| 杨闪闪,武改,李丽,王妍.脊柱侧弯矫形器联合施罗特疗法治疗小儿特发性脊柱侧凸的疗效观察[J].中国康复,2025,40(7):440-444 |
| 脊柱侧弯矫形器联合施罗特疗法治疗小儿特发性脊柱侧凸的疗效观察 |
| Impacts of scoliosis orthotics combined with Schroth therapy on the recovery of children with idiopathic scoliosis |
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| DOI：10.3870/zgkf.2025.07.011 |
| 中文关键词: 小儿特发性脊柱侧凸 脊柱侧凸矫形器 施罗特疗法 生活质量 |
| 英文关键词: pediatric idiopathic scoliosis scoliosis orthotics Schroth therapy quality of life |
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| 中文摘要: |
| 目的：探讨脊柱侧凸矫形器联合施罗特疗法治疗小儿特发性脊柱侧凸的康复效果及其对患儿生活质量的影响。方法：选取在本院接受治疗的82例小儿特发性脊柱侧凸患儿，随机分为常规组和联合组，每组41例患儿。常规组使用脊柱侧凸矫形器治疗辅以常规康复治疗，联合组加用施罗特疗法治疗。比较治疗前后2组脊柱恢复情况、腹背肌耐力、疗效、生活质量的差异。结果：治疗后，2组Cobb角、躯干旋转角均低于治疗前（P<0.01），且联合组低于常规组（P<0.01）；2组腹背肌耐力评分、简化麦吉尔疼痛问卷（SF-MPQ）评分、Oswestry功能障碍指数问卷表（ODI）评分均降低，且联合组低于常规组（P<0.01）；2组脊柱侧凸研究学会22项问卷（SRS-22）评分均升高，且联合组高于对照组（P<0.01）；联合组的总有效率高于常规组（P<0.05）。结论：脊柱侧凸矫形器联合施罗特疗法治疗小儿特发性脊柱侧凸的疗效较好，能改善患儿脊柱侧凸、腹背肌耐力，提高患儿的生活质量。 |
| 英文摘要: |
| Objective: To explore the impacts of scoliosis orthotics combined with Schroth therapy on the recovery and quality of life of children with idiopathic scoliosis. Methods: A total of 82 children with idiopathic scoliosis admitted to our hospital were assigned into a conventional group and a combined group randomly, with 41 patients in each group. The conventional group received treatment with scoliosis orthotics, and the combined group received additional treatment with Schroth therapy. The spinal recovery indicators, abdominal and back muscle endurance, curative effect, and quality of life of the two groups were compared. Results: After treatment, the Cobb angle and trunk rotation angle of the combined group were obviously lower than those of the conventional group (P<0.01). The above-mentioned spinal recovery indicators in both groups after treatment were obviously reduced compared to before treatment (P<0.01). After treatment, the combined group showed a prominent decrease in abdominal and back muscle endurance scores compared to the conventional group (P<0.01), and both groups showed a prominent decrease in abdominal and back muscle endurance scores after treatment compared to before treatment (P<0.01). After treatment, the short form-McGill pain questionnaire (SF-MPQ) score and Oswestry disability index (ODI) score of the combined group were obviously reduced compared to the conventional group, and the Scoliosis Research Society-22 questionnaire (SRS-22) score was prominently increased (P<0.01). After treatment, the SF-MPQ score and ODI score prominently decreased in both groups compared to before treatment, and the SRS-22 score prominently increased (P<0.01). The total effective rate of the combined group was obviously higher than that of the conventional group (P<0.05). Conclusion: The combination of scoliosis orthotics and Schroth therapy has a good curative effect on pediatric idiopathic scoliosis. It can improve the scoliosis, abdominal and back muscle endurance, and quality of life. |
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