通过家长在住院康复期间的积极参与提高特发性脊柱侧弯保守治疗的效果
Improving the Effectiveness of Conservative Treatment of Idiopathic Scoliosis Through Active Parental Participation During Inpatient Rehabilitation.
作者信息
Białek Marianna, Pękala Justyna, Białek-Kucharska Ewelina, Poczynek Małgorzata, Poświata Paulina, Kotwicki Tomasz
机构信息
FITS Method, 59-411 Paszowice, Poland.
Kinetik, 59-400 Jawor, Poland.
出版信息
Healthcare (Basel). 2025 Jun 29;13(13):1551. doi: 10.3390/healthcare13131551.
BACKGROUND/OBJECTIVES: This is a study of adolescents with idiopathic scoliosis (IS), treated by the Functional Individual Therapy of Scoliosis (FITS) method. The hypothesis was that active parental involvement in the treatment process enhances the outcomes of therapy.
MATERIALS AND METHODS
A total of 208 adolescent girls with IS were examined and divided into two groups. Only in Group I were the parents present. Trunk morphology before and after was evaluated by measuring change of the Anterior Trunk Symmetry Index (ATSI), Posterior Trunk Symmetry Index (POTSI), Posterior Trunk Symmetry Index in Correction (POTSI COR), and the angle of trunk rotation (ATR).
RESULTS
Statistically significant improvements in ATSI values were observed in both groups (Group I: < 0.001; Group II: = 0.001). POTSI values showed improvement only in Group I ( < 0.001). Similarly, POTSI COR values improved significantly in Group I ( < 0.001). ATR improved significantly better in Group I.
CONCLUSION AND SIGNIFICANCE
Children with IS who underwent specific physiotherapy demonstrated better outcomes when their parents actively participated in the therapy.
背景/目的：本研究针对采用脊柱侧弯功能个体化治疗（FITS）方法治疗的特发性脊柱侧弯（IS）青少年患者。研究假设为父母积极参与治疗过程可提高治疗效果。
材料与方法
共检查了208名患有IS的青春期女孩，并将她们分为两组。只有第一组有父母陪同。通过测量前躯干对称指数（ATSI）、后躯干对称指数（POTSI）、矫正后躯干对称指数（POTSI COR）和躯干旋转角度（ATR）的变化来评估前后的躯干形态。
结果
两组的ATSI值均有统计学意义上的显著改善（第一组：<0.001；第二组：=0.001）。POTSI值仅在第一组有所改善（<0.001）。同样，第一组的POTSI COR值有显著改善（<0.001）。第一组的ATR改善明显更好。
结论与意义
接受特定物理治疗的IS患儿，在其父母积极参与治疗时，治疗效果更佳。
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