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改良密尔沃基支具治疗活动性脊柱侧凸(作者译)

[Active scoliosis in a modified Milwaukee brace (author's transl)].

作者信息

Neugebauer H

出版信息

Z Orthop Ihre Grenzgeb. 1977 Jun;115(3):391-6.

PMID:888529
Abstract

On the basis of new insights in sport-medicine active exercises in the Milwaukee brace have been developed which enable the patient to straighten out his spine "on command". The first exercises serves the straightening. A skin-stimulus (spearing) makes the patient straighten his spine actively. First the doctor, later the parents, stimulate with a prick near the thoracic bulge. The patients learn to withdraw the gibbus from it. To re-inforce muscular power, an isometric resistance is exerted after correction. The second exercise corresponds to the well-known active extension with the extension-bandage of Krämer, but this effect is achieved with a modification of the brace. The pelvic girdle contains two shallow holes into which grips can be inserted. The lenght of these grips is so arranged that the power of the arms can be used to best effect. This exercise, too, will later be carried out against the resistance of a sandbag weighing 2-4 kg which is put on the patient's head. Both exercises have the great advantage that they seem to make sense to the patient and will be gladly and regularly carried out. They also encourage the young girls to wear the brace with more hope for success.

摘要

基于运动医学的新见解,密尔沃基支具中已开发出主动锻炼方法,使患者能够“按指令”挺直脊柱。第一个练习用于挺直脊柱。一种皮肤刺激(针刺)使患者主动挺直脊柱。首先是医生,之后是父母,在胸段隆起附近进行针刺刺激。患者学会从中收回驼背。为增强肌肉力量,在矫正后施加等长阻力。第二个练习与用克莱默伸展绷带进行的著名主动伸展相对应,但通过对支具的改进实现了这种效果。骨盆带包含两个浅孔,可以插入把手。这些把手的长度经过精心设计,以便能最佳地利用手臂的力量。这个练习之后也会在患者头部放置一个2至4公斤重的沙袋作为阻力的情况下进行。这两个练习都有很大的优点,即它们对患者来说似乎有意义,患者会乐意且定期进行。它们还鼓励年轻女孩更有信心地佩戴支具。

相似文献

1
[Active scoliosis in a modified Milwaukee brace (author's transl)].改良密尔沃基支具治疗活动性脊柱侧凸(作者译)
Z Orthop Ihre Grenzgeb. 1977 Jun;115(3):391-6.
2
[Experience with the Milwaukee brace in an out-patient department for scoliosis (author's transl)].在脊柱侧弯门诊使用密尔沃基支具的经验(作者译)
Z Orthop Ihre Grenzgeb. 1974 Dec;112(6):1265-74.
3
The Boston brace system for the treatment of low thoracic and lumbar scoliosis by the use of a girdle without superstructure.
Clin Orthop Relat Res. 1977 Jul-Aug(126):87-92.
4
Rehabilitation of adolescent idiopathic scoliosis: results of exercises and bracing from a series of clinical studies. Europa Medicophysica-SIMFER 2007 Award Winner.青少年特发性脊柱侧弯的康复治疗:一系列临床研究中运动疗法与支具治疗的结果。荣获2007年欧洲医学物理学会 - 国际医学物理与工程联合会奖。
Eur J Phys Rehabil Med. 2008 Jun;44(2):169-76.
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[Investigation of gait of patients with idiopathic scoliosis and the influence of the Milwaukee brace on gait (author's transl)].特发性脊柱侧弯患者的步态及密尔沃基支具对步态的影响研究(作者译)
Z Orthop Ihre Grenzgeb. 1978;116(5):631-40.
6
[The scoliosis patient and his Milwaukee brace (author's transl)].[脊柱侧弯患者及其密尔沃基支具(作者译)]
Acta Chir Orthop Traumatol Cech. 1977 Aug;44(4):364-6.
7
[Conservative treatment of scoliosis with the Milwaukee-brace (author's transl)].用密尔沃基支具保守治疗脊柱侧弯(作者译)
Magy Traumatol Orthop Helyreallito Seb. 1981;24(2):97-107.
8
Boston brace correction in idiopathic scoliosis: a biomechanical study.特发性脊柱侧凸的波士顿支具矫正:一项生物力学研究。
Spine (Phila Pa 1976). 2003 Aug 1;28(15):1672-7. doi: 10.1097/01.BRS.0000083165.93936.6D.
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Relationships between strap tension, interface pressures and spine correction in brace treatment of scoliosis.脊柱侧弯支具治疗中束带张力、界面压力与脊柱矫正之间的关系。
Stud Health Technol Inform. 2002;88:207-11.
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Brace treatment for adolescent idiopathic scoliosis.青少年特发性脊柱侧弯的支具治疗
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引用本文的文献

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2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth.2016年SOSORT指南:生长期间特发性脊柱侧凸的骨科及康复治疗
Scoliosis Spinal Disord. 2018 Jan 10;13:3. doi: 10.1186/s13013-017-0145-8. eCollection 2018.
2
2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth.2011年SOSORT指南:生长发育期特发性脊柱侧凸的骨科及康复治疗
Scoliosis. 2012 Jan 20;7(1):3. doi: 10.1186/1748-7161-7-3.