Elena Salvá Institute, Barcelona, Spain.
Physiother Theory Pract. 2011 Jan;27(1):7-25. doi: 10.3109/09593985.2010.503990.
Progressive adolescent idiopathic scoliosis (AIS) produces specific signs and symptoms, including trunk and spinal deformity and imbalance, impairment of breathing function, pain, progression during adult life, and psychological problems, as a whole resulting in an alteration of the health-related quality of life. A scoliosis-specific rehabilitation program attempts to prevent, improve, or minimize these signs and symptoms by using exercises and braces as the main tools in the rehabilitation treatment. Patient evaluation is an essential point in the decision-making process and determines the selection of the specific exercises and the specifications of the brace design. However, this article is not addressed to scoliosis management. In this present article, a complete definition and discussion of radiological aspects, such as the Cobb angle, axial rotation, curve pattern classifications, and sagittal configuration, follow a short description of the three-dimensional nature of AIS. The relationship between AIS and growth is also discussed. There is also a section dedicated to the assessment of trunk deformity and back asymmetry. Other important clinical aspects, such as pain and disability, changes in other regions of the body, muscular balance, breathing function, and health-related quality of life, are not discussed in this present article.
进展性青少年特发性脊柱侧凸（AIS）会产生特定的体征和症状，包括躯干和脊柱畸形和不平衡、呼吸功能受损、疼痛、成年后进展以及心理问题，这些整体导致健康相关生活质量的改变。专门针对脊柱侧凸的康复计划试图通过使用运动和支具作为康复治疗的主要工具来预防、改善或最小化这些体征和症状。患者评估是决策过程中的一个重要环节，决定了特定运动的选择和支具设计的规格。然而，本文并不是针对脊柱侧凸的管理。在本文中，对放射学方面进行了全面的定义和讨论，例如 Cobb 角、轴向旋转、曲线模式分类和矢状面形态，随后对 AIS 的三维性质进行了简短描述。还讨论了 AIS 与生长的关系。还有一个专门用于评估躯干畸形和背部不对称的部分。本文未讨论其他重要的临床方面，如疼痛和残疾、身体其他部位的变化、肌肉平衡、呼吸功能和健康相关生活质量。
