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10例青少年特发性脊柱侧弯患者接受整脊治疗后的影像学参数变化:一项回顾性图表审查。

Changes in radiographic parameters following chiropractic treatment in 10 patients with adolescent idiopathic scoliosis: A retrospective chart review.

作者信息

Pu Chu Eric Chun, Chakkaravarthy Diya Midhun, Huang Kevin Hsu Kai, Ho Vicky Wei Kye, Lo Fa-Sain, Bhaumik Amiya

机构信息

New York Chiropractic and Physiotherapy Centre, Mongkok, Hong Kong, China.

Lincoln University College, Jalan Kota Bharu-Pengkalan Kubor, Kota Bharu, Kelantan, Malaysia.

出版信息

Clin Pract. 2020 Sep 4;10(3):1258. doi: 10.4081/cp.2020.1258.

Abstract

This retrospective chart review was undertaken to investigate the role of chiropractic intervention for patients with adolescent idiopathic scoliosis (AIS). Ten cases of patients with AIS, mean age 13.3 years, undergoing chiropractic adjustment were retrospectively evaluated. Chart review was performed to extract age, medical history and treatment intervention. The magnitude of scoliosis was quantified using the Cobb method on standing radiographs. A comparison of the measurements from pre- and post-treatment radiographs revealed that Cobb angle reduced from average 29.7° down to average 23.4° (average 21.2% correction). Improvements in spinal morphologies were observed in most curves (64%, n=9/14) and curve stabilization in the rest (36%, n=5/14). A better correction was obtained in cases of mild and moderate AIS. In terms of stabilizing progression (≤5 curve progression) or correcting curvatures (≥6° reduction), radiological changes were observed in all patients.

摘要

本回顾性病历审查旨在研究脊椎按摩疗法对青少年特发性脊柱侧凸(AIS)患者的作用。对10例接受脊椎按摩调整的AIS患者进行了回顾性评估,患者平均年龄13.3岁。通过病历审查提取年龄、病史和治疗干预措施。使用Cobb法在站立位X线片上对脊柱侧凸的程度进行量化。治疗前后X线片测量结果的比较显示,Cobb角从平均29.7°降至平均23.4°(平均矫正21.2%)。在大多数曲线(64%,n=9/14)中观察到脊柱形态改善,其余曲线(36%,n=5/14)实现了曲线稳定。轻度和中度AIS患者获得了更好的矫正效果。在稳定进展(≤5°曲线进展)或矫正弯曲度(≥6°降低)方面,所有患者均观察到了影像学变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e5/7482186/d6a93d7c12d3/cp-10-3-1258-g001.jpg

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