Weiss H-R, Dallmayer R, Gallo D
Asklepios Katharina Schroth Spinal Deformities Rehabilitation Center, Bad Sobernheim, Germany.
Pediatr Rehabil. 2006 Jan-Mar;9(1):24-30. doi: 10.1080/13638490500038126.
In patients with idiopathic scoliosis (IS), reduced thoracic kyphosis and reduced lumbar lordosis frequently occur in correlation with the lateral spinal curvature. Normalization of the sagittal profile and hyper-correction of the deviation in frontal and coronal plane are the main issues of the latest concept of bracing. The purpose of this study was to investigate the influence of of sagittal counter forces (SCF) on the scoliotic deformity.
A case series of four patients with IS treated with two braces designed to improve the sagittal profile (Rigo-System-Chêneau-brace and with a sagittal counter force brace, SCF-brace).
The short-term effect (30 min) of both braces was evaluated using surface topography (Formetric surface topography system, Diers International, Wiesbaden).
One patient (Cobb angle 92 degrees ) showed no short-term correction in the frontal and coronal planes; others (Cobb angles between 39 and 48 degrees ) exhibited valuable correction in frontal and coronal planes. There was no short-term correction in the sagittal plane for either brace.
The application of sagittal counter forces (SCF) seems to have similar short-term effects as 3D correction and should be addressed more in future concepts of scoliosis bracing.
在特发性脊柱侧凸（IS）患者中，胸椎后凸减小和腰椎前凸减小常与脊柱侧方弯曲相关。矢状面轮廓的正常化以及额状面和冠状面偏差的过度矫正，是最新支具治疗理念的主要问题。本研究的目的是探讨矢状面反作用力（SCF）对脊柱侧凸畸形的影响。
对4例IS患者进行病例系列研究，使用两种旨在改善矢状面轮廓的支具（里戈系统-谢诺支具和矢状面反作用力支具，SCF支具）进行治疗。
使用表面地形测量法（Formetric表面地形测量系统，迪尔斯国际公司，威斯巴登）评估两种支具的短期效果（30分钟）。
1例患者（Cobb角92度）在额状面和冠状面无短期矫正；其他患者（Cobb角在39度至48度之间）在额状面和冠状面有显著矫正。两种支具在矢状面均无短期矫正。
矢状面反作用力（SCF）的应用似乎与三维矫正具有相似的短期效果，在未来的脊柱侧凸支具治疗理念中应更多地予以关注。
