Ng Shu-Yan, Ng Yin-Ling
Spine Technology Ltd.: Rm 1101, 11/fl Methodist House, 36 Hennessy Road, Wanchai, Hong Kong.
J Phys Ther Sci. 2024 Dec;36(12):817-822. doi: 10.1589/jpts.36.817. Epub 2024 Dec 1.
[Purpose] The study investigates whether performing scoliosis-specific exercises is related to curve stabilization in postmenopausal women with a thoracolumbar curve. [Case Description] We describe the outcome of three postmenopausal women with thoracolumbar scoliosis performing scoliosis-specific exercises for around ten years. Case 1 had a normal bone mineral density and thoracolumbar scoliosis over 64° and consistently performed the exercises at home for half an hour daily. Cases 2 and 3 had osteopenia and thoracolumbar curves of 64° and 45°, respectively. They did the exercises sparingly over eight years, particularly during the three years of COVID-19, when they stopped doing the exercises. [Outcome] The outcomes of the three cases differ. Case 1 had the best result, with the thoracolumbar curve stabilized and no pain. Cases 2 and 3 had curve progression and had mild pain, requiring occasional pain medication. [Discussion] Our findings suggest a potential relationship between regular scoliosis-specific exercises, good bone mineral density, and scoliosis stabilization. More research is needed to further our understanding of the interplay between exercise, bone health, and scoliosis progression.
[目的] 本研究调查了绝经后胸腰段脊柱侧弯女性进行脊柱侧弯特定锻炼是否与曲线稳定有关。[病例描述] 我们描述了三名绝经后胸腰段脊柱侧弯女性进行约十年脊柱侧弯特定锻炼的结果。病例1骨密度正常,胸腰段脊柱侧弯超过64°,每天在家坚持锻炼半小时。病例2和病例3患有骨质减少,胸腰段曲线分别为64°和45°。她们在八年中偶尔进行锻炼,特别是在新冠疫情的三年里,她们停止了锻炼。[结果] 三个病例的结果不同。病例1结果最佳,胸腰段曲线稳定且无疼痛。病例2和病例3曲线进展且有轻度疼痛,需要偶尔服用止痛药物。[讨论] 我们的研究结果表明,定期进行脊柱侧弯特定锻炼、良好的骨密度和脊柱侧弯稳定之间可能存在关联。需要更多研究来进一步了解锻炼、骨骼健康和脊柱侧弯进展之间的相互作用。