长。
[Abstract]:Background: there are many rehabilitation methods for adolescent idiopathic scoliosis (AIS). Functional rehabilitation training can provide support and operable advice for clinical rehabilitation. Objective: to analyze the positive effect of exercise on the weak link of spinal mechanics disorder, and to improve scoliosis comprehensively through exercise rehabilitation. Methods: 19 adolescent idiopathic scoliosis patients were randomly divided into experimental group (n = 10) and control group (n = 9). The spinal morphology of adolescent idiopathic scoliosis patients in different postures was measured by X-ray radiographs, the lateral torso flexion was measured by Back-Check equal-length muscle force tester, and the waist motion was measured by joint angle ruler. The subjective feelings of patients were measured by SRS-22 questionnaire, and the data were tested by t-test. Results and conclusion: (1) after 32 weeks of intervention, there were significant differences in the distance between the parietal cone and the sacral midline in the Cobb angle between the experimental group and the control group (P0.05); the sagittal spine joint angle was closer to the physiological curve; (2) in terms of muscle strength, the parietal cone deviated from the sacral midline (P0.05). There was significant difference between the experimental group and the control group before and after intervention (P0.05); (3). Compared with the control group, there was a significant difference in the waist activity (P0.01), in the extension of the waist, in the right side of the flexion (P0.05); (4), in the subjective sensory function, the difference between the experimental group and the control group before and after intervention was significant (P0.01). The scores of the trial group in the five dimensions of pain, self-image, mental health and treatment satisfaction were higher than those in the control group (P0.05); (5). Functional rehabilitation improves the ability of deep muscle group to control the lumbar vertebrae and the strength and endurance of kyphosis muscle, and promotes its healthy growth.
【作者单位】：天津体育学院健康与运动科学系;国家体育总局运动医学研究所;
【基金】：国家体育总局课题(2012B010) 天津教委自然科学基金(20130147)~~
【分类号】：R726.8

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