矫形器配合肌肉锻炼治疗特发性脊柱侧凸症效果分析

目的:提高脊柱矫形器治疗特发性脊柱侧凸症患者的治疗效果。方法:对4年来用矫形器治疗的178例特发性脊柱侧凸患者疗效进行分析。结果:178例中,有25例放弃治疗,侧弯加重;31例患者坚持夜间穿戴,昼间脱下矫形器,维持脊柱侧弯的原状;122例坚持每天穿戴22～23h,Cobb角与初始角度比较能够矫正10.1°,椎体旋转程度平均减少Ⅰ度,外观有明显改善。结论:①矫形器治疗脊柱侧凸症Cobb角越小,效果越好。②矫正体操及肌力锻炼在脊柱侧凸治疗过程中必不可少,体操及游泳对保持全身肌肉协调性和柔韧性起着积极的作用。③充分的健康教育对患者的依从性十分重要,是提高矫正率的重要措施。

Efficacy of Scoliotone in Combination with Muscular Training on Idiopathic Scoliosis

Objective：To improve the therapeutic efficacy of the scoliotone in the treatment of idiopathic scoliosis （IS）. Methods：The clinical effect analysis was carried out in 178 patients of IS treated with scoliotone in the past 4 years. Results：Among 178 cases,25 cases gave up scoliotone therapy and suffered from more serious lateral curvature; 31 cases persisted in wearing scoliotone when sleeping and lateral curvature remained unchanged; 122 cases wore scoliotone for 22 to 23 hours every day and the Cobb angle was corrected for 10.1°,the rotation of the vertebrae was decreased by one degree averagely and the profile was obviously improved. Conclusion：With the Cobb angle smaller,the effect of scoliotone would be better. Corrective exercises and muscular training are both necessary in treating IS. Corrective exercises and swimming are effective in keeping coordination and flexibility of the muscles. Adequate healthy education is very significant for patients＇ obedience,which is an important measure to improve corrective ratio.