脊柱排列的变化和脊柱侧凸的物理治疗:系统性文献综述

Talyta de Alcântara Lima, Maelly de Castro Cavalheiro, Jilvanda Diniz de Souza, Letícia Lobato Barbosa, Nayara Tainah Lobato da Silva, Nariane Rodrigues Pinheiro, Vitor Hugo Auzier Lima
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摘要

如今,抱怨背部疼痛的人越来越多,但这种疼痛与脊柱侧弯有关。脊柱侧弯的定义是脊柱向一侧弯曲,形成 "S "形或 "C "形。然而,脊柱侧弯有几种类型:先天性、特发性、神经肌肉性和退行性。最常见的是特发性脊柱侧弯,主要影响儿童和青少年,而先天性脊柱侧弯是由于脊柱畸形而在出生时就存在的。神经肌肉性脊柱侧弯则影响个人的神经或肌肉状况,其次是退行性脊柱侧弯,在成年期或老年人中出现,由脊柱磨损引起。本研究旨在了解脊柱侧弯症的物理治疗形式。随后,针对这种病症的物理治疗方法包括 RPG(全球姿势矫正)、普拉提和马甲等技术。RPG 是一种通过拉伸和增强肌肉来重新教育姿势的方法,而普拉提则侧重于增强和改善柔韧性。此外,在治疗过程中还会使用背架来调整脊柱。根据脊柱侧弯的类型和严重程度,这些治疗方法适用于从儿童到青少年、成人和老年人等各种人群。治疗的好处包括改善姿势、减轻疼痛和增强肌肉力量。总之,脊柱侧弯物理治疗的效果因人而异,但许多患者都表示生活质量明显改善,弯曲程度减轻,疼痛缓解。最后,治疗应个性化,并由合格的专业人员进行监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Changes in Spinal Alignment and Physiotherapy Treatment Applied to Scoliosis: A Systematic Literature Review
Nowadays, the number of people complaining of back pain is increasing, but this pain is associated with scoliosis. However, scoliosis can be defined as the spine curving sideways, forming an "S" or "C" shape. However, there are several types of scoliosis: congenital, idiopathic, neuromuscular and degenerative. The most common is idiopathic scoliosis, which mostly affects children and adolescents, while congenital scoliosis is present at birth due to malformation of the spine. Neuromuscular scoliosis, on the other hand, affects the individual's neurological or muscular condition, followed by degenerative scoliosis, which develops in adulthood or the elderly and is caused by wear and tear on the spine. The aim of this study is to understand the forms of physiotherapy treatments applied to scoliosis. Subsequently, the physiotherapeutic treatments for this pathology include techniques such as RPG (Global Postural Reeducation), Pilates and waistcoats. RPG is a method that seeks to re-educate posture through stretching and muscle strengthening, while Pilates focuses on strengthening and improving flexibility. In addition, the back brace is used to align the spine during treatment. These treatments are aimed at a wide range of people, from children to teenagers, adults and the elderly, depending on the type and severity of the scoliosis. The benefits include improved posture, pain reduction and muscle strengthening. In conclusion, the results of physiotherapy treatment for scoliosis can vary from person to person, but many patients report a significant improvement in their quality of life, a reduction in the progression of the curvature and pain relief. Finally, treatment should be personalised and monitored by qualified professionals.
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