[1]王伟,王晓东△,石宏悦,等.红外热成像技术在青少年特发性脊柱侧弯治疗中的应用研究[J].中国中医骨伤科杂志,2024,32(06):39-43.[doi:10.20085/j.cnki.issn1005-0205.240608]
　WANG Wei,WANG Xiaodong,SHI Hongyue,et al.Application of Infrared Thermography on the Treatment of Adolescent Idiopathic Scoliosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(06):39-43.[doi:10.20085/j.cnki.issn1005-0205.240608]
点击复制

红外热成像技术在青少年特发性脊柱侧弯治疗中的应用研究()
分享到：

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

卷:
第32卷
期数:
2024年06期
页码:
39-43
栏目:
临床研究
出版日期:
2024-06-15

文章信息/Info

Title:
Application of Infrared Thermography on the Treatment of Adolescent Idiopathic Scoliosis
文章编号:
1005-0205(2024)06-0039-05
作者:
王伟1; 王晓东1△; 石宏悦1; 杨志慧1; 顾宇涵2; 王湜1
1天津医科大学总医院(天津,300052); 2天津中医药大学
Author(s):
WANG Wei1; WANG Xiaodong1△; SHI Hongyue1; YANG Zhihui1; GU Yuhan2; WANG Shi1
1Tianjin Medical University General Hospital,Tianjin 300052,China; 2Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China.
关键词:
红外热成像技术;  青少年特发性脊柱侧弯;  动态监测;  保守治疗
Keywords:
infrared thermography;  adolescent idiopathic scoliosis;  dynamic monitoring;  conservative treatment
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.240608
文献标志码:
A
摘要:
目的:分析红外热成像技术动态监测支持下进行施罗斯脊柱体操运动训练结合脊柱侧弯矫正支具治疗青少年特发性脊柱侧弯的临床疗效。方法:选取青少年特发性脊柱侧弯患者,采用数字随机法分为观察组和对照组各39例。对照组采用定制支具配合施罗斯体操运动训练治疗,观察组采用红外热成像技术辅助监测下定制支具配合施罗斯体操治疗,均每周1次,治疗24周。比较治疗前、治疗后第1个月、第3个月、第6个月的Cobb角、视觉模拟量表(VAS)评分及生活质量评分(SRS-22量表)。结果:治疗前两组患者Cobb角、VAS评分、SRS-22量表评分比较差异均无统计学意义(P>0.05)。治疗后,Cobb角、VAS评分、SRS-22量表评分的组内比较中,观察组均有显著减少或降低,差异有统计学意义(P<0.01),对照组则有一定减少或降低,差异有统计学意义(P<0.05)。Cobb角和SRS-22量表评分差异组间比较中,观察组与对照组治疗后第3个月差异有统计学意义(P<0.05),治疗后第6个月差异有统计学意义(P<0.01); 观察组与对照组治疗后第6个月VAS评分差异有统计学意义(P<0.05)。结论:红外热成像技术动态监测支持下,采用定制支具配合施罗斯体操运动训练,治疗青少年特发性脊柱侧弯可以取得更好的效果。
Abstract:
Objective:To analyze the clinical efficacy of infrared thermography on the treatment of adolescent idiopathic scoliosis.Methods:78 adolescent patients with idiopathic scoliosis were randomly divided into observation group and control group with 39 cases each.The control group was treated with customized brace and Schros gymnastics exercise training.The observation group was treated with customized brace and Schros gymnastics exercise under infrared thermography assisted monitoring,once a week for 24 weeks.The Cobb angle,visual analogue scale(VAS)score and quality of life score SRS-22 were compared before treatment and the 1 month,3 months and 6 months after treatment.Results:There was no significant difference in Cobb angle,VAS score and SRS-22 score between the two groups before treatment(P>0.05).After treatment,the Cobb angle,VAS score and SRS-22 score in the observation group were significantly decreased or decreased(P<0.01),while those in the control group were somewhat decreased or decreased(P<0.05).Cobb angle and SRS-22 scores were significantly different between the two groups(P<0.05)after 3 months of treatment between the observation group and the control group,and statistically significant after 6 months of treatment(P<0.01).There was statistically significant difference in VAS scores between the observation group and the control group after 6 months of treatment(P<0.05).Conclusion:With the support of dynamic monitoring of infrared thermography,the treatment of adolescent idiopathic scoliosis with customized brace combined with Schros gymnastics training can achieve better results.

