de Sèze Mathieu-Panchoa, Creuzé Alexandre, de Sèze Marianne, Mazaux Jean-Michel
Service de Médecine Physique et Réadaptation, Hôpital Pellegrin, FR-33076 Bordeaux, France.
J Rehabil Med. 2008 Oct;40(9):761-5. doi: 10.2340/16501977-0252.
Camptocormia, or bent spine syndrome, is an acquired postural disease leading to lumbar kyphosis observed when the patient stands up. Classic orthoses and physiotherapy programmes provide little correction and are often poorly tolerated. The aim of this study was to evaluate the effectiveness and tolerance of a new orthosis combined with physiotherapy for treating camptocormia.
Fifteen patients (5 men and 10 women, 71.4 (standard deviation (SD) 7.3) years old) consulting for camptocormia were consecutively included in the study. Patients who had pain when they straightened up were excluded. Patients equipped with the orthosis were hospitalized for 5 days in order to learn a self-rehabilitation programme. They were evaluated before and after hospitalization, then at 30 and 90 days.
In comparison with day 0 (without orthosis), the mean increase in lumbar lordosis with the orthosis was 10.1 degrees (SD 9.9) at day 30 (p < 0.05) and 12.5 degrees (SD 9.7) at day 90 (p < 0.001). Average pain values showed a reduction of 69% (SD 36) and 70% (SD 35) in the initial pain at days 30 and 90, respectively. The average increase in quality of life was 87% and 92% at days 30 and 90, respectively.
This new orthosis, relying on the principle of thoraco-pelvic anterior distraction, gives excellent results in the treatment of camptocormia.
camptocormia，即脊柱后凸综合征，是一种后天性姿势疾病，患者站立时会出现腰椎后凸。传统矫形器和物理治疗方案矫正效果不佳，且患者耐受性通常较差。本研究旨在评估一种新型矫形器联合物理治疗对camptocormia的治疗效果及耐受性。
15例因camptocormia前来咨询的患者（5例男性，10例女性，年龄71.4（标准差（SD）7.3）岁）被连续纳入研究。排除伸直身体时疼痛的患者。佩戴矫形器的患者住院5天，以便学习自我康复计划。在住院前后、30天和90天时对他们进行评估。
与第0天（未佩戴矫形器）相比，佩戴矫形器后第30天腰椎前凸平均增加10.1度（SD 9.9）（p < 0.05），第90天增加12.5度（SD 9.7）（p < 0.001）。平均疼痛值显示，在第30天和第90天，初始疼痛分别减轻了69%（SD 36）和70%（SD 35）。生活质量平均提高分别在第30天和第90天为87%和92%。
这种基于胸-骨盆前牵张原理的新型矫形器在治疗camptocormia方面取得了优异的效果。
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