Fishman Loren M
Department of Rehabilitative and Regenerative Medicine, Columbia University Medical School, New York, New York.
Glob Adv Health Med. 2021 Feb 24;10:2164956120988259. doi: 10.1177/2164956120988259. eCollection 2021.
Assess therapeutic value of specific yoga poses for thoracic and lumbar adolescent idiopathic scoliosis (AIS) taught in office or Internet.
Nonrandomized control trial: Fifty-six adolescents (mean age 14.0 years; mean Risser 3.0) were recruited from our clinic; 41 did the side-plank, the half-moon and elevated side plank poses as appropriate (treatment group) and 15 did not (controls). Thirty curves were treated in office, 30 via Internet. Curve change was evaluated by blinded serial Cobb angles, and analyzed using Mann-Whitney U, paired t-tests and χ.
Mean lumbar and thoracolumbar Cobb angle change was -9.2 (95% CI = -11.8, -6.6) in the treatment group and 5.4 (95% CI = 1.7, 9.0) in controls. Both treatment group improvement and deterioration in controls were significant (treatment group: paired t-test t = -7.1, df = 40, p = .000; controls: t = 3.2, df = 12, p = .008). Mean thoracic Cobb angle change was -7.1 (95% CI = -13.1, -1.2) in the treatment group and 9.3 (95% CI = 4.5, 14.6) in controls. Both changes were significant (paired t-test t = -3.3, df = 21, p = .022 for treatment group; t = 4.5, df = 5, p = .006 for controls). Nine Internet patients were non-compliant vs. 6 office patients. Office patients improved 1.6 degrees/month or 5.5%/month; Internet patients improved .72 degrees/month or 3.3%/month.
These yoga poses show promise for reversing adolescent idiopathic scoliosis. Telemedicine had greater non-compliance and lower efficacy but still produced patient improvement.
评估在诊室或通过互联网教授的特定瑜伽体式对青少年胸腰椎特发性脊柱侧凸（AIS）的治疗价值。
非随机对照试验：从我们的诊所招募了56名青少年（平均年龄14.0岁；平均Risser分级为3.0）；41名青少年进行适当的侧板式、半月式和高位侧板式体式练习（治疗组），15名不进行（对照组）。30例脊柱侧弯在诊室治疗，30例通过互联网治疗。通过盲法连续测量Cobb角评估脊柱侧弯变化，并使用Mann-Whitney U检验、配对t检验和χ检验进行分析。
治疗组腰椎和胸腰段Cobb角平均变化为-9.2（95%CI=-11.8，-6.6），对照组为5.4（95%CI=1.7，9.0）。治疗组的改善和对照组的恶化均具有显著性（治疗组：配对t检验t=-7.1，df=40，p=.000；对照组：t=3.2，df=12，p=.008）。治疗组胸椎Cobb角平均变化为-7.1（95%CI=-13.1，-1.2），对照组为9.3（95%CI=
