CN106310610A - Physiotherapeutic scoliosis specific exercise method - Google Patents

Physiotherapeutic scoliosis specific exercise method Download PDF

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Publication number
CN106310610A
CN106310610A CN201610917505.3A CN201610917505A CN106310610A CN 106310610 A CN106310610 A CN 106310610A CN 201610917505 A CN201610917505 A CN 201610917505A CN 106310610 A CN106310610 A CN 106310610A
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China
Prior art keywords
training
patient
skoliosis
exercise therapy
special exercise
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CN201610917505.3A
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Chinese (zh)
Inventor
杜青
周璇
陈楠
徐晟恺
杨宇琪
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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Priority to CN201610917505.3A priority Critical patent/CN106310610A/en
Publication of CN106310610A publication Critical patent/CN106310610A/en
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    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B26/00Exercising apparatus not covered by groups A63B1/00 - A63B25/00
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/18Exercising apparatus specially adapted for particular parts of the body for improving respiratory function
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B26/00Exercising apparatus not covered by groups A63B1/00 - A63B25/00
    • A63B26/003Exercising apparatus not covered by groups A63B1/00 - A63B25/00 for improving balance or equilibrium

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Pulmonology (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention relates to a physiotherapeutic scoliosis specific exercise method. The physiotherapeutic scoliosis specific exercise method comprises patient education, three-dimensional self-correction gymnastics, respiratory training, equilibrium function training and daily activity training. The method has the advantages as follows: the physiotherapeutic scoliosis specific exercise method is a personalized physiotherapeutic exercise method, a training scheme is made by a rehabilitative physician according to the rehabilitation evaluation result of a patient, a rehabilitation therapist mastering the treatment technology teaches the patient and makes the patient learn an exercise training method, the function of the patient can be improved, and the malformation progress can be stopped or delayed.

