dos Santos Alves Vera Lucia, Alves da Silva Renato Jose Azevedo Leite, Avanzi Osmar
Department of Physical Therapy, Hospital Santa Isabel, Sao Paulo, Brazil.
Am J Orthop (Belle Mead NJ). 2014 Jun;43(6):E112-6.
Patients with adolescent idiopathic scoliosis (AIS) have lower potential for physical activity because of lung dysfunction and lower muscle strength, which can be reversed by the cardiorespiratory and musculoskeletal conditioning provided by standardized physical activities. We conducted a study to determine if a preoperative protocol of aerobic exercise would improve quality of life (QoL) both before and after training and if there would be any differences between patients who received the therapy and those who did not. Patients with the indication of surgical correction of AIS were randomized to receive or not receive a 4-month preoperative course of aerobic physical training. At baseline and after 4 months, they were evaluated with the Short Form-36 questionnaire (SF-36). QoL scores improved for the study group but did not change for the control group. In all QoL domains, the study group's mean score increased significantly between baseline and 4 months. We concluded that the proposed preoperative physical therapy protocol improved the QoL of patients with AIS.
青少年特发性脊柱侧凸（AIS）患者由于肺功能障碍和肌肉力量较低，身体活动潜力较低，而标准化体育活动提供的心肺和肌肉骨骼调节可以逆转这种情况。我们进行了一项研究，以确定术前有氧运动方案是否会改善训练前后的生活质量（QoL），以及接受治疗的患者与未接受治疗的患者之间是否存在差异。有手术矫正AIS指征的患者被随机分为接受或不接受为期4个月的术前有氧体育训练课程。在基线和4个月后，使用简短健康调查问卷（SF-36）对他们进行评估。研究组的QoL评分有所改善，而对照组则没有变化。在所有QoL领域，研究组的平均评分在基线和4个月之间显著提高。我们得出结论，所提出的术前物理治疗方案改善了AIS患者的QoL。
