龙脊导引操对青少年轻度特发性脊柱侧凸治疗效果评价

刘路; 张微; 胡增平; 高阳; 顾川川; 颜云涛; 杜双庆

doi:10.16835/j.cnki.1000-9817.2023.01.026

龙脊导引操对青少年轻度特发性脊柱侧凸治疗效果评价

doi: 10.16835/j.cnki.1000-9817.2023.01.026

河北省中医院/河北省脾肾病证中医治疗技术创新中心，石家庄 050013

基金项目:

河北省中医药管理局科研计划项目 2021015

河北省科学技术厅中医药创新专项 223777130D

详细信息

作者简介:
刘路(1990-)，男，河北石家庄人，硕士，主治医师，主要研究方向为青少年特发性脊柱侧凸的保守治疗

通讯作者:
杜双庆，E-mail：szdushuangqing@sina.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R726.8 R179 G852
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出版历程
- 收稿日期: 2022-05-30
- 修回日期: 2022-11-02
- 网络出版日期: 2023-02-06
- 刊出日期: 2023-01-25

Effectiveness of Longji Daoyin exercise on adolescents of mild idiopathic scoliosis

Hebei Provincial Hospital of Traditional Chinese Medicine/Hebei Technology Innovation Center of TCM Spleen and Kidney Diseases, Shijiazhuang(050013), China

摘要

摘要: 目的探究龙脊导引操对青少年轻度特发性脊柱侧凸矫治的积极促进作用, 为改善青少年脊柱健康提供实验依据和方法。方法 2021年6月从石家庄脊柱侧凸筛查中选取符合诊断标准的96名患儿为研究对象, 将其分为实验组与对照组(各48例), 实验组进行为期12周的龙脊导引操训练, 对照组予以健康宣教、观察监测。实验前后分别测试两组被试的躯干旋转角度(ATR)、脊柱侧凸Cobb角度, 采用脊柱侧凸研究学会-22量表(SRS-22)测量患者主观感觉。结果相比干预前, 12周干预后实验组ATR、Cobb角度均减小(t值分别为14.02, 17.09, P值均 < 0.01);相比于干预前(4.65±0.14, 3.49±0.21, 3.99±0.17), 实验组SRS-22评分中的功能活动、自我形象、心理健康3个维度评分(4.77±0.14, 4.62±0.13, 4.42±0.13)均有提高(t值分别为-4.86, -39.12, -13.92, P值均 < 0.01)。对照组ATR、Cobb角度比干预前均增加(t值分别为7.44, 8.99, P值均 < 0.01);SRS-22评分中的自我形象、心理健康2个维度评分(3.44±0.18, 3.94±0.14)比干预前(3.49±0.19, 4.00±0.15)均下降(t值分别为-3.74, -4.39, P值均 < 0.05)。结论青少年轻度特发性脊柱侧凸在观察期间容易加重, 龙脊导引操对其有矫治效果。
- 体育和训练 /
- 脊柱侧凸 /
- 干预性研究 /
- 青少年
Abstract: Objective To explore the effectiveness of spinal guidance exercise on adolescents of mild idiopathic scoliosis, so as to provide an experimental reference and method for promoting adolescents'spinal health. Methods From the scoliosis screening, 96 children who met the diagnostic criteria were selected in June 2021, and were divided into the experimental group and the control group, with 48 cases in each group.The experimental group received a 12-week Longji Daoyin exercise training, and the control group received health education, observation and monitoring.Before and after the experiment, the axial trunk rotation (ATR) and scoliosis Cobb angle of the two groups were tested respectively, and the subjective sensation of the patients was measured by Scoliosis Research Society-22(SRS-22) questionnaire. Results After 12 weeks, the ATR and Cobb angles of the experimental group decreased, compared to (7.08±2.84)° and (15.84±2.00)° before intervention (t=14.02, 17.09, P < 0.01).Scores of functional activity, self-image and mental health in the SRS-22 score increased from (4.65±0.14)(3.49±0.21) and (3.99±0.17) to (4.77±0.14)(4.62±0.13)(4.42±0.13)(t=-4.86, -39.12, -13.92, P < 0.01).The ATR and Cobb angles of the control group increased from (6.94±2.15)° and (15.82±1.76)° to (8.25±2.49)° and (18.63±3.12)°(t=7.44, 8.99, P < 0.01), and the scores of self-image and mental health in the SRS-22 score decreased from (3.49±0.19) and (4.00±0.15) to (3.44±0.18) and (3.94±0.14)(t=-3.74, -4.39, P < 0.05). Conclusion Early adolescent idiopathic scoliosis is easy to aggravate during the observation period.Longji Daoyin exercise is of preventive and therapeutic significance.
- Physical education and training /
- Scoliosis /
- Intervention studies /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 两组患儿干预前后ATR及Cobb角度比较x±s, (°)]

Table 1. Comparison of spinal rotation angle and Cobb angle between two groups before and after intervention x±s, (°)]

组别	干预前后	统计值	ATR	Cobb角度
实验组	干预前		7.08±2.84	15.84±2.00
(n=48)	干预后		5.02±2.85	7.59±3.94
		t值	14.02	17.09
		P值	＜0.01	＜0.01
对照组	干预前		6.94±2.15	15.82±1.76
(n=48)	干预后		8.25±2.49^*	18.63±3.12^*
		t值	-7.44	-8.99
		P值	＜0.01	＜0.01
注：与实验组比较，*P＜0.01。

下载: 导出CSV

表 2 两组患儿干预前后SRS-22各个维度评分比较(x±s)

Table 2. Comparison of the scores of four dimensions of SRS-22 between the two groups before and after intervention(x±s)

组别	干预前后	统计值	功能活动	疼痛	自我形象	心理健康
实验组	干预前		4.65±0.14	4.87±0.15	3.49±0.21	3.99±0.17
(n=48)	干预后		4.77±0.14	4.92±0.12	4.62±0.13	4.42±0.13
		t值	-4.86	-1.76	-39.12	-13.92
		P值	＜0.01	0.09	＜0.01	＜0.01
对照组	干预前		4.66±0.14	4.86±0.15	3.49±0.19	4.00±0.15
(n=48)	干预后		4.65±0.13^*	4.85±0.16^*	3.44±0.18^*	3.94±0.14^*
		t值	1.35	1.77	3.74	4.39
		P值	0.18	0.83	＜0.05	＜0.01
注：与实验组比较，*P < 0.05。

下载: 导出CSV

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