Weiss Hans-Rudolf, Weiss Grita, Petermann Franz
Asklepios Katharina Schroth-Klinik, Korczakstrasse 2, D-55566 Bad Sobernheim, Germany.
Pediatr Rehabil. 2003 Jan-Mar;6(1):23-30. doi: 10.1080/1363849031000095288.
The goal of this study is to test the hypothesis that physiotherapy-based intervention can reduce incidence of progression in children with IS. Two independent patient groups matched by age and sex at diagnosis were analysed using the outcome parameter, incidence of progression (> or =5 degrees ). One group was untreated and the other received scoliosis in-patient rehabilitation (SIR). Incidence of progression in groups of untreated patients ranged from 1.5-fold (71.2% vs 46.7%) to 2.9-fold (55.8% vs 19.2%) higher than in groups of patients treated with SIR, even when SIR-treated groups included patients with more severe curvatures. Statistically, the differences were highly significant. Efforts to test the hypothesis that physical therapies addressing postural imbalance can be used effectively in the treatment of IS have been limited. The results of this study are consistent with the possibility that a supervized programme of exercise-based therapies can reduce incidence of progression in children with IS.
本研究的目的是检验基于物理治疗的干预措施能否降低特发性脊柱侧弯（IS）儿童病情进展发生率这一假设。使用病情进展发生率（≥5度）这一结果参数，对诊断时年龄和性别匹配的两个独立患者组进行了分析。一组未接受治疗，另一组接受了脊柱侧弯住院康复治疗（SIR）。未治疗患者组的病情进展发生率比接受SIR治疗的患者组高出1.5倍（71.2%对46.7%）至2.9倍（55.8%对19.2%），即使接受SIR治疗的组中包括了侧弯更严重的患者。从统计学角度来看，差异非常显著。旨在检验针对姿势不平衡的物理治疗可有效用于治疗IS这一假设的研究工作一直很有限。本研究结果与以下可能性相符，即基于运动疗法的监督方案可降低IS儿童的病情进展发生率。
