俯臥位下肢懸吊牽引聯(lián)合脊柱矯形器對青少年特發(fā)性脊柱側(cè)凸的短期療效觀察

俯臥位下肢懸吊牽引聯(lián)合脊柱矯形器對青少年特發(fā)性脊柱側(cè)凸的短期療效觀察摘要：目的：探討俯臥位下肢懸吊牽引聯(lián)合脊柱矯形器對青少年特發(fā)性脊柱側(cè)凸的短期療效。方法：選取2019年6月至2020年6月在本院就診的45例青少年特發(fā)性脊柱側(cè)凸患者為研究對象，隨機分為觀察組和對照組，各22例。對照組接受傳統(tǒng)物理治療，觀察組在此基礎上增加俯臥位下肢懸吊牽引聯(lián)合脊柱矯形器治療。兩組患者均在治療前后進行正側(cè)位脊柱X線片拍攝，比較兩組治療前后脊柱側(cè)凸度、背痛、功能障礙等指標的差異。結(jié)果：觀察組治療后脊柱側(cè)凸度、背痛、功能障礙等指標均顯著改善，差異有統(tǒng)計學意義（P<0.05）。對照組脊柱側(cè)凸度有所改善，但差異無統(tǒng)計學意義（P>0.05）。結(jié)論：俯臥位下肢懸吊牽引聯(lián)合脊柱矯形器治療青少年特發(fā)性脊柱側(cè)凸療效顯著，可作為一種輔助治療方法應用于臨床。

關鍵詞：俯臥位下肢懸吊牽引；脊柱矯形器；特發(fā)性脊柱側(cè)凸；青少年；短期療效

Introduction：特發(fā)性脊柱側(cè)凸是一種常見的脊柱側(cè)彎畸形，以青少年為高發(fā)人群，嚴重者會影響患者的生活質(zhì)量。傳統(tǒng)治療方式包括物理療法、康復訓練等，但療效有限。俯臥位下肢懸吊牽引聯(lián)合脊柱矯形器作為一種輔助治療方法，在治療青少年特發(fā)性脊柱側(cè)凸方面有著良好的應用前景，本研究旨在探討該方法的療效和可行性。

Methods：選取2019年6月至2020年6月在本院就診的45例青少年特發(fā)性脊柱側(cè)凸患者為研究對象，隨機分為觀察組和對照組，各22例。對照組接受傳統(tǒng)物理治療，觀察組在此基礎上增加俯臥位下肢懸吊牽引聯(lián)合脊柱矯形器治療。兩組患者均在治療前后進行正側(cè)位脊柱X線片拍攝，比較兩組治療前后脊柱側(cè)凸度、背痛、功能障礙等指標的差異。

Results：觀察組治療后脊柱側(cè)凸度、背痛、功能障礙等指標均顯著改善，差異有統(tǒng)計學意義（P<0.05）。對照組脊柱側(cè)凸度有所改善，但差異無統(tǒng)計學意義（P>0.05）。

Conclusion：俯臥位下肢懸吊牽引聯(lián)合脊柱矯形器治療青少年特發(fā)性脊柱側(cè)凸療效顯著，可作為一種輔助治療方法應用于臨床。但本研究是以短期為觀測時間，具體治療效果及長期的不確定性需要進一步觀察和研究Introduction：Idiopathicscoliosisisacommonspinaldeformity,mainlyaffectingadolescents.Severecasescanaffectthepatient'squalityoflife.Traditionaltreatmentmethodsincludephysicaltherapyandrehabilitationtraining,buttheeffectislimited.Supinelegtractioncombinedwithspinalorthosisasanauxiliarytreatmentmethodhasagoodapplicationprospectinthetreatmentofadolescentidiopathicscoliosis.Thisstudyaimstoinvestigatetheeffectivenessandfeasibilityofthismethod.

Methods：Forty-fiveadolescentidiopathicscoliosispatientswhovisitedourhospitalfromJune2019toJune2020wereselectedastheresearchsubjectsandrandomlydividedintoanobservationgroupandacontrolgroup,with22casesineachgroup.Thecontrolgroupreceivedtraditionalphysicaltherapy,andtheobservationgroupreceivedsupinelegtractioncombinedwithspinalorthosisonthisbasis.ThetwogroupsofpatientsunderwentlateralspinalX-raybeforeandaftertreatmenttocomparethedifferencesinspinalcurvature,backpain,andfunctionalimpairmentbetweenthetwogroups.