Description

A kind of skoliosis special exercise therapy
Technical field
The present invention relates to field of medicaments technical field, specifically, be a kind of skoliosis special exercise therapy.
Background technology
Adolescent idiopathic scoliosis (Adolescent Idiopathic Scoliosis, AIS) is modal ridge Post deformity, refers to that one betides 10 years old with skoliosis teen-age before up to reaching maturity, etiology unknown, prevalence height. AIS trophophase period of development deformity progress rapidly, when Cobb angle > 40 ° time, need to consider operative treatment, the healthy wind of its adult age Danger the most substantially increases.AIS, without obtaining timely rehabilitation, can cause spinal column severe side convex, affect patient's trunk outward appearance, Cardiopulmonary obstacle even occurs, has a strong impact on teenager physical and mental development, cause heavy medical treatment and financial burden to society.
Along with the change recognizing AIS pathology, Exercise therapy for treatment of knee joint theory and mode are constantly updating, and skoliosis is special Determine exercise therapy (physiotherapeutic scoliosis specific exercises, PSSE) to arise at the historic moment therewith. Regular motion therapy generally includes low intensive tractive and muscle strength training.PSSE is then according to side convex position and the journey of patient The personalization that degree is formulated, adaptive motion therapy.International skoliosis in 2011 is orthopedic and rehabilitation association guide is recommended PSSE is used for AIS patient.But, the most also lack high-quality evidence to prove its effectiveness, domestic AIS patient PSSE's It is big blank that application is still one.
The ill quantity of China AIS is the most surprising, and potential rehabilitation demands is huge.Show according to national statistics office data, 2012 China, in school middle school student's number 47,630,000, is calculated by prevalence 2.52%, and China AIS patient there are about 1,200,000.Along with Chinese society Economic and civilized sustainable development, more and more AIS patients seek the rehabilitation of system specifications.But medical institutions of the city are universal Lacking AIS modern rehabilitation treatment concept, the city carries out the hospital of AIS rehabilitation less than 3, only carries out the hospital of PSSE treatment There is project application people unit one belongs to 1.Because AIS Rehabilitation Treatment Technique and the shortage of the talent so that a large amount of AIS patients can not obtain To timely rehabilitation diagnosis and treatment, causing many patients to lose early rehabilitation chance, therapeutic effect is had a greatly reduced quality.
This project intends carrying out application and the clinical expansion of AIS patient's PSSE rehabilitation new technique in Shanghai pilot, sets up The AIS patient PSSE tallied with the national condition treats specification, provides Early rehabilitation service for AIS patient, solves numerous AIS and suffers from The rehabilitation demands that person is growing.The main research of this project includes: 1) intends by prospective random control study, compares The deformity of spine progress of AIS patient, equilibrium function, pulmonary function, bone density, quality of life after PSSE and regular motion therapy for treating Situation of change, further the checking PSSE curative effect to AIS patient;2) PSSE rehabilitation is promoted at city's basic medical unit new Technology, the more medical worker in Shi Wo city grasps this new technique, to realize the early intervention to AIS patient and rehabilitation.
Chinese patent literature number of patent application: 201280045405.6 disclose one treats cardiovascular disease and prediction fortune The method of dynamic therapy effect.But yet there are no report about a kind of skoliosis special exercise therapy.
Summary of the invention
It is an object of the invention to for deficiency of the prior art, it is provided that a kind of skoliosis special exercise therapy.
For achieving the above object, the present invention adopts the technical scheme that:
A kind of skoliosis special exercise therapy, described skoliosis special exercise therapy includes patient education, three-dimensional Self modification gymnastics, respiratory training, balance function training, daily routines training.
Described three-dimensional self modification gymnastics is by a series of gymnastic movement, and experimenter is carried out spinal three-dimensional direction Malformation correction, including pelvic position rectification, dorsal position, lateral position, ventricumbent position, erect position, seat three-dimensional correction, carries out core simultaneously Heart stability training, cervical muscle and low back muscle work against resistance.
Described respiratory training requires that patient deeply breathes, and makes peace maneuver guiding patient's concave side firmly at air-breathing end term Air-breathing, and guide patient convex side forced expiration in end-tidal.
Described balance training method is trained for using balance pad.
Described daily routines training includes that daily life seat, vertical position correct status instruct and training.
Adolescent idiopathic scoliosis (Adolescent Idiopathic Scoliosis, AIS) refers to a kind of generation In 10 years old with the teen-age skoliosis before up to reaching maturity, etiology unknown, prevalence is high, and the course of disease is very long.Skoliosis It is a kind of three-dimensional deformity, is that the side of spinal column coronalplane bends and be often accompanied by physiologic radian change on Vertebral rotation and sagittal plane, The body exterior deformity caused, often brings negative negative effect to teen-age self-image and sense of personal worth.As failed and Shi Faxian and process, in fact it could happen that the severe deformities of trunk, in some instances it may even be possible to cardio-pulmonary function obstacle occur, have a strong impact on teenager and be good for Kang Fayu and life quality.If during AIS patient's growth promoter maturation, Cobb angle is more than 30 °, then it is in the health of adult age The risk gone wrong with social aspect can dramatically increase, and including quality of life reduction, communal participation is limited, pain, outward appearance are abnormal Shape change, function limitation etc., the most also have the risk that deformity continues to progress from.And once skoliosis is in progress, the most also do not have There is Therapeutic Method can correct deformity of spine completely.Therefore AIS patient found early, diagnose early and early treatment, to minimizing The serious harm able-bodied to teenager of this disease is significant.
Select 58 example AIS patients, be randomly divided into matched group and experimental group, often organize 29 examples.Matched group uses regular motion to treat Method is treated, and experimental group uses PSSE technology to treat, and medical institutions treat 2-3 time weekly, family therapy every day 1 time, Treatment 12 weeks, compare 2 groups of Cobb angles, index of falling, forced vital capacity, the 1st second forced expiratory volume, the radius velocity of sound, Chinese continuously Version SRS-22 score, so that it is determined that the curative effect of PSSE treatment AIS patient.
Specify the effectiveness of AIS patient PSSE treatment, it is achieved early intervention, the early rehabilitation to AIS patient, improve patient Life quality.
