Kim Suyeon
Gangnam Seran Clinic, Seoul, Korea.
J Exerc Rehabil. 2022 Aug 26;18(4):240-247. doi: 10.12965/jer.2244320.160. eCollection 2022 Aug.
Scoliosis is defined as a deviation from the normal vertical line of the spine and consists of a lateral curvature in which the spine rotates within the curvature. Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis and the cause is unknown. In this study, it was investigated whether conservative treatment for adolescent idiopathic scoliosis (CONTRAIS) reduced the patient's Cobb angle, and the effect of CONTRAIS according to the severity of idiopathic scoliosis and the efficacy of CONTRAIS by spinal region were also verified. Idiopathic scoliosis patients with a Cobb angle of 10° or more were recruited and classified into mild, moderate, and severe groups according to the Cobb angle (°). Cobb angle was measured radiographically before and after 10 weeks of treatment. A combination of CONTRAIS, including physical therapy, exercise therapy, manual therapy, and home exercise was prescribed for all patients. The patients visited the hospital 3 times a week for 10 weeks for treatment, and exercised at home for 20 min every day. In this study, the effect of reducing Cobb angle of CONTRAIS did not differ according to the spinal region. Also, the Cobb angle reduction effect of CONTRAIS was more effective in severe group. This study may suggest that early detection and treatment through CONTRAIS enables successful correction of AIS.
脊柱侧弯被定义为脊柱偏离正常垂直线，包括脊柱在弯曲内旋转的侧方弯曲。青少年特发性脊柱侧弯（AIS）是脊柱侧弯最常见的形式，其病因尚不清楚。在本研究中，调查了青少年特发性脊柱侧弯的保守治疗（CONTRAIS）是否能减小患者的Cobb角，还验证了CONTRAIS根据特发性脊柱侧弯严重程度的效果以及按脊柱区域划分的CONTRAIS疗效。招募了Cobb角为10°或更大的特发性脊柱侧弯患者，并根据Cobb角（°）分为轻度、中度和重度组。在治疗10周前后通过X线摄影测量Cobb角。为所有患者开了包括物理治疗、运动疗法、手法治疗和家庭锻炼的CONTRAIS组合。患者每周到医院就诊3次，持续10周进行治疗，并每天在家锻炼20分钟。在本研究中，CONTRAIS减小Cobb角的效果在不同脊柱区域并无差异。此外，CONTRAIS对Cobb角的减小效果在重度组中更有效。本研究可能表明，通过CONTRAIS进行早期检测和治疗能够成功矫正AIS。
