基于表面肌电的弹力带三维矫正疗法对青少年特发性脊柱侧凸的效果

doi:10.3969/j.issn.1006-9771.2026.10.006

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (10): 1177-1185.doi: 10.3969/j.issn.1006-9771.2026.10.006

基于表面肌电的弹力带三维矫正疗法对青少年特发性脊柱侧凸的效果

刘介生^1a^,², 封玉琨^1a, 何泽佳^1b, 洪毅^1a, 王方永^1a, 张军卫^1a(), 刘宝戈²()

¹ 中国康复研究中心北京博爱医院， a.脊柱脊髓外科；b.康复评定科，北京市 100068
² 首都医科大学附属北京天坛医院骨科，北京市 100070

收稿日期:2026-02-24 修回日期:2026-05-04 接受日期:2026-08-05 出版日期:2026-10-25 发布日期:2026-10-23
通讯作者: 刘宝戈，E-mail： baogeliuttyy@163.com；
张军卫，E-mail： 13910158172@163.com
作者简介:刘介生(1989-)，男，汉族，安徽怀宁县人，硕士，副主任医师，主要研究方向：脊柱创伤、畸形、退变性疾病的微创手术与康复。
基金资助:
中国康复研究中心青年基金项目(2023ZX-Q2);中国康复研究中心青年基金项目(2020-Q6)

Effect of elastic band three-dimensional correction therapy on adolescent idiopathic scoliosis based on surface electromyography

Liu Jiesheng^1a^,², Feng Yukun^1a, He Zejia^1b, Hong Yi^1a, Wang Fangyong^1a, Zhang Junwei^1a(), Liu Baoge²()

¹ a. Department of Spine and Spinal Cord; b. Department of Rehabilitation Assessment, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
² Department of Orthopaedic Surgery, Beijing Tiantan Hospital, China Capital Medical University, Beijing 100070, China

Received:2026-02-24 Revised:2026-05-04 Accepted:2026-08-05 Published:2026-10-25 Online:2026-10-23
Supported by:
Foundation of China Rehabilitation Research Center (Youth)(2023ZX-Q2);Foundation of China Rehabilitation Research Center (Youth)(2020-Q6)

摘要/Abstract

摘要：

目的观察表面肌电(sEMG)协助制定弹力带三维矫正疗法对青少年特发性脊柱侧凸(AIS)的效果。

方法 2020年3月至2024年11月，北京博爱医院AIS患儿42例随机分为对照组(n = 21)和试验组(n = 21)。对照组采用Schroth 特定运动疗法，试验组通过采集sEMG信号进行分析，确定弹力带三维矫形训练方案，共3个月。治疗前后，采用Cobb角和国际脊柱侧凸研究学会患者问卷-22 (SRS-22)进行评定。

结果对照组脱落1例。试验组通过sEMG结果的分析，确定最终训练方案为：主弯凹侧侧方抗阻、凹侧前弓步凸侧肩部前屈内旋抗阻和凸侧屈膝支撑臀桥。治疗后，试验组Cobb角明显减小(t = 3.306, P= 0.002)，明显小于对照组(t = -3.102, P= 0.004)；试验组SRS-22心理健康维度评分增加(t = -2.161, P= 0.037)，且明显高于对照组(t = 2.873, P =0.007)。试验组满意度显著高于对照组(t = -4.194, P < 0.001)。

结论 sEMG可为弹力带三维矫正AIS的运动方案制定提供精准参考，并可获得良好的矫正效果和治疗满意度。

关键词: 青少年特发性脊柱侧凸, 表面肌电, 特殊运动疗法, 弹力带, 康复

Abstract:

Objective To investigate the effect of elastic band three-dimensional correction therapy based on surface electromyography (sEMG) on adolescent idiopathic scoliosis (AIS).

Methods From March, 2020 to November, 2024, 42 children with AIS in Beijing Bo'ai Hospital were randomly divided into control group (n = 21) and experimental group (n = 21). The control group received Schroth-specific exercise therapy, while the experimental group was analyzed by collecting sEMG signals to determine the three-dimensional elastic band correction training plan, for three months. Before and after treatment, the Cobb angle and the International Scoliosis Research Society Patient Questionnaire 22 (SRS-22) were used for assessment.

Results One case dropped out in the control group. Through the analysis of the sEMG results, the final training plan of the experimental group was determined as follows: lateral resistance on the concave side of the main curve, resistance to forward lunges on the concave side and forward flexion and internal rotation of the convex side shoulder, and convex-side knee flexion supporting gluteal bridge. After treatment, the Cobb angle decreased in the experimental group (t = 3.306, P= 0.002), and was less in the experimental group than in the control group (t = -3.102, P= 0.004). The score of mental health of SRS-22 increased in the experimental group (t = -2.161, P= 0.037), and was higher in the experimental group than in the control group (t = 2.873, P =0.007). The satisfaction was higher in the experimental group than in the control group (t = -4.194, P < 0.001).

