特发性脊柱侧弯骨盆手法矫正联合核心肌群训练△

Pelvic manipulation combined with core muscle training for idiopathic scoliosis

摘要:

[目的] 观察骨盆矫正手法联合核心肌群训练治疗特发性脊柱侧弯（adolescent idiopathic scoliosis, AIS） 的疗效。[方法] 2022 年1 月—2023 年5 月86 例AIS 患儿随机分为两组，各43 例，分别给予骨盆矫正手法联合核心肌群训练（复合组）和单纯核心训练（训练组），均干预12 周。对比两组临床及影像结果。[结果] 治疗后12 周，两组VAS 评分、ODI 与躯干旋转角度均显著减少（P＜0.05），SAQ、SRS-22 评分与腰背肌力均显著增加（P＜0.05）；治疗前两组上述指标的差异均无统计学意义（P＞0.05），治疗后12 周，复合组VAS 评分、ODI、SAQ [(65.2±5.3) vs (61.4±5.8), P=0.002]、SRS-22 评分[(91.2±8.4) vs (84.8±9.3),P＜0.001]、腰背肌力[(440.5±18.3) N·m vs (410.8±17.4) N·m, P＜0.001] 与躯干旋转角度[(5.2±1.0)° vs (6.5±1.1)°, P＜0.001] 均显著优于训练组。影像方面，治疗后12 周，两组主弯Cobb 角、AT 均显著减小（P＜0.05），治疗前两组上述影像指标的差异均无统计学意义（P＞0.05），治疗后12 周，复合组主弯Cobb 角和AT 均显著优于训练组。[结论] 相比单一核心肌群训练，骨盆矫正手法联合核心肌群训练治疗AIS 能增强患儿腰背肌力，改善其脊柱功能及生活质量。

Abstract:

[Objective] To observe the therapeutic effect of pelvic correction combined with core muscle training on adolescent idiopath-ic scoliosis (AIS). [Methods] From January 2022 to May 2023, 86 children with AIS were randomly divided into two groups, with 43 cases ineach group, and were respectively given pelvic correction manipulation combined with core muscle training (composite group) or simple coretraining (training group) for 12 weeks. Clinical and imaging results were compared between the two groups. [Results] At 12 weeks after treat-ment, VAS score, ODI and trunk rotation angle significantly decreased (P＜0.05), while SAQ, SRS-22 score and back muscle strength weresignificantly increased (P＜0.05). There was no significant difference between the two groups before treatment (P＞0.05). At 12 weeks aftertreatment, the composite group proved significantly superior to the training group in terms of VAS , ODI, SAQ [(65.2±5.3) vs (61.4±5.8), P=0.002], the SRS-22 scores [(91.2±8.4) vs (84.8±9.3), P＜0.001], and back muscle strength [(440.5±18.3) N·m vs (410.8±17.4) N·m, P＜0.001]and trunk rotation angle [(5.2±1.0)° vs (6.5±1.1)°, P＜0.001]. In terms of imaging, 12 weeks after treatment, Cobb angle and apical translation(AT) of the main curve were significantly decreased in both groups (P＜0.05), and there was no statistical significance in the above imaging in-dicators between the two groups before treatment (P＞0.05). However, the composite group proved significantly better than the training groupin Cobb angle and AT of the main curve 12 weeks after treatment. [Conclusion] Compared with simple core muscle training, pelvic correc-tion manipulation combined with core muscle training for AIS can enhance back muscle strength, improve spinal function and quality of lifein the children.