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物理治疗方法治疗青少年特发性脊柱侧弯的短期效果(主动活动范围、卡斯佩尔茨克量表、胸廓活动度)——初步研究

Short-term effect (ATR, Kasperczyk's Scale, chest's mobility) of using of physiotherapy method in the treatment of AIS - pilot study.

作者信息

Blicharska I, Brzek A, Durmala J

机构信息

Department of Rehabilitation, Medical University of Silesia, Katowice, Poland.

出版信息

Stud Health Technol Inform. 2012;176:387-92.

Abstract

AIM OF THE STUDY

The assessment of influence physiotherapy (DoboMed) to the chest's mobility and the morphology of the ribcage and the posture in short-term intensive physiotherapy in the Department of Rehabilitation.

MATERIAL AND METHODS

Forty five girls with AIS (mean age- 14.9y.; Cobb angle-range 11-40 degree) were examined. The physiotherapy was been continued for 3 weeks. The angle of trunk rotation (ATR) (Bunnell scoliometer), the posture's morphology (Kasperczyk's Scale) and the chest's mobility index were estimated twice- before and after therapy.

RESULTS

After therapy values of ATR decreased by 2°, the chest mobility index increased by 1.3 and total point obtained in the Kasperczyk's Scale has decreased by 1.9 point- which indicates the improvement body posture. All differences are statistically significantly. Also, reported correlations between Cobb angle and ATR and the sum of the points obtained by Kapserczyk's Scale in first exam.

CONCLUSION

Using of physiotherapeutic method in the treatment of AIS provides to the functionally improvement of the chest's mobility, the angle of trunk rotation and the posture in the short time. A used measurement's tools were practical for PT in everyday's work.

摘要

研究目的

评估物理治疗(多博医疗)对康复科短期强化物理治疗中胸廓活动度、胸廓形态及姿势的影响。

材料与方法

对45名患有特发性脊柱侧弯(平均年龄14.9岁;Cobb角范围11 - 40度)的女孩进行检查。物理治疗持续3周。在治疗前后两次评估躯干旋转角度(ATR)(邦内尔脊柱侧凸测量仪)、姿势形态(卡斯佩尔齐克量表)和胸廓活动指数。

结果

治疗后,ATR值下降了2°,胸廓活动指数增加了1.3,卡斯佩尔齐克量表的总分下降了1.9分,这表明身体姿势得到改善。所有差异均具有统计学意义。此外,首次检查时还报告了Cobb角与ATR以及卡斯佩尔齐克量表得分总和之间的相关性。

结论

在特发性脊柱侧弯治疗中使用物理治疗方法可在短时间内使胸廓活动度、躯干旋转角度和姿势在功能上得到改善。所使用的测量工具对物理治疗师的日常工作很实用。

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