[1]杨信波△,董君翔,牟佳豪,等.脊柱导引平衡手法治疗平稳期青少年特发性脊柱侧弯的随机对照研究[J].中国中医骨伤科杂志,2026,34(03):90-95.[doi:10.20085/j.cnki.issn1005-0205.260314]
　YANG Xinbo,DONG Junxiang,MOU Jiahao,et al.A Randomized Controlled Trial of Spinal Guidance Balance Manipulation for the Treatment of Idiopathic Scoliosis in Stable Adolescents[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(03):90-95.[doi:10.20085/j.cnki.issn1005-0205.260314]
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脊柱导引平衡手法治疗平稳期青少年特发性脊柱侧弯的随机对照研究()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年03期
页码:
90-95
栏目:
临床研究
出版日期:
2026-03-15

文章信息/Info

Title:
A Randomized Controlled Trial of Spinal Guidance Balance Manipulation for the Treatment of Idiopathic Scoliosis in Stable Adolescents
文章编号:
1005-0205(2026)03-0090-06
作者:
杨信波1△; 董君翔2; 牟佳豪2; 夏翀1; 何晓丹1; 王维春1
1杭州市富阳中医骨伤医院(杭州,311400); 2浙江中医药大学附属第一医院
Author(s):
YANG Xinbo1△; DONG Junxiang2; MOU Jiahao2; XIA Chong1; HE Xiaodan1; WANG Weichun1
1Hangzhou Fuyang Orthopaedic Hospital of Traditional Chinese Medicine,Hangzhou 311400,China; 2The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,China.
关键词:
脊柱导引平衡手法;  青少年特发性脊柱侧弯;  施罗斯疗法;  随机对照试验
Keywords:
spinal guidance balance technique;  idiopathic scoliosis;  Schroth training therapy;  randomized controlled trial
分类号:
R682.3
DOI:
10.20085/j.cnki.issn1005-0205.260314
文献标志码:
A
摘要:
目的:探讨脊柱导引平衡手法治疗平稳期青少年特发性脊柱侧弯的临床疗效。方法:采用随机对照试验,将146例患者随机分为观察组和对照组(各73例)。观察组采用脊柱导引平衡手法治疗,对照组采用施罗斯(Schroth)训练疗法,每天1次,每次40 min,共治疗6个月。观察治疗前后两组患者的Cobb角、躯干旋转角、美国脊柱侧弯学会-22(SRS-22)总分以及功能活动、疼痛状况、自我形象评分、心理状况评分,并评价其安全性与依从性。结果:两组患者治疗后,Cobb角、躯干旋转角、SRS-22自我形象评分、心理状况评分较前均有改善,差异有统计学意义(P<0.05),且治疗后两组间差异无统计学意义(P>0.05)。两组患者SRS-22功能活动及疼痛状况在治疗结束后观察组优于对照组,差异有统计学意义(P<0.05)。观察组脱落10例,对照组脱落12例,总脱失率为15.1%。结论:脊柱导引平衡手法在有效性及改善平稳期青少年特发性脊柱侧弯的Cobb角、躯干旋转角、自我形象评分、心理状况评分等方面与施罗斯训练疗法相当,但在改善患者疼痛与功能活动方面,该疗法效果更好。
Abstract:
Objective:To explore the clinical efficacy of spinal guidance balance manipulation in the treatment of idiopathic scoliosis in stable adolescents.Methods:A randomized controlled trial was conducted,in which 146 patients were randomly divided into observation group(73 cases)and control group(73 cases).The observation group received spinal guidance balance technique,while the control group underwent Schroth training therapy,once a day for 40 min each time,for a total of 6 months.The outcome measures include Cobb angle,angle of trunk rotation(ATR),Scoliosis Research Society-22 Patient Questionnaire(SRS-22)total score,functional activity,pain status,self-image status,and psychological status scores of the two groups before and after treatment,with safety and compliance also evaluated.Results:After treatment,both groups of patients showed improvement in Cobb angle,ATR,SRS-22 self-image,and psychological status compared to baseline(P<0.05),and there was no significant difference between the two groups after treatment(P>0.05).The functional activity and pain domains of SRS-22 in both groups of patients were better in the observation group than in the control group after treatment(P<0.05).Conclusion:The spinal guidance balance technique is comparable to Schroth training therapy in terms of effectiveness and improvement of Cobb angle,ATR,self-image status,psychological status,etc.in stable adolescent idiopathic scoliosis.However,this technique more effective in improving patient pain and functional activity.

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(收稿日期:2025-05-30)

备注/Memo

备注/Memo:
基金项目:浙江省中医药科技计划项目(2023ZL628)
△通信作者 E-mail:1015117701@qq.com
更新日期/Last Update: 2026-03-15