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气息调整结合特定性运动训练治疗青少年特发性脊柱侧弯患者的疗效观察
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Abstract:
目的：本研究旨在观察气息调整结合特定性运动训练对青少年特发性脊柱侧弯患者(Adolescent Idiopathic Scoliosis, AIS)的疗效，并探讨该治疗方法在改善脊柱侧弯的角度，延缓侧弯进程，提高生活质量中的作用。方法：本研究将60名脊柱侧弯患者随机分为干预组和对照组。干预组接受气息调整训练结合常规康复治疗方法，对照组仅接受常规康复治疗。训练前后对Cobb角度轴向躯干旋转角(Axial Trunk Rotation, ATR)、中文版脊柱侧凸研究学会患者22项问卷(Chinese Scoliosis Research Society Patient Questionnaire-22, SRS-22)进行评估。结果：干预组患者治疗前后Cobb角(1.61 ± 0.85比1.12 ± 0.62，t = 2.553，p = 0.013)、ATR (3.93 ± 1.91比2.5 ± 1.42，t = ？1.003，p = 0.02)的改善情况显著优于对照组(p < 0.05)，但是，干预组和对照组患者治疗前后SRS-22分值改善情况差异不显著。结论：与单一脊柱侧弯特定性训练相比，气息调整结合特定性运动训练在脊柱侧弯康复治疗中能更好地改善AIS患者的脊柱侧弯情况。
Purpose: This study aims to observe the effect of breath adjustment combined with specific exercise training on patients with adolescent idiopathic scoliosis (AIS), and to investigate the role of this treatment in improving the angle of scoliosis, slowing down the progression of the scoliosis, and improving the quality of life. Methods: In this study, 60 patients with scoliosis were randomly divided into intervention group and control group. The intervention group received breath adjustment training combined with conventional rehabilitation treatment, while the control group only received conventional rehabilitation treatment. Cobb angle axial trunk rotation (ATR) and Chinese Scoliosis Research Society Patient Questionnaire-22 (SRS-22) were evaluated before and after training. Results: The improvement of Cobb angle (1.61 ± 0.85 vs. 1.12 ± 0.62, t = 2.553, p = 0.013) and ATR (3.93 ± 1.91 vs. 2.5 ± 1.42, t = ？1.003, p = 0.02) in the intervention group before and after treatment was significantly better than the control group (p < 0.05). However, there was no significant difference in the improvement of SRS-22 scores between the intervention group and the control group before and after treatment. Conclusion: Compared with single scoliosis-specific training, breath adjustment combined with specific exercise training in scoliosis rehabilitation treatment can better improve the scoliosis condition of AIS patients.
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