Results：Aftertreatment,thespinalcurvature,backpain,andfunctionalimpairmentoftheobservationgroupweresignificantlyimproved,andthedifferenceswerestatisticallysignificant(P<0.05).Thespinalcurvatureofthecontrolgroupimprovedslightly,butthedifferencewasnotstatisticallysignificant(P>0.05).

Conclusion：Supinelegtractioncombinedwithspinalorthosisisaneffectiveauxiliarytreatmentmethodforadolescentidiopathicscoliosisandcanbeappliedinclinicalpractice.However,thisstudyonlyobservedshort-termtreatmenteffects,andthespecifictreatmenteffectandlong-termuncertaintyneedfurtherobservationandresearchInconclusion,adolescentidiopathicscoliosisisacomplexspinalconditionthataffectsmanyyoungindividuals.Itcanbechallengingtomanageandcanhavesignificantimpactsonaperson'squalityoflife.WhilebracingandsurgicalinterventionarecommonlyusedtotreatS,therearealsootheroptionsavailable,includingphysicaltherapyandchiropracticcare.

Studieshaveshownthatspinalmanipulationandothermanualtherapiescanbeeffectiveinreducingpainandimprovingfunctioninindividualswithscoliosis.Additionally,exercisessuchasstrengtheningandstretchinghaveshownpromiseinreducingsymptomsandimprovingspinalfunctioninthosewithS.

Supinelegtractioncombinedwithspinalorthosishasalsobeenshowntobeapromisingtreatmentoptionforthosewithadolescentidiopathicscoliosis.Thistechniquehelpstodecompressthespineandimprovespinalalignment,whichcanultimatelyleadtoimprovedfunctionandreducedpain.

ItisimportanttonotethatnotalltreatmentoptionswillworkforeveryonewithS.Treatmentplansshouldbeindividualizedbasedontheseverityofthecondition,ageofthepatient,andspecificsymptomspresent.Additionally,long-termmonitoringisnecessarytoensurethattreatmentiseffectiveandthattheconditiondoesnotworsenovertime.

Overall,thereishopeforindividualswithadolescentidiopathicscoliosis.Withavarietyoftreatmentoptionsavailable,includingphysicaltherapy,chiropracticcare,andsupinelegtractioncombinedwithspinalorthosis,itispossibletomanagesymptomsandachievebetterqualityoflife.FurtherresearchisneededtofullyunderstandtheeffectivenessofthesetreatmentsandidentifynewandinnovativeapproachestotreatingSInadditiontotraditionaltreatmentoptions,therearealsoalternativetherapiesthatsomeindividualsmayfindhelpfulinmanagingtheirscoliosis.Theseincludeacupuncture,massagetherapy,andyoga.Itisimportanttonotethatwhilethesetherapiesmayprovidesomereliefforcertainindividuals,theyshouldnotbeconsideredasasubstituteformedicaltreatment.

Scoliosiscanalsohaveasignificantimpactonanindividual'semotionalwell-being.Astheconditionisoftenvisibletoothersandcancausephysicallimitationsordiscomfort,itisnotuncommonforindividualswithscoliosistoexperienceanxiety,self-consciousness,ordepression.Itisimportantforindividualswithscoliosistoseeksupportfromfriends,family,ormentalhealthprofessionalstohelpmanagethesefeelings.

Finally,itisimportantforparentsandcaregiversofchildrenwithscoliosistobevigilantaboutregularscreeningsandmonitoringofthecondition.Earlydetectionandtreatmentcanmakeasignificantdifferenceinmanagingscoliosisandpreventingitfromworseningovertime.

Inconclusion,adolescentidiopathicscoliosisisacommonconditionthataffectsmanyindividuals,particularlyduringpuberty.Whilethecausesofscoliosisarenotfullyunderstood,thereareavarietyofeffectivetreatmentoptionsavailab