参考文献/References:

[1] ADDAI D,ZARKOS J,BOWEY A J.Current concepts in the diagnosis and management of adolescent idiopathic scoliosis[J].Childs Nerv Syst,2020,36(6):1111-1119.
[2] 马满姣,马璐璐,张秀华,等.儿童脊柱侧弯后路矫形术后并发症的危险因素[J].基础医学与临床,2022,42(11):1755-1759.
[3] 张浩,张宁,陈宣银,等.青少年脊柱侧弯流行病学调查现状[J].南昌大学学报(医学版),2022,62(6):97-100.
[4] NEGRINI S,DONZELLI S,AULISA A G,et al.2016 SOSORT guidelines:orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth[J].Scoliosis and Spinal Disorders,2018,13:3.
[5] 刘云,张斌青,宋青凤,等.红外热成像在膝骨关节炎中医辨证中的应用价值[J].中医正骨,2016,28(4):6-8.
[6] GRÜNWALD A T D,ROY S,LAMPE R.Scoliosis assessment tools to reduce follow-up X-rays[J].J Orthop Translat,2022,18(38):12-22.
[7] 徐恒,季青洁,吴春玲,等.医用红外热成像技术的临床应用[J].中医临床研究,2019,11(35):126-129.
[8] HORNE J P,FLANNERY R,USMAN S.Adolescent idiopathic scoliosis:diagnosis and management[J]. Am Fam Physician,2014,89(3):193-198.
[9] 谢晶晶,刘祖德.简体中文版脊柱侧凸研究会22项问卷量表的信度与效度评价[J].中国组织工程研究与临床康复,2009,13(26):5153-5156.
[10] 肖斌,张延斌,阎凯,等.青少年特发性脊柱侧凸患者与家属对治疗前SRS-22量表评分认知的一致性及影响因素[J].中国脊柱脊髓杂志,2021,31(8):699-704.
[11] 应晓明,吕立江,张浩阳,等.青少年特发性脊柱侧弯Cobb角与直线棘突角相关性分析[J].中国骨伤,2023,36(10):949-953.
[12] STEPHENS R B,BERNSTEIN R M,AMATO C R,et al.Standardization of criteria for adolescent idiopathic scoliosis brace studies[J].Spine,2005,30(18):2068-2075.
[13] HAWARY R E,ZAAROOR-REGEV D,FLOMAN Y,et al.Brace treatment in adolescent idiopathic scoliosis:risk factors for failure-a literature review[J].Spine J,2019,19(12):1917-1925.
[14] SUNG S,CHAE H W,LEE H S,et al.Incidence and surgery rate of idiopathic scoliosis:a nationwide database study[J].Int J Environ Res Public Health,2021,18(15):8152.
[15] TOLO V T,HERRING J A.Scoliosis-specific exercises:a state of the art review[J].Spine Deform,2020,8(2):149-155.
[16] 陈燕红,汤样华,王红亚,等.有氧耐力训练联合电针刺激疗法对脊柱侧弯患者术后康复效果的影响[J].中华全科医学,2022,20(7):1215-1217.
[17] GÁMIZ-BERMúDEZ F,OBRERO-GAITÁN E,ZAGALAZ-ANULA N,et al.Corrective exercise-based therapy for adolescent idiopathic scoliosis:systematic review and meta-analysis[J].Clin Rehabil,2022,36(5):597-608.
[18] KOCAMAN H,BEK N,KAYA M H,et al.The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis:a single-blind,randomized-controlled trial[J].PLoS One,2021,16(4):e0249492.
[19] 林婉敏,张琳,彭小文,等.内热针治疗腰背肌筋膜炎疗效及对患者红外热成像研究[J].陕西中医,2023,44(1):112-114.
[20] 傅涛,厉彦虎.功能性康复训练改善青少年特发性脊柱侧弯的研究[J].中国组织工程研究,2017,21(28):4462-4468.
[21] KWOK G,YIP J,YICK K L,et al.Postural screening for adolescent idiopathic scoliosis with infrared thermography[J].Sci Rep,2017,7(1):14431.
[22] DIAS DE LACERDA A P,RODRIGUES DE ANDRADE P,KAMONSEKI D H,et al.Accuracy of infrared thermography in detecting tendinopathy:a systematic review with meta-analysis[J].Phys Ther Sport,2022,58:117-125.
[23] LAW J,MORRIS D E,BUDGE H,et al.Infrared thermography[J].Handb Exp Pharmacol,2019,251:259-282.
[24] KUMAR P,GAURAV A,RAJNISH R K,et al.Applications of thermal imaging with infrared thermography in orthopaedics[J].J Clin Orthop Trauma,2021,29(24):101722.
[25] 朱飞龙,张明,吴宇,等.青少年特发性脊柱侧弯患者足部姿势和步态特征的3D形态分析及生物力学评价[J].中国组织工程研究,2021,25(33):5294-5300.
[26] TROBISCH P D,KOBBE P,BARONCINI A.Dynamic scoliosis correction as alternative treatment for patients with adolescent idiopathic scoliosis:a non-fusion surgical technique[J].Z Orthop Unfall,2020,158(6):641-646.

备注/Memo

备注/Memo:
基金项目:天津市教委科研计划项目(2021KJ218)
△通信作者 E-mail:350126153@qq.com
更新日期/Last Update: 2024-06-15