特定运动训练对骨龄未成熟轻度脊柱侧凸患儿干预效果评估

李锋华; 杨军林; 杨云琳; 余雪香; 禤晓玲; 李新月; 黄紫房

doi:10.16835/j.cnki.1000-9817.2022.11.033

特定运动训练对骨龄未成熟轻度脊柱侧凸患儿干预效果评估

doi: 10.16835/j.cnki.1000-9817.2022.11.033

李锋华¹,
杨军林^{2, 3},
杨云琳⁴,
余雪香⁵,
禤晓玲⁶,
李新月⁶,
黄紫房^2, ,

1.
广东省中山市中小学卫生保健所，528400
2.
中山大学附属第三医院脊柱外科
3.
上海交通大学医学院附属新华医院脊柱中心
4.
成都体育学院体育教育专业
5.
成都体育学院体育教育专业
6.
广东省新苗脊柱侧弯预防中心

基金项目:

中山市卫生健康局医学科研项目 2019J441

国家自然科学基金面上项目 82072519

中山大学临床医学研究5010项目 2012003

详细信息

作者简介:
李锋华(1984-)，男，广东从化人，硕士，主治医师，主要从事学生常见病防控和健康教育工作

通讯作者:
黄紫房，E-mail: laughten@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G808 R179 R726.8
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- 被引次数: 0
出版历程
- 收稿日期: 2022-04-18
- 修回日期: 2022-08-30
- 网络出版日期: 2022-11-30
- 刊出日期: 2022-11-25

Efficacy of specific exercise intervention on the children with skeletally immature idiopathic scoliosis

1.
Health Care Centre for Primary and Secondary Schools of Zhongshan, Guangzhou(528400), China

摘要

摘要: 目的评估特定运动训练疗法对骨龄未成熟特发性脊柱侧凸(idiopathic scoliosis, IS)的治疗效果，为有效预防儿童脊柱侧凸提供参考。方法选取2017年10月至2021年9月广东省新苗脊柱侧弯预防中心收治的51例特定运动训练治疗的轻度IS患者，进行1年以上的跟踪随访，评估临床治疗效果。同时根据患者三角软骨是否闭合分为三角软骨未闭合组(32名)和三角软骨闭合组(19名)，比较2组患者的治疗结果差异。结果 51例IS患者经(26.5±9.8)个月的特定运动训练，主弯Cobb角由平均(15.5±4.2)°矫正至(11.3±6.7)°，平均矫正角度为(4.5±5.7)°，其中58.9%的患者主弯角度获得改善，33.3%的患者取得稳定，7.8%的患者发生进展。三角软骨闭合组与未闭合组的主弯Cobb角在治疗前差异无统计学意义(t=-0.73，P=0.47)，治疗后差异有统计学意义(t=-2.73，P < 0.05)。结论对骨龄未成熟轻度脊柱侧凸患者采用特定运动训练治疗可有效控制侧弯进展，在三角软骨未闭合时期进行治疗的患者可能具有更好的临床效果。
- 体育和训练 /
- 脊柱侧凸 /
- 随访研究 /
- 儿童
Abstract: Objective This study aims to evaluate the efficacy of specific exercise therapy for the treatment of skeletally immature idiopathic scoliosis (IS). Methods A total of 51 mild IS patients receiving specific exercise therapy in Guangdong Xinmiao Scoliosis Prevention Center from October 2017 to September 2021 were recruited in this study. Treatment outcome were evaluated at 1-year follow-up. All the participants were divided into two groups: open (n=32) and closed triradiate cartilage group (n=19), and outcome of treatment were compared within the two groups. Results After (26.5±9.8) months of treatment, the Cobb angle of the major curve was corrected from an average of (15.5±4.2)° to (11.3±6.7)°, with an average correction of (4.5±5.7)°. Among them, 58.9% patients achieved improvement in the major curve Cobb angle, 33.3% achieved stabilization, and 7.8% progressed. There was no significant difference in the major curve Cobb angle between the closed and open triradiate cartilage groups before treatment(t=-0.73, P=0.47), whereas there was a significant difference in the correction of the major curve after treatment(t=-2.73, P < 0.05). Conclusion Specific exercise therapy effectively prevents the progression or corrects the scoliosis in patients with skeletally immature idiopathic scoliosis. It's more effective in patients with open triradiate cartilage than in those with closed triradiate cartilage.
- Physical education and training /
- Scoliosis /
- Follow-up studies /
- Child
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1) 利益冲突声明 所有作者声明无利益冲突。

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参考文献(18)

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