[1]李辉 高景华△ 孙武 高春雨 王宝剑 李路广 李建国.调脊手法联合腰背肌功能锻炼治疗轻中度成人退行性脊柱侧凸40例[J].中国中医骨伤科杂志,2021,29(09):65-68.
 LI Hui GAO Jinghua SUN Wu GAO ChunyuWANG Baojian LI Luguang LI Jianguo.40 Cases Report of Spinal Manipulation Combined withLumbar Dorsal Muscle Function Exercise for Mild andModerate Adult Degenerative Scoliosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(09):65-68.
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调脊手法联合腰背肌功能锻炼治疗轻中度成人退行性脊柱侧凸40例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年09期
页码:
65-68
栏目:
临床报道
出版日期:
2021-09-15

文章信息/Info

Title:
40 Cases Report of Spinal Manipulation Combined withLumbar Dorsal Muscle Function Exercise for Mild andModerate Adult Degenerative Scoliosis
文章编号:
1005-0205(2021)09-0065-04
作者:
李辉1 高景华12△ 孙武1 高春雨1 王宝剑1 李路广1 李建国1
1中国中医科学院望京医院脊柱二科(北京,100102)
2中医正骨技术北京市重点实验室
Author(s):
LI Hui1 GAO Jinghua12△ SUN Wu1 GAO Chunyu1WANG Baojian1 LI Luguang1 LI Jianguo1
1Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China; 2Beijing Key Laboratory of Bone Setting Technology of Traditional Chinese Medicine,Beijing 100007,China.
关键词:
调脊手法 功能锻炼 退行性脊柱侧凸 腰背痛
Keywords:
spinal manipulation functional exercise adult degenerative scoliosis lower back pain
分类号:
R681.5
文献标志码:
B
摘要:
目的:运用调脊手法联合腰背肌功能锻炼疗法治疗轻中度成人退行性脊柱侧凸,并评价其临床疗效及安全性。方法:将40例患有轻中度退行性脊柱侧凸的患者进行调脊手法联合功能锻炼持续治疗4周,并于治疗后1个月随访1次。比较治疗前、治疗后第2周、第4周及随访期患者的VAS评分、腰椎ODI评分及临床疗效。结果:患者的VAS评分、腰椎ODI评分在治疗后及随访期均有明显的改善,且与治疗前比较差异有统计学意义(P<0.05)。随访期患者总有效率为90%。结论:调脊手法联合腰背肌功能锻炼可缓解轻中度退行性脊柱侧凸患者的腰背痛及下肢痛,并能改善患者的生活质量。
Abstract:
Objective:To evaluate the clinical efficacy and safety of spinal manipulation combined with functional exercise in the treatment of mild and moderate adult degenerative scoliosis.Methods:40 patients with mild or moderate degenerative scoliosis were treated with manipulation combined with functional exercise for 4 weeks.The patients were followed up once a month after treatment.The VAS score,lumbar ODI score and clinical efficacy of before treatment with the after treatment of 2 weeks,4 weeks and follow-up period were compared.Results: The VAS score and ODI score of patients were significantly improved,and the differences were statistically significant as compared with those before treatment(P<0.05).The overall response rate was 90% in the follow-up period.Conclusion:Manipulation combined with functional exercise can effectively relieve the low back and lower limb pain in patients with mild or moderate degenerative scoliosis.This treatment can improve the quality of life of patients.

参考文献/References:

[1] 迟鹏飞,王征,吴兵,等.成人退行性脊柱侧凸患者椎旁肌和腰大肌退变的不对称性及其与脊柱-骨盆冠状位参数的关系[J].中国脊柱脊髓杂志,2020,30(1):1-7.
[2] 高春雨,李路广,高景华,等.转腰汤治疗退行性脊柱侧凸临床研究[J].西部中医药,2020,33(9):12-15.
[3] 赵龙晓,郭俊杰,李伟,等.退行性腰椎侧凸在腰腿痛人群中的发病特点[J].青岛大学医学院学报,2015,51(6):653-655.
[4] 张阳,张立志,张志成,等.短节段固定治疗老年退行性脊柱侧凸合并腰椎管狭窄的临床疗效[J].中国骨与关节杂志,2021,10(1):5-10.
[5] 袁宁.退行性脊柱侧凸的手术治疗[J].骨科临床与研究杂志,2019,4(5):318-320.
[6] 赵定麟,严力生,吴德升,等.现代脊柱外科学[M].3版.上海:世界图书出版公司,2017.
[7] SCHEER J K,OSORIO J A,SMITH J S.Development of a preoperative predictive model for reaching the oswestry disability index minimal clinically important difference for adult spinal deformity patients[J].Spine Deformity,2018,6(5):593-599.
[8] TOYONE T,TAKAHASHI K,KITAHARA H,et al.Visualisation of symptomatic nerve roots:prospective study of contrast-enhanced MRI in patients with lumbar disc herniation[J].The Journal of Bone and Joint Surgery:British Volume,1993,75(4):529-533.
[9] KOTWAL S,PUMBERGER M,HUGHES A,et al.Degenerative scoliosis:a review[J].HSS Journal,2011,7(3):257-264.
[10] 李远强,朱勇,欧云生,等.成人退变性脊柱侧凸分型方法的研究进展[J].中华骨与关节外科杂志,2019,12(6):468-471.
[11] FLEMING K C,EVANS J M,CHUTKA.Caregiver and clinician shortages in an aging nation[J].Mayo Clinic Proceedings,2003,78(8):1026-1040.
[12] SMITH J S,FU K M,URBAN P,et al.Neurological symptoms and deficits in adults with scoliosis who present to a surgical clinic:incidence and association with the choice of operative versus nonoperative management[J].Journal of Neurosurgery Spine,2008,9(4):326-331.
[13] 徐建桥,陈维善.成人退行性脊柱侧凸的研究进展[J].中国骨伤,2005,18(9):574-576.
[14] 云靖,杨勇.保守治疗和手术治疗退行性腰椎侧凸的疗效比较[J].世界最新医学信息文摘,2017,17(45):5-6.
[15] 曹洪海,李明.成人退行性脊柱侧凸的研究现状[J].中国矫形外科杂志,2006(1):63-65.
[16] PANJABI M M.The stabilizing system of the spine.Part I.Function,dysfunction,adaptation,and enhancement[J].Journal of Spinal Disorders,1992,5(4):383-389.
[17] SUN W,GAO J,ZHU L,et al.Effect of spinal manipulation on degenerative scoliosis[J].Journal of Traditional Chinese Medicine,2020,40(6):1033-1040.
[18] PéRENNOU D,MARCELLI C,HéRISSON C,et al.Adult lumbar scoliosis:epidemiologic aspects in a low-back pain population[J].Spine,1994,19(2):123-128.

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备注/Memo:
通信作者 E-mail:gaojinghua64@sina.com
更新日期/Last Update: 1900-01-01