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

Abstract

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

CLC Number:

R682.3

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.

Figures/Tables 6

Table 1

Table 2

Comparison of RMS values of sEMG in various muscles during resting state and different training exercises"

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

Table 2

Table 3

Figure 1

Figure 2

Table 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

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

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