刘彬,李祖虹,戚军,等.施罗斯训练联合冲击波治疗青少年脊柱侧弯的疗效观察[J].中华物理医学与康复杂志,2026,48(6):526-530
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| 施罗斯训练联合冲击波治疗青少年脊柱侧弯的疗效观察 |
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| DOI：10.3760/cma.j.cn421666-20250909-00780 |
| 中文关键词: 青少年特发性脊柱侧弯 冲击波疗法 施罗斯疗法 疼痛程度 |
| 英文关键词: Adolescents, Scoliosis Shock wave therapy Schroth therapy Pain |
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| 中文摘要: |
| 目的 观察施罗斯（Schroth）训练联合冲击波疗法（ESWT）治疗青少年特发性脊柱侧弯（AIS）的临床疗效。 方法 采用随机数字表法将60例青少年AIS患者分为观察组及对照组，每组30例。对照组仅给予Schroth训练，观察组在Schroth训练前辅以ESWT治疗，2组患者均每天治疗1次，每周治疗5 d，连续治疗6个月。于治疗前、治疗6个月后对比2组患者Cobb角、脊柱旋转度（ATR）、顶椎偏离距离（AVT）、疼痛视觉模拟评分（VAS）及侧凸顶椎椎旁肌血流灌注量改善情况。 结果 治疗6个月后2组患者Cobb角、ATR、AVT、疼痛VAS评分、椎旁肌血流灌注量均较治疗前明显改善（P<0.05），并且观察组Cobb角、ATR、AVT、疼痛VAS评分、椎旁肌血流灌注量的改善幅度亦显著优于对照组水平（P<0.05）。 结论 Schroth训练联合ESWT在治疗青少年AIS方面具有显著疗效，可进一步减轻患者疼痛，改善脊柱侧弯Cobb角及旋转角度，该联合治疗方法值得临床推广、应用。 |
| 英文摘要: |
| Objective To observe the clinical efficacy of combining Schroth training with extracorporeal shock wave therapy (ESWT) in the treatment of adolescent idiopathic scoliosis (AIS). Methods Sixty adolescents with AIS were randomly divided into an observation group and a control group, each of 30. Both groups were given Schroth training, while the observation group was additionally provided with ESWT 5 times a week, 1.5 hours per session, for 6 months. The Cobb angle, axial trunk rotation (ATR), apical vertebral translation (AVT), pain ratings on a visual analog scale (VAS), and paraspinal muscle blood flow perfusion on the convex side of the vertebral body were measured before and after the treatment. Results After the treatment, the Cobb angles, ATR, AVT, the pain scores and paraspinal muscle blood flow perfusion had all improved significantly. The observation group′s average improvements were significantly better than those of the control group. Conclusions Schroth training combined with ESWT has significant therapeutic effects in the treatment of adolescent AIS. It can relieve pain and improve the Cobb angle and rotation. |
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