临床评估一种新矫形装置在非手术治疗脊柱侧凸中的有效性。
Clinical evaluation of the effectiveness of a new orthotic device for the non-operative treatment of scoliosis.
机构信息
Research Institute of Clinical Medicine of Chonbuk National University, Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Jeonbuk, Korea.
Department of Physical Medicine and Rehabilitation, Chonbuk National University Medical School, Jeonju, Jeonbuk, Korea.
出版信息
Technol Health Care. 2020;28(S1):229-236. doi: 10.3233/THC-209023.
BACKGROUND
Bracing is one of the oldest non-operative treatments for patients with scoliosis. However, a wide variety of braces is used, and some show no effect, while others show conflicting results.
OBJECTIVE
We aimed to evaluate the effectiveness of a new orthotic device for the treatment of adult scoliosis.
METHODS
Twenty adult patients who were diagnosed with scoliosis and qualified for the study were selected and all participants were treated for 12 hours/day for 12 weeks using a new orthotic device. Various efficacy assessments (Cobb's angle, spine length, pelvic angle, shoulder angle, thoracic angle, lumbar angle, pelvic sacral angle) were performed before and after the 12-week treatment. The values at each time point were compared.
RESULTS
There were significant treatment effects in a time-dependent manner on every efficacy assessment (p< 0.05) after 12 weeks of bracing.
CONCLUSION
In this clinical study, it was demonstrated that a new brace that is more comfortable for the wearer reduced scoliosis and may be a useful option for non-operative treatment of scoliosis.
背景
支具是治疗脊柱侧凸患者的最古老的非手术治疗方法之一。然而，有各种各样的支具，有些没有效果，而有些则显示出相互矛盾的结果。
目的
我们旨在评估一种新的矫形器治疗成人脊柱侧凸的疗效。
方法
选择了 20 名被诊断为脊柱侧凸并符合研究条件的成年患者，所有患者均使用新的矫形器每天治疗 12 小时，持续 12 周。在 12 周的治疗前后进行了各种疗效评估（Cobb 角、脊柱长度、骨盆角、肩角、胸椎角、腰椎角、骨盆骶骨角）。比较每个时间点的值。
结果
在 12 周的支具治疗后，每种疗效评估都表现出明显的时间依赖性治疗效果（p<0.05）。
结论
在这项临床研究中，证明了一种更舒适的新型支具可以减轻脊柱侧凸，可能是脊柱侧凸非手术治疗的一种有用选择。
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