Wong M S, Liu W C
Rehabilitation Engineering Centre, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
Prosthet Orthot Int. 2003 Dec;27(3):242-53. doi: 10.1080/03093640308726688.
There are a number of different non-operative interventions which aim to control moderate adolescent idiopathic scoliosis (AIS) from progression. Clinicians may find difficulties in the selection of appropriate interventions for AIS. A comprehensive literature review was carried out to study all contemporary non-operative interventions, it was noted that rigid spinal orthoses apparently give more curve control; however, it would compromise the patient's quality of life via those inevitable factors--physical constraint, poor acceptance and psychological disturbance. There is a trend to develop more effective, acceptable and user-friendly interventions. Under such an aspiration, the theories and clinical evidence of different interventions should be developed along the clinical pathway of early intervention with reliable indicators/predictors, patient's active participation, dynamic control mechanism, holistic psychological and psychosocial considerations, and effective and long-lasting outcome.
有许多不同的非手术干预措施旨在控制中度青少年特发性脊柱侧凸（AIS）的进展。临床医生在为AIS选择合适的干预措施时可能会遇到困难。我们进行了一项全面的文献综述以研究所有当代非手术干预措施，结果发现刚性脊柱矫形器显然能更好地控制侧弯；然而，它会通过身体限制、接受度差和心理干扰等不可避免的因素影响患者的生活质量。目前有一种趋势是开发更有效、可接受且用户友好的干预措施。在这种愿望下，不同干预措施的理论和临床证据应沿着早期干预的临床路径发展，包括可靠的指标/预测因素、患者的积极参与、动态控制机制、整体心理和社会心理考量以及有效且持久的结果。
