Department of Physiotherapy, College of Rehabilitation in Warsaw, 01-234 Warsaw, Poland.
Institute of Physiotherapy and Health Sciences, Academy of Physical Education, 40-065 Katowice, Poland.
Int J Environ Res Public Health. 2022 Apr 14;19(8):4750. doi: 10.3390/ijerph19084750.
(1) Background: Idiopathic scoliosis occurs in 2 to 4% of children between 10 and 16 years of age. Due to the harmfulness of radiological examination, non-invasive devices, including the 3D ultrasound technology and Scolioscan apparatus, are more and more frequently used for postural diagnostics. The aim of the study was to analyze the parameters of posture in patients with idiopathic scoliosis with the use of 3D ultrasound diagnostics. (2) Methods: The study included 20 girls, aged 10 to 16 years, with double-curve idiopathic scoliosis (the value of primary curve ranged from 25-50°), types I and II according to King-Moe classification. On the basis of X-ray scan, the Cobb angle of primary and secondary curves was assessed, the skeletal maturity was evaluated with the Risser test, and the type of scoliosis was determined. The girls participated in a 3-week rehabilitation program. The examinations were performed before and after therapy. A scoliometer was used for measurements. Each of the participants underwent individual therapy. The three-plane approach to asymmetric exercises was based largely on positions that included primary curve correction with hypercorrection of the secondary curve. (3) Results: After the therapy, values of trunk rotation angles and the angle of scoliotic curvature of secondary curve were significantly lower than before the therapy, except for the value of the primary curve angle. The parameters measured by X-ray were significantly and positively related to the results obtained with the scoliometer and the scolioscan. (4) Conclusions: The application of therapy that takes into account summing parameters may prevent the deterioration of the secondary curve when treating patients with idiopathic scoliosis. The observed correlations between the parameters of the radiological examination, the scoliometer, and the scolioscan prove the possibility of their interchangeable application in the assessment of effects of the therapy. Three-dimensional ultrasound diagnostics may become an alternative to radiological examination in assessing the treatment effects of patients with idiopathic scoliosis.
（1）背景：特发性脊柱侧凸在 10 至 16 岁儿童中发病率为 2%至 4%。由于放射学检查的危害性，包括 3D 超声技术和 Scolioscan 仪器在内的非侵入性设备越来越频繁地用于姿势诊断。本研究的目的是使用 3D 超声诊断分析特发性脊柱侧凸患者的姿势参数。（2）方法：该研究纳入了 20 名年龄在 10 至 16 岁的女孩，患有双曲线特发性脊柱侧凸（主曲线角度为 25-50°），根据 King-Moe 分类为 I 型和 II 型。基于 X 射线扫描评估主曲线和次曲线的 Cobb 角，Risser 测试评估骨骼成熟度，确定脊柱侧凸类型。女孩们参加了为期 3 周的康复计划。在治疗前后进行检查。使用脊柱测角器进行测量。每位参与者都接受了个性化治疗。三平面不对称运动方法主要基于包括用次曲线超矫正来矫正主曲线的位置。（3）结果：治疗后，躯干旋转角度值和次曲线脊柱侧凸角度值明显低于治疗前，主曲线角度值除外。X 射线测量的参数与脊柱测角器和 Scolioscan 的结果显著正相关。（4）结论：应用考虑累加参数的治疗方法可能会在治疗特发性脊柱侧凸患者时防止次曲线恶化。放射学检查、脊柱测角器和 Scolioscan 参数之间的观察相关性证明了它们在评估治疗效果时可互换应用的可能性。三维超声诊断可能成为评估特发性脊柱侧凸患者治疗效果的放射学检查的替代方法。
