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基于施罗斯方法的脊柱侧弯强化门诊康复治疗

Scoliosis intensive out-patient rehabilitation based on Schroth method.

作者信息

Rigo Manuel, Quera-Salvá Gloria, Villagrasa Mónica, Ferrer Marta, Casas Anna, Corbella Clara, Urrutia Amaia, Martínez Sonia, Puigdevall Nuria

机构信息

Instituto Elena Salvá, Via Augusta 185, Barcelona, Spain.

出版信息

Stud Health Technol Inform. 2008;135:208-27.

Abstract

Conservative management of idiopathic scoliosis (IS) and other spinal deformities is a real alternative to surgical treatment. Most of adolescent with IS can be managed conservatively with high safety. Many infantile and juvenile cases show also a good immediate response to conservative care, which can be considered a sign of good prognosis. Only patients showing a continue deterioration even treated conservatively with efficient techniques should be considered candidates to surgical correction and stabilization. Rehabilitation (including specific exercises) and bracing are usually involved in conservative care of IS. In this paper we describe our personal approach in conservative scoliosis care regarding rehabilitation. Bracing has been described in a different paper also published in the present book. Specific exercises can change the signs and symptoms in scoliosis patients. Specialists in physiotherapy for spinal deformities teach the patient how to perform a routine of 'curve pattern' specific exercises with the purpose to facilitate the correction of the asymmetric posture and to teach the patient to maintain the corrected posture in daily activities. Principles of correction are based on those developed by the German physiotherapist K. Schroth.

摘要

特发性脊柱侧凸(IS)及其他脊柱畸形的保守治疗是手术治疗的一种切实可行的替代方案。大多数患有IS的青少年可以通过保守治疗获得较高的安全性。许多婴幼儿和青少年病例对保守治疗也有良好的即时反应,这可被视为预后良好的迹象。只有那些即使采用有效技术进行保守治疗仍持续恶化的患者才应被视为手术矫正和固定的候选对象。康复治疗(包括特定锻炼)和支具治疗通常参与到IS的保守治疗中。在本文中,我们描述了我们在脊柱侧凸保守治疗中关于康复治疗的个人方法。支具治疗已在本书中发表的另一篇论文中进行了描述。特定锻炼可以改变脊柱侧凸患者的体征和症状。脊柱畸形物理治疗专家会教导患者如何进行一套“曲度模式”特定锻炼,目的是促进不对称姿势的矫正,并教导患者在日常活动中保持矫正后的姿势。矫正原则基于德国物理治疗师K.施罗特提出的原则。

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