Conclusion sEMG can provide precise references for the formulation of exercise plans for three-dimensional correction of AIS with elastic bands, which can achieve good correction effects and treatment satisfaction.

Key words: adolescent idiopathic scoliosis, surface electromyography, specific exercise therapy, elastic band, rehabilitation

中图分类号:

R682.3

刘介生, 封玉琨, 何泽佳, 洪毅, 王方永, 张军卫, 刘宝戈. 基于表面肌电的弹力带三维矫正疗法对青少年特发性脊柱侧凸的效果[J]. 《中国康复理论与实践》, 2026, 32(10): 1177-1185.

Liu Jiesheng, Feng Yukun, He Zejia, Hong Yi, Wang Fangyong, Zhang Junwei, Liu Baoge. Effect of elastic band three-dimensional correction therapy on adolescent idiopathic scoliosis based on surface electromyography[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(10): 1177-1185.

图/表 6

表1

表2

静息态及不同训练动作下各肌肉sEMG的RMS比较"

位置	动作	侧别		t值	P值	位置	动作	侧别		t值	P值
位置	动作	凸侧	凹侧	t值	P值	位置	动作	凸侧	凹侧	t值	P值
T₇竖脊肌	静息态	13.74±8.60	11.27±5.78	1.092	0.282	腹外斜肌	静息态	8.29±1.80	7.16±2.00	1.924	0.062
	I-A	40.32±6.37	9.91±7.58	14.075	< 0.001		I-A	16.72±7.52	11.68±8.93	1.978	0.055
	I-B	9.92±2.34	10.75±3.18	-0.963	0.342		I-B	15.37±8.64	31.13±11.39	-5.052	< 0.001
	II-A	39.55±10.86	48.30±13.07	2.361	0.024		II-A	28.16±7.85	32.68±0.63	1.667	0.104
	II-B	51.97±22.73	35.40±25.64	2.216	0.033		II-B	33.11±8.45	28.07±10.23	1.741	0.090
	III-A	89.76±55.20	71.46±38.42	1.247	0.220		III-A	7.32±0.95	7.04±1.20	0.838	0.408
	III-B	66.72±28.63	90.57±34.17	2.452	0.019		III-B	8.19±2.20	8.69±2.70	0.658	0.515
	III-C	105.27±38.52	70.38±38.21	2.947	0.005		III-C	10.23±3.60	7.90±4.70	1.804	0.079
T₁₂竖脊肌	静息态	12.03±4.89	10.71±5.06	0.860	0.395	臀大肌	静息态	4.25±3.72	6.64±4.15	-1.965	0.057
	I-A	18.75±9.85	12.43±11.25	1.939	0.060		I-A	9.45±4.52	11.23±5.73	-1.117	0.271
	I-B	11.70±1.52	12.00±2.06	-0.537	0.594		I-B	16.28±5.17	18.68±6.84	-1.283	0.208
	II-A	21.12±3.82	22.31±4.56	0.917	0.365		II-A	11.58±4.30	9.23±5.70	1.508	0.140
	II-B	18.88±5.18	16.62±6.73	1.220	0.230		II-B	12.89±2.43	12.17±3.17	0.826	0.414
	III-A	93.48±22.30	86.32±26.45	0.948	0.349		III-A	26.03±12.15	31.17±14.82	1.229	0.227
	III-B	52.90±35.26	84.51±41.83	2.648	0.012		III-B	32.14±8.31	23.92±12.67	2.486	0.018
	III-C	70.20±32.00	83.60±38.50	1.227	0.228		III-C	18.44±11.80	25.73±16.50	1.647	0.109
L₃竖脊肌	静息态	6.67±4.79	5.09±3.21	1.260	0.216	臀中肌	静息态	6.54±1.53	7.37±1.87	1.574	0.123
	I-A	31.63±13.74	10.77±15.92	2.367	0.023		I-A	15.25±8.12	19.98±10.05	-1.678	0.102
	I-B	11.90±6.72	16.00±8.45	-1.740	0.090		I-B	25.17±5.83	22.60±7.46	1.244	0.221
	II-A	27.14±7.82	33.22±10.38	2.144	0.039		II-A	18.22±3.15	17.13±4.02	0.978	0.334
	II-B	13.26±12.30	21.94±16.80	1.910	0.064		II-B	21.39±5.13	19.12±6.87	1.213	0.233
	III-A	90.36±21.38	66.67±25.92	3.231	0.003		III-A	14.61±7.16	24.10±8.92	3.802	< 0.001
	III-B	69.95±59.84	135.37±70.22	3.249	0.002		III-B	35.36±13.72	23.11±16.55	2.612	0.013
	III-C	97.62±10.30	92.58±12.75	1.409	0.167		III-C	31.06±16.50	40.51±20.01	1.670	0.103
腹直肌	静息态	5.60±1.50	4.99±0.90	1.598	0.119	半腱肌	静息态	3.96±5.69	7.24±7.03	-1.662	0.105
	I-A	11.96±3.27	6.10±4.28	5.060	< 0.001		I-A	12.75±6.28	16.01±7.94	-1.476	0.148
	I-B	5.82±1.43	6.08±1.97	-0.489	0.627		I-B	28.24±5.36	26.06±6.93	1.140	0.262
	II-A	22.21±7.06	18.60±9.13	1.433	0.160		II-A	9.42±2.15	8.34±2.83	1.393	0.172
	II-B	22.16±16.70	16.43±11.80	1.284	0.207		II-B	28.44±14.69	17.34±19.02	2.117	0.041
	III-A	15.64±5.93	9.87±8.47	2.557	0.015		III-A	37.64±18.25	50.30±22.68	1.993	0.053
	III-B	7.46±4.50	10.63±7.50	1.661	0.107		III-B	58.97±11.50	56.8±14.01	0.655	0.517
	III-C	10.15±3.85	7.61±4.92	1.863	0.070		III-C	67.23±27.53	42.07±26.18	3.035	0.004