PSSE is the exercise therapy of a kind of personalization, needs physiatrician to formulate training according to the rehabilitation evaluation result of patient Scheme, and taught patient by the rehabilitation therapist skillfully grasping treatment technology, allow patient learn one's own a set of motion instruction Practice method.PSSE includes patient education, three-dimensional self modification gymnastics, respiratory training, balance function training, daily routines training. Wherein three-dimensional self modification is crucial, and by three-dimensional self modification, and a three-dimensional self modification is transformed in daily routines and carries out Daily routines are trained, and patient can reduce Cobb, stop deformity progress.
The most domestic prospective random control study report also not having PSSE to be applied to AIS treatment, this research first will PSSE is used for slight AIS patient, carries out prospective random control study, is expected to be suffered to numerous AIS by easy, cheap approach Person provides in early days, convenient, lasting rehabilitation.But effectively complete patient in timing in the treatment of medical institutions, regularly health Reexamining is the key problem in technology that intends to solve in research surely.We intend, by strengthening patient and the propaganda and education of the head of a family, sending special messenger's timing Supervise patient, and patient carries out the training of PSSE technology in pairs.
Detailed description of the invention
The detailed description of the invention provided the present invention below elaborates.
The treatment of AIS patient is primarily to stop the progress of deformity, and prevents the Secondary Symptom relevant to deformity Occur.There is presently no a kind of effective treatment and the spinal column of deformity can be become the most normal, even if reducing deformity of spine, all The most difficult.
Owing to the Study of Etiology of AIS is not yet clear and definite, its conservative treatment method is a lot, and method and curative effect are different. SOSORT has successively formulated AIS expectant treatment guide at 2005,2011, is broadly divided into bracing, physiotherapy Two big classes, wherein physiotherapy is divided into again exercise therapy, manipulation, electricity irritation etc..From B.C. 500 years, exercise therapy Being used for the treatment of AIS the most always, but it is of a great variety, there is dispute in curative effect.SOSORT guide recommends manipulation only to exist Use in the case of Combined with Exercise Therapy.And the electricity irritation progress that has been found to cannot effectively to stop side convex and less application.
AIS exercise therapy remains a lot of regional culture difference.France, Germany, Italy and many other Continental European countries, exercise therapy is used by routine, and does not advocate exercise therapy in Britain and the U.S., and one of reason is a lot Regular motion therapy and PSSE are obscured by expert.
Regular motion therapy for treating, is made up of some low intensive tractives and muscle strength training, as Yoga, pilates or Tai Ji.In China, AIS treatment uses the regular motion therapy such as strength building, traction more, makes a large amount of patient can not get timely and effective Treatment.
PSSE technology is very different with conventional exercise therapy, training content include patient and head of a family's Popular Science Education, Different typing three-dimensional self modification gymnastics, respiratory training, balance function training, body appearance are corrected and daily routines training, based on spy Fixed actively correct pattern and Aerobic Exercise Training, focus on the training to patient's active self modification method, and pay attention to by Self modification is dissolved in daily life, carries out the training of daily routines.PPSE is specific to scoliotic special exercise Training program, and the training program formulated according to the side convex position of individual patients and degree, be proposed as the of AIS patient treatment One step Therapeutic Method.The principle of major part PSSE is all based on specific actively correcting pattern and training, carries out stably simultaneously Property training, including nervimotion control, Proprioception training and balance etc., in addition it is also necessary to combine activities of daily living, allow patient open Exhibition family care.PSSE can be individually used for the treatment of slight AIS patient, can effectively limit or reduce deformity progress, avoid Use brace.Our early-stage Study has been proven that, PSSE can improve outside slight adolescent idiopathic scoliosis back See, reduce Cobb angle, stop deformity progress, reduce trunk uneven, strengthen sclerotin intensity, improve bilateral erector spinae muscular movement Control difference, improve pulmonary function and quality of life.PSSE combines brace and is effectively reduced moderate adolescent idiopathic scoliosis Deformity progress, improves trunk outward appearance, strengthens sclerotin intensity, improves bilateral erector spinae muscular movement and controls difference, improves pulmonary function, Promote that quality of life improves.
Research method and step
Research method: perspective randomized controlled trial.
58 example AIS patients are recruited as object of study from Xinhua Hospital Attached to Medical School, Shanghai Jiaotong Univ..
Inclusion criteria: 1. age 10-16 year;2. skoliosis etiology unknown;3. Cobb angle is 10 °-20 °;④Risser Levy < 3.
Exclusion standard: 1. have the other system history of disease such as nervous system, skeletal muscle, cardiovascular system;2. have spinal column, under Limb history of operation;3. spine recovering is had to treat history;4. treatment in continuous 12 weeks cannot be completed.
All experimenters are randomly divided into matched group and experimental group, often organize 29 examples.
Matched group uses regular motion therapy to treat.Regular motion therapy includes drawing-off treatment and strength building.By The same rehabilitation therapist teaches experimenter's regular motion therapy, sets treatment intensity according to individual's degree of fatigue, weekly doctor Treat mechanism to treat 2-3 time, treatment 1 time of being in every day, continuously treatment 12 weeks.
Experimental group uses the treatment of PSSE technology.PSSE includes patient education, three-dimensional self modification gymnastics, respiratory training, puts down Weighing apparatus functional training, daily routines training.Three-dimensional self modification gymnastics is by a series of gymnastic movement, and experimenter is carried out spinal column The malformation correction of three-dimensional, including pelvic position rectification, dorsal position, lateral position, ventricumbent position, erect position, seat three-dimensional correction, Carry out core stability training, cervical muscle and low back muscle work against resistance simultaneously.Respiratory training requires that patient deeply breathes, in air-breathing Term maneuver of making peace in end guides patient's concave side FI, and guides patient convex side forced expiration in end-tidal.Balance training side Method is trained for using balance pad.Daily routines training includes that daily life seat, vertical position correct status instruct and training.Root Set treatment intensity according to individual's degree of fatigue, treat 2-3 time in medical institutions weekly, treatment 1 time of being in every day.
Curative effect index: after treating 12 weeks continuously, compare 2 groups of Cobb angles, index of falling, forced vital capacity, firmly exhale for the 1st second Tolerance, the radius velocity of sound, Chinese edition SRS-22 score.
The above is only the preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art Member, on the premise of without departing from the inventive method, it is also possible to makes some improvement and supplements, and these improve and supplement and also should be regarded as Protection scope of the present invention.

