特定运动疗法对特发性脊柱侧弯的效果

doi:10.3969/j.issn.1006-9771.2022.07.016

Abstract

Abstract:

Objective To observe the effects of specific exercise therapy on spinal deformity and joint hypermobility of idiopathic scoliosis.

Methods From April to October, 2021, 100 children with idiopathic scoliosis in the Scoliosis Rehabilitation Center of Xinhua Hospital were divided into control group (n = 50) and experimental group (n = 50), who accepted routine exercise therapy or scoliosis-specific exercise therapy in accordance with their wishes, for six months. The maximum Cobb angle and bone mineral density were measured, and they were assessed with Beighton Scale and Chinese version of the Scoliosis Research Society-22 Questionnaire Scores (SRS-22) before and after treatment.

Results The change of the maximum Cobb angle was more in the experimental group than in the control group (Z = -2.202, P < 0.05) after treatment, and the incidence of respondent was more (χ² = -2.405, P < 0.05). The bone mineral density decreased in the experimental group after treatment (|Z| > 2.127, P < 0.05). For SRS-22, the total scores increased in both groups after treatment (F_time = 106.57, P < 0.001), and increased more in the experimental group than in the control group (F = 4.969, P < 0.05); the scores of function domain and self-image domain increased in the experimental group (|Z| > 2.149, P < 0.05), while the mental health domain score decreased in the control group (Z = -2.096, P < 0.05); and the mental health domain score was more in the experimental group than in the control group (Z = -2.260, P < 0.05).

Conclusion The scoliosis-specific exercise therapy is effective on spinal deformity and quality of life for children with idiopathic scoliosis, but less helpful for joint hypermobility and bone mineral density, which need to further improve.

Key words: idiopathic scoliosis, scoliosis-specific exercises, joint hypermobility, bone mineral density, quality of life

CLC Number:

R682.3

JIN Mengdie,ZHOU Xuan,LI Xin,YUE Yiming,ZHU Xiaoqing,YUAN Haiyan,DU Qing. Effects of scoliosis-specific exercise therapy on idiopathic scoliosis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 841-847.

Figures/Tables 8

References 38

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项目	对照组(n = 50)	试验组(n = 50)	χ²/t/Z值	P值
性别(男/女)/n	11/39	18/32	2.380	0.186
年龄/岁	12.69±1.40	12.61±1.35	0.293	0.770
身高/cm	159.60(154.45,163.23)	158.60(154.00,165.00)	-0.055	0.956
体质量/kg	44.80(39.60,54.25)	46.95(39.93,52.08)	-0.462	0.644
BMI/kg·m^-2	18.00(16.45,19.95)	18.35(16.98,20.30)	-0.823	0.411
Risser征/n			2.575	0.631
0级	15	16
1级	6	4
2级	10	15
3级	10	10
4级	9	5
握力/kg
左	15.22±4.15	16.95±4.73	-1.929	0.057
右	16.44±4.68	18.31±5.60	-1.811	0.060

组别	n	治疗前	治疗后	变化量	Z值^a	P值^a
对照组	50	19.80(14.15, 26.60)	21.00(13.95, 27.70)	-0.25(-3.98, 3.70)	-0.271	0.786
试验组	50	18.65(14.18, 27.00)	16.00(13.76, 20.63)	-2.20(-6.35, -0.08)	-3.775	< 0.001
Z值		-0.303	-2.114	-2.202
P值		0.762	0.035	0.028

组别	n	治疗前	治疗后	Z值	P值
对照组	50	2.00(0.00, 3.25)	2.00(0.75, 4.00)	-0.770	0.441
试验组	50	3.00(1.00, 4.00)	2.00(0.00, 4.00)	-1.422	0.155
Z值		-1.549	-0.880
P值		0.121	0.379

组别	n	治疗前	治疗后	Z值	P值
对照组	50	3758.00(3659.50, 3868.50)	3814.00(3703.00, 3896.00)	-1.229	0.219
试验组	50	3816.00(3747.00, 2931.00)	3722.00(3646.50, 3886.00)	-2.127	0.033
Z值		-1.771	-1.154
P值		0.077	0.248

组别	n	治疗前	治疗后	Z值	P值
对照组	50	0.15(-0.80, 0.825)	0.10(-0.60, 0.90)	-0.121	0.904
试验组	50	0.70(-0.30, 2.00)	-0.10(-1.45, 0.90)	-3.117	0.002
Z值		-2.479	-0.748
P值		0.013	0.454

Effects of scoliosis-specific exercise therapy on idiopathic scoliosis

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组别	n	治疗前	治疗后	Z值	P值
对照组	50	57.00(26.50, 79.25)	53.00(27.00, 81.00)	-0.420	0.674
试验组	50	73.00(32.00, 96.50)	47.00(11.50, 77.00)	-2.709	0.007
Z值		-2.135	-0.726
P值		0.033	0.468

组别	n	治疗前	治疗后
对照组	50	85.86±7.42	92.46±8.85
试验组	50	86.28±8.34	96.20±7.90
F值		0.071	4.969
P值		0.790	0.028

维度	组别	n	治疗前	治疗后	Z值	P值
疼痛	对照组	50	25.00(23.00, 25.00)	24.00(23.00, 25.00)	-0.821	0.412
	试验组	50	25.00(23.00, 25.00)	25.00(23.00, 25.00)	-0.035	0.972
功能活动	对照组	50	22.00(21.00, 23.00)	22.00(21.00, 32.00)	-0.191	0.848
	试验组	50	22.00(21.00, 32.00)	23.00(21.00, 23.00)	-2.247	0.025
自我形象	对照组	50	19.00(16.00, 21.00)	18.00(16.00, 20.00)	-1.347	0.178
	试验组	50	17.50(15.75, 21.00)	19.00(17.00, 21.00)	-2.149	0.032
心理健康	对照组	50	22.00(20.00, 24.50)	21.00(19.00, 24.00)	-2.096	0.036
	试验组	50	23.00(21.00, 24.25)	22.00(20.75, 25.00)	-0.066	0.947
	Z值^a		-1.549	-1.261
	P值^a		0.604	0.207
	Z值^b		-0.317	-1.264
	P值^b		0.752	0.206
	Z值^c		-0.995	-1.856
	P值^c		0.320	0.064
	Z值^d		-0.644	-2.260
	P值^d		0.520	0.024

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