Effect of sling exercise combined with Schroth therapy on adolescents with mild idiopathic scoliosis: A twelve-week randomized controlled trial.

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI:10.3233/BMR-230102

Peng Zhang, Xiangyu Shen, Lin Zhang, Sheng Wang, Qinfeng Wu

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引用次数: 0

Abstract

Background: Adolescent idiopathic scoliosis (AIS) is the most common structural deformity of the spine during adolescence, which could cause varying degrees of physical and mental damage to patients. Schroth therapy and sling exercise are widely used in the treatment of patients with AIS currently, and have shown the significant therapeutic effect relatively.

Objective: To observe the efficacy of sling exercise combined with Schroth therapy on adolescents with mild idiopathic scoliosis (MIS).

Methods: Sixty patients with AIS were randomly divided into the Schroth+sling group (n= 31) and the Schroth group (n= 29). Patients in both groups received Schroth therapy, and sling exercise was added in the Schroth+sling group. Before and after 12 weeks of treatment, the Cobb angle, angle of trunk rotation (ATR), Scoliosis Research Society-22 (SRS-22) scale score and averaged electromyography (AEMG) of bilateral paraspinal muscles were evaluated.

Results: After the treatment, Cobb angle, ATR in both groups were decreased compared with those before (P< 0.001), and the decrease in the Schroth+sling group was more obvious (P< 0.05). The AEMG of bilateral paraspinal muscles and the total score, posture, mental health of SRS-22 of the two groups improved compared with those before treatment (P< 0.05), and the Schroth+sling group had a significant improvement than the Schroth group (P< 0.05).

Conclusion: Schroth therapy improved the degree of scoliosis, torticollis, quality of life, and bilateral paraspinal strength on adolescents with mild idiopathic scoliosis. The effect was more pronounced when the sling exercise was included in the treatment regimens.

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吊带运动联合Schroth疗法治疗青少年轻度特发性脊柱侧凸:一项为期12周的随机对照试验。

背景:青少年特发性脊柱侧凸(idiopathic scoliosis, AIS)是青少年时期脊柱最常见的结构性畸形，可对患者造成不同程度的身心损伤。目前，Schroth疗法和吊带运动在AIS患者的治疗中被广泛应用，并显示出比较显著的治疗效果。目的:观察吊带运动联合施罗斯疗法治疗青少年轻度特发性脊柱侧凸(MIS)的疗效。方法:60例AIS患者随机分为Schroth+sling组(n= 31)和Schroth组(n= 29)。两组患者均采用Schroth疗法，Schroth+sling组增加吊带运动。观察治疗前后12周的Cobb角、躯干旋转角(ATR)、脊柱侧凸研究协会-22 (SRS-22)评分和双侧棘旁肌平均肌电图(AEMG)。结果:治疗后，两组患者Cobb角、ATR均较治疗前降低(P< 0.001)，其中Schroth+sling组降低更为明显(P< 0.05)。两组患者双侧棘旁肌AEMG及SRS-22总分、体位、心理健康状况均较治疗前改善(P< 0.05)，且施roth+sling组较施roth组改善显著(P< 0.05)。结论:Schroth治疗可改善青少年轻度特发性脊柱侧凸的脊柱侧凸程度、斜颈、生活质量和双侧脊柱旁力量。当将吊带运动纳入治疗方案时，效果更加明显。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.