三维打印脊柱矫形器联合施罗斯矫形体操在青少年特发性脊柱侧凸患者中的应用

Application of three-dimensional printing spinal orthosis combined with Schroth orthopedic gymnastics in patients with adolescent idiopathic scoliosis

  • 摘要:
    目的 观察三维(3D)打印脊柱矫形器联合施罗斯矫形体操在青少年特发性脊柱侧凸患者中的应用效果。
    方法 选取110例青少年特发性脊柱侧凸患者作为研究对象,按照随机数字表法分为对照组(3D打印脊柱矫形器联合常规康复模式)和观察组(在对照组基础上联合施罗斯矫形体操),每组55例。比较2组患者的临床疗效,并比较治疗前后2组患者脊柱活动度、腹背肌耐力、腰背痛症状简化McGill疼痛问卷(SF-MPQ)评分、Oswestry功能障碍指数(ODI)和生活质量评分。
    结果 观察组显效率高于对照组,有效率低于对照组,差异有统计学意义(P < 0.05); 治疗后, 2组Cobb角和躯干旋转角度(ATR)均小于治疗前,且观察组Cobb角和ATR小于对照组,差异有统计学意义(P < 0.05); 治疗后, 2组腹肌、背肌耐力评分均低于治疗前,且观察组腹肌、背肌耐力评分低于对照组,差异有统计学意义(P < 0.05); 治疗后, 2组SF-MPQ评分和ODI评分均低于治疗前,且观察组评分低于对照组,差异有统计学意义(P < 0.05); 治疗后, 2组患者生活质量(精神健康、自我形象、功能、疼痛、治疗满意度)评分均高于治疗前,且观察组评分高于对照组,差异有统计学意义(P < 0.05)。
    结论 3D打印脊柱矫形器联合施罗斯矫形体操对青少年特发性脊柱侧凸具有较好的矫正效果,能够缓解患者腰背痛症状,改善脊柱活动度,增强腹背肌耐力,提高生活质量。

     

    Abstract:
    Objective To observe the application effects of three-dimensional(3D)printing spinal orthosis combined with Schroth orthopedic gymnastics in patients with adolescent idiopathic scoliosis.
    Methods A total of 110 adolescents with idiopathic scoliosis who were treated in the hospital were included in the study. All patients were divided into control group (55 cases, 3D printing spinal orthosis combined with conventional rehabilitation model) and observation group (55 cases, additionally given Schroth orthopedic gymnastics on the basis of control group) according to the random number table method. The clinical efficacy of the two groups was compared. The spinal range of motion, abdominal and dorsal muscle endurance, low back pain symptoms simplified McGill Pain Questionnaire (SF-MPQ) score, Oswestry Disability Index (ODI) and quality of life score before and after treatment were compared between the two groups.
    Results The markedly effective rate in the observation group were significantly higher, and effective rate was lower than those in the control group (P < 0.05). After treatment, the Cobb angle and angle of trunk rotation (ATR) in both groups were reduced compared with those before treatment, and the Cobb angle and ATR in the observation group after treatment were significantly lower than those in the control group (P < 0.05). The abdominal muscle endurance and dorsal muscle endurance in the two groups after treatment were decreasedcompared to before treatment, and were significantly lower in the observation group than those in the control group after treatment (P < 0.05). After treatment, the scores of SF-MPQ and ODI were lower in both groups compared with those before treatment, and were significantly lower in the observation group than those in the control group (P < 0.05). After treatment, the scores of quality of life (mental health, self-image, function, pain and treatment satisfaction) scores in both groups were higher compared to that before treatment, and these scores were significantly higher in the observation group than those in the control group (P < 0.05).
    Conclusion 3D printing spinal orthosis combined with Schroth orthopedic gymnastics has a good correction effect in the treatment of adolescent idiopathic scoliosis, and it can alleviate the low back pain symptoms, improve the spinal range of motion, enhance the abdominal and dorsal muscle endurance, and improve the quality of life.

     

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