Wang Hong-Ya, Kong Ya-Ping
Department of Orthopaedics, Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou 311201, Zhejiang, China.
Zhongguo Gu Shang. 2022 Jan 25;35(1):33-7. doi: 10.12200/j.issn.1003-0034.2022.01.007.
To explore the effect of Chinese massage on the rehabilitation of scoliosis patients undergoing 3D printing orthopedics.
A retrospective selection of 262 patients with adolescent idiopathic scoliosis(AIS) who underwent 3D printing technology orthopedics admitted to the Department of Orthopedics in our hospital from January 2013 to January 2019 were selected for clinical research. According to the rehabilitation treatment methods adopted by the patients after the operation, the patients were divided into control group and observation group, there were 131 cases in each group. The observation group was treated with traditional Chinese acupuncture and massage after operation, and the control group was treated with conventional rehabilitation. The torso rotation angle and the maximum Cobb angle before and after intervention were measured and compared between two groups, Oswestry Disability Index(ODI) was used for functional evaluation, and the visual analogue scale(VAS) was used to evaluate the changes in pain before and after rehabilitation intervention.
After the intervention, the trunk rotation angle and maximum Cobb angle of the observation group were significantly better than those of the control group, the VAS score of the observation group was significantly lower than that of the control group, ODI in the observation group was significantly lower than that in the control group, and the difference was statistically significant(<0.05).
After scoliosis patients undergo preoperative 3D printing correction, the scientific and reasonable implementation of TCM acupuncture and massage can effectively improve the patient's vertebral rotation angle, maximum Cobb angle, and improve the patient's spinal function.
探讨中医推拿对接受3D打印矫形术的脊柱侧弯患者康复的影响。
回顾性选取2013年1月至2019年1月在我院骨科接受3D打印技术矫形术的262例青少年特发性脊柱侧弯(AIS)患者进行临床研究。根据患者术后采用的康复治疗方法,将患者分为对照组和观察组,每组131例。观察组术后采用传统中医针灸推拿治疗,对照组采用常规康复治疗。测量并比较两组干预前后的躯干旋转角度和最大Cobb角,采用Oswestry功能障碍指数(ODI)进行功能评估,采用视觉模拟评分法(VAS)评估康复干预前后疼痛的变化。
干预后,观察组的躯干旋转角度和最大Cobb角明显优于对照组,观察组的VAS评分明显低于对照组,观察组的ODI明显低于对照组,差异有统计学意义(<0.05)。
脊柱侧弯患者术前进行3D打印矫正后,科学合理地实施中医针灸推拿可有效改善患者的椎体旋转角度、最大Cobb角,提高患者的脊柱功能。