Claims (5)

1. a skoliosis special exercise therapy, it is characterised in that described skoliosis special exercise therapy includes patient Education, three-dimensional self modification gymnastics, respiratory training, balance function training, daily routines training.
Skoliosis special exercise therapy the most according to claim 1, it is characterised in that described three-dimensional self modification body Behaviour is by a series of gymnastic movement, and experimenter carries out the malformation correction in spinal three-dimensional direction, corrects including pelvic position, faces upward Clinostatism, lateral position, ventricumbent position, erect-position, seat three-dimensional correction, carry out core stability training, cervical muscle and low back muscle resistance simultaneously Training.
Skoliosis special exercise therapy the most according to claim 1, it is characterised in that described respiratory training requires to suffer from Person deeply breathes, air-breathing end term make peace maneuver guide patient's concave side FI, and end-tidal guide the convex side of patient Forced expiration.
Skoliosis special exercise therapy the most according to claim 1, it is characterised in that described balance training method is Employing balance pad is trained.
Skoliosis special exercise therapy the most according to claim 1, it is characterised in that described daily routines training package Include daily life seat, vertical position correct status instructs and training.
CN201610917505.3A 2016-10-21 2016-10-21 Physiotherapeutic scoliosis specific exercise method Pending CN106310610A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2802385C1 (en) * 2023-06-07 2023-08-28 Виталий Юрьевич Левков Method of correcting combined idiopathic scoliosis in girls aged 11-15 years

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1745723A (en) * 2005-10-26 2006-03-15 王岩 Non-blending spinal side bending corrector
CN101680887A (en) * 2007-03-30 2010-03-24 褚圣-贾斯汀公司 Method of determining risk of scoliosis
CN102497821A (en) * 2009-07-27 2012-06-13 香港理工大学 Three-dimensional (3D) ultrasound imaging system for assessing scoliosis

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1745723A (en) * 2005-10-26 2006-03-15 王岩 Non-blending spinal side bending corrector
CN101680887A (en) * 2007-03-30 2010-03-24 褚圣-贾斯汀公司 Method of determining risk of scoliosis
CN102497821A (en) * 2009-07-27 2012-06-13 香港理工大学 Three-dimensional (3D) ultrasound imaging system for assessing scoliosis

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
周旋等: "脊柱侧凸特定运动疗法研究进展", 《中国康复医学杂志》 *
杜青: "青少年特发性脊柱侧凸康复诊疗方法的研究与应用", 《中国博士学位论文全文数据库医药卫生科技辑》 *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2802385C1 (en) * 2023-06-07 2023-08-28 Виталий Юрьевич Левков Method of correcting combined idiopathic scoliosis in girls aged 11-15 years

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Application publication date: 20170111