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施罗特疗法结合根森支具对青少年特发性脊柱侧凸 Cobb 角和肺功能的联合影响:一项前瞻性、单盲、随机对照试验。

Combined effect of Schroth method and Gensingen brace on Cobb's angle and pulmonary functions in adolescent idiopathic scoliosis: a prospective, single blinded randomized controlled trial.

机构信息

Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, PrinceSattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia.

出版信息

Eur Rev Med Pharmacol Sci. 2023 Jan;27(2):601-610. doi: 10.26355/eurrev_202301_31061.

Abstract

OBJECTIVE

To detect the effect of the Schroth method added to the Gensingen brace for six months on Cobb's angle, axial rotation of the trunk, and pulmonary function in adolescent idiopathic scoliosis.

PATIENTS AND METHODS

The study followed a prospective, single-blinded, randomized controlled trial design following the CONSORT guidelines. The study was conducted in Health and Rehabilitation Centre. 42 males aged 10-18 years old, diagnosed with adolescent idiopathic scoliosis (AIS) with curves of 35-40°, were recruited and then were allocated into three groups: Group A, Group B, and Group C.

RESULTS

Significant improvement (p < 0.001) in Cobb's angle and the axial rotation of the trunk (ART) were noted after the treatment in the three groups, while pulmonary function showed better results in Group A (p < 0.001) when compared to the two other groups p ≥ 0.000).

CONCLUSIONS

Six months of Schroth method added to Gensingen Brace demonstrate favorable results in Cobb's angle, thoracic trunk rotation angle, and pulmonary function in adolescent idiopathic scoliosis.

摘要

目的

检测施罗斯疗法联合根生支具治疗青少年特发性脊柱侧凸 6 个月对 Cobb 角、躯干轴向旋转和肺功能的影响。

患者与方法

本研究采用前瞻性、单盲、随机对照试验设计,遵循 CONSORT 指南。研究在健康与康复中心进行。共招募了 42 名年龄在 10-18 岁之间、诊断为青少年特发性脊柱侧凸(AIS)且曲线为 35-40°的男性患者,并将其分为三组:A 组、B 组和 C 组。

结果

三组患者在治疗后 Cobb 角和躯干轴向旋转(ART)均有显著改善(p<0.001),而 A 组肺功能的改善效果明显优于其他两组(p<0.001)。

结论

施罗斯疗法联合根生支具治疗青少年特发性脊柱侧凸 6 个月,在 Cobb 角、胸腰段旋转角度和肺功能方面均取得了良好的效果。

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