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短期三维施罗特疗法治疗青少年特发性脊柱侧凸的疗效:一项观察性研究。

Effect of Short-Term 3-Dimensional Schroth Exercises In Adolescent Idiopathic Scoliosis: An Observational Study.

机构信息

Alpha Med Orthosis and Prostetics Center, Kadikoy, Istanbul, Turkey.

Department of Physiotherapy and Rehabilitation Faculty of Health Sciences, Antalya Bilim University, Döşemealtı, Antalya, Turkey.

出版信息

J Manipulative Physiol Ther. 2021 Oct;44(8):612-620. doi: 10.1016/j.jmpt.2022.02.001.

DOI:10.1016/j.jmpt.2022.02.001
PMID:35786296
Abstract

OBJECTIVE

The purpose of this study was to examine how a short-term Schroth exercise camp affects pain intensity, angle of trunk rotation (ATR), postural recovery, trunk muscle endurance, flexibility, dynamic balance, body image, perception of cosmetic deformity, and health-related quality of life in individuals with adolescent idiopathic scoliosis (AIS).

METHODS

A single-group pretest-posttest design was conducted. Forty-five individuals between the ages of 10 and 18 years who were diagnosed with AIS were included in the study. ATR with scoliometer, postural symmetry changes with Anterior Trunk Symmetry Index and Posterior Trunk Symmetry Index, trunk muscle endurance with straight plank and side plank durations, dynamic balance with Y Balance Test, cosmetic deformity perceptions with the Walter Reed Visual Assessment Scale, and health-related quality of life with the Scoliosis Research Society 22-item questionnaire. The participants engaged in a short-term Schroth exercise camp involving 4.5 hours of corrective exercises per day for 7 days. Above mentioned assessments were done on the first and last day of the exercise camp.

RESULTS

After the Schroth exercise camp, participants showed decreased ATR, improved postural symmetry ratio, and greater trunk muscle endurance and dynamic balance scores. There were also improvements in cosmetic deformity perception and health-related quality of life (P < .05).

CONCLUSION

This preliminary study suggests that a short-term Schroth exercise camp could have a beneficial effect for adolescents with AIS. Although the results of this study should be considered preliminary, the initial findings seem to be promising and repeatable.

摘要

目的

本研究旨在探讨短期施罗特运动营对青少年特发性脊柱侧凸(AIS)患者疼痛强度、躯干旋转角度(ATR)、姿势恢复、躯干肌肉耐力、柔韧性、动态平衡、身体形象、对美容畸形的感知以及健康相关生活质量的影响。

方法

采用单组前后测设计。纳入 45 名年龄在 10 至 18 岁之间、被诊断为 AIS 的个体。使用脊柱侧凸计测量 ATR,使用前躯干对称性指数和后躯干对称性指数测量姿势对称性变化,使用直臂平板和侧臂平板持续时间测量躯干肌肉耐力,使用 Y 平衡测试测量动态平衡,使用 Walter Reed 视觉评估量表测量美容畸形感知,使用脊柱侧凸研究协会 22 项问卷测量健康相关生活质量。参与者参加了一个短期的施罗特运动营,每天进行 4.5 小时的矫正运动,共 7 天。在运动营的第一天和最后一天进行上述评估。

结果

施罗特运动营后,参与者的 ATR 降低,姿势对称性比提高,躯干肌肉耐力和动态平衡评分提高。对美容畸形的感知和健康相关生活质量也有所改善(P<0.05)。

结论

这项初步研究表明,短期施罗特运动营对青少年 AIS 可能有益。尽管本研究结果应被视为初步结果,但初步发现似乎有希望且可重复。

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