表2

表3

图1

图2

表4

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变量	对照组(n = 21)	试验组(n = 21)	χ²/t值	P值
年龄/岁	10.6±1.3	10.1±1.2	1.042	0.301
性别(女/男)/n	13/8	15/6	0.427	0.513
身高/cm	146.0±5.7	143.1±5.5	1.747	0.089
体质量/kg	35.4±3.2	33.7±2.9	1.784	0.082
Cobb角/°	16.5±3.2	15.1±2.5	1.600	0.118
侧凸类型(主胸弯/双主弯/胸腰弯或腰弯)/n	8/6/7	10/5/6	0.390	0.823

组别	n	测试	$\stackrel{-}{\mathit{x}}\pm \mathit{s}$	t值	P值
对照组	20	前测	16.5±3.2	-1.057	0.297
		后测	18.3±4.9
试验组	21	前测	15.1±2.5	3.306	0.002
		后测	12.3±7.2
治疗前两组均值差			-1.4±2.9	-1.580	0.122
治疗后两组均值差			-6.0±6.2	-3.102	0.004

变量	组别	n	测试	$\stackrel{-}{\mathit{x}}\pm \mathit{s}$	t值	P值
功能	对照组	20	前测	4.29±0.46	-0.758	0.453
			后测	4.40±0.50
	试验组	21	前测	4.19±0.68	-0.970	0.338
			后测	4.38±0.59
	治疗前两组均值差			-0.10±0.58	-0.552	0.579
	治疗后两组均值差			-0.02±0.55	-0.120	0.907
疼痛	对照组	20	前测	4.19±0.60	-0.647	0.521
			后测	4.30±0.47
	试验组	21	前测	4.14±0.79	-0.940	0.354
			后测	4.33±0.48
	治疗前两组均值差			-0.05±0.70	-0.227	0.821
	治疗后两组均值差			0.03±0.48	0.202	0.841
自我感觉	对照组	20	前测	4.48±0.68	-1.534	0.134
			后测	4.75±0.44
	试验组	21	前测	4.67±0.48	-1.041	0.304
			后测	4.81±0.40
	治疗前两组均值差			0.19±0.59	1.038	0.306
	治疗后两组均值差			0.06±0.42	0.457	0.650
心理健康	对照组	20	前测	4.29±0.90	0.890	0.388
			后测	4.10±0.31
	试验组	21	前测	4.10±0.62	-2.161	0.037
			后测	4.48±0.51
	治疗前两组均值差			0.19±0.77	0.790	0.434
	治疗后两组均值差			0.38±0.42	2.873	0.007
满意度	对照组			4.20±0.52	-4.194	< 0.001
	试验组			4.81±0.40

基于表面肌电的弹力带三维矫正疗法对青少年特发性脊柱侧凸的效果

Effect of elastic band three-dimensional correction therapy on adolescent idiopathic scoliosis based on surface electromyography

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