Jie Yi, Li Mengyao, Dong Anqin, Luo Yu-Yan, Luo Chang-Liang, Zheng Qian, Wang Shixin, Wong Man-Sang, Ma Christina Zong-Hao, Zhang Ming
Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Department of Rehabilitation Medicine Engineering, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Arch Rehabil Res Clin Transl. 2025 Jan 11;7(1):100428. doi: 10.1016/j.arrct.2025.100428. eCollection 2025 Mar.
To compare the effects of a novel mechanical 3-dimensional (3D) scoliosis correction protocol and the Schroth exercise on the spinal flexibility of patients with adolescent idiopathic scoliosis (AIS).
Randomized controlled trial.
At the affiliated teaching hospital of a university.
Forty participants with AIS (aged 14.7±2.1y, 10 males and 30 females) received 1 intervention session.
Participants were randomly allocated to the intervention group (IG) (n=20) receiving a single 30-minute mechanical 3D scoliosis correction session and the exercise group (EG) (n=20) receiving a single 30-minute Schroth exercise session. A newly developed scoliosis correction system that could generate spinal longitudinal traction (based on the standard mechanical spinal traction protocol for managing low back pain) and lateral forces (based on the 3-point pressure system) was applied to the participants of the IG.
Spinal flexibility and body height were evaluated before and after each intervention.
Significant improvements in spinal flexibility were found in the forward bending and trunk rotation tests for both groups (028). The participants of the IG further demonstrated significantly improved spinal flexibility as assessed by the lateral bending tests and body height (012). The increase in body height in the IG was also significantly larger than that of the EG (05).
This pilot study preliminarily demonstrated that the developed novel 30-minute mechanical 3D scoliosis correction protocol could effectively improve the side-bending spinal flexibility and body height of the participants. Such positive effects tend to be better than those generated by the Schroth best practice exercises. A long-term study with more participants should be warranted.
比较一种新型机械三维（3D）脊柱侧弯矫正方案与施罗斯疗法对青少年特发性脊柱侧弯（AIS）患者脊柱柔韧性的影响。
随机对照试验。
某大学附属医院。
40名AIS患者（年龄14.7±2.1岁，男10名，女30名）接受1次干预治疗。
参与者被随机分配至干预组（IG，n = 20），接受单次30分钟的机械3D脊柱侧弯矫正治疗；以及运动组（EG，n = 20），接受单次30分钟的施罗斯疗法治疗。一种新开发的脊柱侧弯矫正系统应用于IG组参与者，该系统可产生脊柱纵向牵引（基于治疗下腰痛的标准机械脊柱牵引方案）和侧向力（基于三点压力系统）。
在每次干预前后评估脊柱柔韧性和身高。
两组在前屈和躯干旋转测试中脊柱柔韧性均有显著改善（P < 0.028）。IG组参与者在侧弯测试和身高评估中脊柱柔韧性进一步显著改善（P < 0.012）。IG组身高增加也显著大于EG组（P < 0.05）。
这项初步研究初步证明，所开发的新型30分钟机械3D脊柱侧弯矫正方案可有效改善参与者脊柱侧弯的柔韧性和身高。这些积极效果往往优于施罗斯最佳实践运动所产生的效果。应有必要开展一项纳入更多参与者的长期研究。
