运动干预青少年脊柱侧弯Cobb角的变化

背景：青少年脊柱侧弯康复目前有许多方法,但针对患者的病症,以功能能力为目标运动疗法报道不多。 目的：观察分析运动干预对青少年脊柱侧弯Cobb角恢复的疗效。 方法：对1例15岁青少年脊柱侧弯患者做干预前拍摄X射线片,测量Cobb角度,确定弯屈的位置,根据弯曲位置确定相关肌肉,设计出功能动作,进行针对练习和运动模式练习。运动干预包括：①左腿跨侧栏练习。②左腿侧够橡皮筋练习(左手拉下高于头的皮筋,在橡皮筋弹性回落时及时用脚踝勾住。要求左侧腰部肌肉要及时收缩)。③舞蹈的扒杆动作练习(左侧)：擦地练习、划圈练习、小踢腿练习和蹲练习。④左侧侧压腿练习(拉伸右侧肌肉)。⑤直臂侧下拉皮带(双侧的背阔肌)。⑥俯卧沙袋提拉。⑦左侧单臂悬垂练习。⑧垫上运动：前、后滚翻,肩肘倒立起。⑨腹肌练习(正、侧转)。⑩教了4套韵律体操组合。所有的练习都在音乐控制下完成。共干预约50次,1-1.5 h/次,时间为两个半月。再次拍摄X射线片观察Cobb角的改变,观察干预前后患侧神经肌肉功能的进步情况。 结果与结论：通过两个半月,约50次(每次1.0-1.5 h)训练,使患者的Cobb角34°回到28°,专科医生建议可不用戴支具。说明运动干预对青少年脊柱侧弯Cobb角恢复效果显著。

Movement intervention recovers the Cobb angle of adolescent idiopathic scoliosis

BACKGROUND:Various methods are involved for the treatment of adolescent idiopathic scoliosis; however, reports concerning independent function-mediated training are rare.    OBJECTIVE:To explore the effect of movement intervention on the recovery of Cobb angle of patients with adolescent idiopathic scoliosis. METHODS:One 15-year-old patient with adolescent idiopathic scoliosis was asked to take X-ray film before movement intervention to measure the Cobb angle and define the location. The related muscles were determined according to the bending position, and the functional motion was designed for the targeted exercises and movement pattern exercises. The movement intervention included: exercise for left leg to across the sidebar; exercise for left leg to side touch the rubber band (the rubber band that higher than the head was pulled down with the left hand, and then hooked the rubber band timely with ankle, and the left lumbar muscle should contracted); raking pole exercise (left): wiping exercises, circled exercises, small kicking practice and squatting exercises; left side stretching exercise (stretched the right side muscles); side pulled down the rubber band with arm (bilateral latissimus dorsi); prone sandbags pulling; left arm overhanging exercises; mat tumbling: forward roll, backward roll, and shoulder and elbow handstand; abdominal exercises (forward rotation and side rotation); four sets of rhythmic gymnastics portfolio. All the exercise were completed under the control of music, a total of 50 times intervention, 1-1.5 hours per time, and the course of the exercise was two and a half months. The X-ray films were re-taken to observe the changes of Cobb angle, and the improvement of the neuromuscular function on the affected side before and after intervention was observed. RESULTS AND CONCLUSION:After the rehabilitative training for 50 times in two and a half months (1-1.5 hours per time), the Cobb angle of the patients was recovered from 28° to 34°. The specialists recommend that the brace should not be used. The results indicate that movement intervention has significant effects on the recovery of Cobb angle of the patients with adolescent idiopathic scoliosis