School of Physical Education and Sports, Soochow University, Suzhou, Jiangsu, China.
Department of Movement Science, KU Leuven, Leuven, Belgium.
J Back Musculoskelet Rehabil. 2023;36(6):1365-1373. doi: 10.3233/BMR-220383.
Adolescent idiopathic scoliosis (AIS) has a great negative impact on the physical and mental health of patients; thus, a range of effective, timely interventions are urgently needed. Currently, there is a lack of evidence to illustrate the effect of balance training in patients with AIS, and the traditional AIS therapy often ignores the recovery in balance function of patients with AIS.
To investigate the effect of balance training combined with Schroth therapy among adolescent with mild idiopathic scoliosis.
59 adolescents (aged 10 to 18, 35.59% male) with idiopathic scoliosis were selected and divided into an intervention group (n= 30) and a control group (n= 29). Participants in both groups received routine rehabilitation treatment based on Schroth therapy, and balance training was added in the intervention group. The duration of treatment for both groups was 6 weeks. The Trunk Rotation Angle (ATR), Cobb angle, Scoliosis Research Society 22 (SRS-22) scale and balance function of the two groups were evaluated at baseline and after the intervention.
No significant difference of outcomes were observed between groups at baseline (P> 0.05). After 6 weeks of intervention, the ATR, Cobb angle, SRS-22 and balance function of the two groups improved significantly compared with those before treatment (P< 0.05), and the intervention group had a significant improvement than the control group (P< 0.05).
Balance training combined with Schroth therapy for adolescents with mild idiopathic scoliosis can significantly improve ATR, Cobb angle and quality of life, as well as overall balance function.
青少年特发性脊柱侧凸（AIS）对患者的身心健康有很大的负面影响；因此，迫切需要一系列有效、及时的干预措施。目前，尚无证据表明平衡训练对 AIS 患者有效果，传统的 AIS 治疗往往忽略了 AIS 患者平衡功能的恢复。
探讨平衡训练联合施罗特疗法对青少年特发性轻度脊柱侧凸的疗效。
选择 59 例青少年特发性脊柱侧凸患者（年龄 10 至 18 岁，男性占 35.59%），随机分为干预组（n=30）和对照组（n=29）。两组患者均接受基于施罗特疗法的常规康复治疗，干预组在此基础上增加平衡训练。两组的治疗时间均为 6 周。在基线和干预后评估两组的躯干旋转角度（ATR）、Cobb 角、脊柱侧凸研究学会 22 项量表（SRS-22）评分和平衡功能。
两组患者在基线时各项指标差异均无统计学意义（P>0.05）。干预 6 周后，两组的 ATR、Cobb 角、SRS-22 评分和平衡功能均较治疗前显著改善（P<0.05），且干预组改善情况优于对照组（P<0.05）。
平衡训练联合施罗特疗法治疗青少年特发性轻度脊柱侧凸，可显著改善 ATR、Cobb 角和生活质量，以及整体平衡功能。
