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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 被引量:7

40 Cases Report of Spinal Manipulation Combined with Lumbar Dorsal Muscle Function Exercise for Mild and Moderate Adult Degenerative Scoliosis
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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。 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:40patients with mild or moderate degenerative scoliosis were treated with manipulation combined with functional exercise for 4weeks.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 2weeks,4weeks 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.
作者 李辉 高景华 孙武 高春雨 王宝剑 李路广 李建国 LI Hui;GAO Jinghua;SUN Wu;GAO Chunyu;WANG Baojian;LI Luguang;LI Jianguo(Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China;Beijing Key Laboratory of Bone Setting Technology of Traditional Chinese Medicine,Beijing 100007,China)
出处 《中国中医骨伤科杂志》 CAS 2021年第9期65-68,共4页 Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词 调脊手法 功能锻炼 退行性脊柱侧凸 腰背痛 spinal manipulation functional exercise adult degenerative scoliosis lower back pain
作者简介 通信作者:高景华,E-mail:gaojinghua64@sina.com。
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