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轻度特发性脊柱侧凸的早期干预与标准治疗:一项基于SOSORT标准的病例对照系列研究,评估脊柱侧凸活动服的影响。

Early intervention versus standard of care for mild idiopathic scoliosis: A case-controlled series based on SOSORT criteria evaluating the impact of a scoliosis activity suit.

作者信息

Morningstar Mark W

机构信息

Natural Wellness & Pain Relief Center, Grand Blanc, MI, USA.

出版信息

Clin Pract. 2020 May 14;10(1):1251. doi: 10.4081/cp.2020.1251. eCollection 2020 Mar 31.

DOI:10.4081/cp.2020.1251
PMID:32477482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7246342/
Abstract

In the present study, a group of adolescent patients diagnosed with mild adolescent idiopathic scoliosis wore a scoliosis activity suit instead of maintaining the recommended observation only strategy. These patients wore the scoliosis activity suit for up to 60 minutes twice daily while performing normal daily activities. These patients were followed through until end of growth. Their end of growth results were compared to a group of adolescent idiopathic scoliosis (AIS) patients who only participated in observation. The group who wore the scoliosis activity suit maintained their curve measurements through skeletal maturity, while the observation group saw their curves increase an average of 7 degrees. This study showed that a group of AIS patients were able to prevent their curves from progressing during growth, while those participating in an observation-only strategy saw their curves progress to beyond threshold where rigid brace prescription is recommended. These changes were statistically significant in intergroup comparison, as well as intragroup before and after comparison.

摘要

在本研究中,一组被诊断为轻度青少年特发性脊柱侧凸的青少年患者穿着脊柱侧凸活动服,而不是仅遵循推荐的观察策略。这些患者在进行日常活动时,每天穿着脊柱侧凸活动服两次,每次长达60分钟。对这些患者进行随访直至生长结束。将他们的生长结束结果与一组仅参与观察的青少年特发性脊柱侧凸(AIS)患者进行比较。穿着脊柱侧凸活动服的组在骨骼成熟时保持了其侧弯测量值,而观察组的侧弯平均增加了7度。这项研究表明,一组AIS患者能够在生长期间防止其侧弯进展,而那些仅参与观察策略的患者的侧弯进展到了推荐使用刚性支具的阈值以上。这些变化在组间比较以及组内前后比较中具有统计学意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337b/7246342/791fc273e8a1/cp-10-1-1251-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337b/7246342/74164b695b82/cp-10-1-1251-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337b/7246342/791fc273e8a1/cp-10-1-1251-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337b/7246342/74164b695b82/cp-10-1-1251-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337b/7246342/791fc273e8a1/cp-10-1-1251-g002.jpg

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本文引用的文献

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2
The Natural History of Adolescent Idiopathic Scoliosis.青少年特发性脊柱侧凸的自然病史
J Pediatr Orthop. 2019 Jul;39(Issue 6, Supplement 1 Suppl 1):S44-S46. doi: 10.1097/BPO.0000000000001350.
3
Consistent and regular daily wearing improve bracing results: a case-control study.持续且规律的每日佩戴可改善支具治疗效果:一项病例对照研究。
Scoliosis Spinal Disord. 2018 Jul 28;13:16. doi: 10.1186/s13013-018-0164-0. eCollection 2018.
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2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth.2016年SOSORT指南:生长期间特发性脊柱侧凸的骨科及康复治疗
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Curr Pediatr Rev. 2016;12(1):36-42.
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