Rehabilitative Effects of Schroth Therapy with Bonesetting Massage for Adolescent Idiopathic Scoliosis

doi:10.12114/j.issn.1007-9572.2022.0386

Abstract

Abstract:

Background

Adolescent idiopathic scoliosis (AIS) is becoming increasingly common in clinical settings, imposing a heavy burden on the family and society. At present, few treatments are available with fair effects for AIS, and there is a lack of unified and effective treatment schemes for AIS.

Objective

To explore the effect of Schroth therapy with bonesetting massage in AIS.

Methods

Forty adolescent AIS patients treated in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from September 2018 to December 2020 were selected, and equally randomly divided into treatment group and control group, 20 cases in each group. Both groups received bone setting massage once a week, and the treatment group additionally received Schroth therapy, 90 minutes per time, 3 times per week. The treatment for both groups lasted for 6 months. Pre- and post-treatment Cobb angle and angle of trunk rotation (ATR) as well as clinical efficacy were compared between the two groups.

Results

The Cobb angle after treatment was smaller than that before treatment in both groups (P<0.05). And the treatment group had a smaller post-treatment Cobb angle than the control group (P<0.05). ATR decreased after treatment in both groups (P<0.05), and it decreased more obviously in the treatment group (P<0.05). The response rate for either control group or treatment group was 95.0% (19/20) but the marked response rate was higher in the treatment group〔85.0% (17/20) vs. 30.0% (6/20) 〕 (P<0.001) .

Conclusion

Compared with bonesetting massage alone, Schroth therapy with bonesetting massage had better effect on improving the Cobb angle and ATR in AIS patients, so the combination therapy is recommended for clinical use.

Key words: Spinal curvatures, Idiopathic scoliosis, Schroth therapy, Bonesetting massage, Adolescent, Adolescent heath

摘要：

背景

临床上，青少年特发性脊柱侧弯越来越普遍，给家庭和社会造成沉重的负担。但是，目前对于该疾病的治疗方法较少，疗效一般，缺少统一有效的治疗方案。

目的

探讨施罗斯疗法联合正骨推拿对青少年特发性脊柱侧弯的疗效。

方法

选择2018年9月至2020年12月温州市中西医结合医院收治的青少年特发性脊柱侧弯患者40例作为研究对象，采用随机数字表法，将患者分为治疗组和对照组，每组各20例。对照组施行正骨推拿，1次/周，治疗6个月；治疗组在正骨推拿的基础上联合施罗斯疗法，90 min/次，3次/周，治疗6个月。比较两组患者治疗前后Cobb角、脊柱旋转角度（ATR）和临床疗效。

结果

治疗后，治疗组Cobb角小于对照组（P<0.05）；两组治疗后Cobb角均小于同组治疗前（P<0.05）。治疗后，治疗组ATR小于对照组（P<0.05）；两组治疗后ATR均小于同组治疗前（P<0.05）。治疗后，对照组显效率为30.0%（6/20），有效率为95.0%（19/20）；治疗组显效率为85.0%（17/20），有效率为95.0%（19/20）。治疗后，治疗组显效率高于对照组（P<0.001）。

结论

与单纯实施正骨推拿相比，施罗斯疗法联合正骨推拿能更有效地改善青少年特发性脊柱侧弯患者Cobb角和ATR，推荐在临床上联合应用。

关键词: 脊柱弯曲, 特发性脊柱侧弯, 施罗斯疗法, 正骨推拿疗法, 青少年, 青少年健康

LU Yuelun,LUO Guogang,XIE Haifeng, et al. Rehabilitative Effects of Schroth Therapy with Bonesetting Massage for Adolescent Idiopathic Scoliosis[J]. Chinese General Practice, 2022, 25(32): 4059-4064. DOI: 10.12114/j.issn.1007-9572.2022.0386.
卢跃伦,骆国钢,谢海风等. 施罗斯疗法联合正骨推拿在青少年特发性脊柱侧弯康复中的疗效研究[J]. 中国全科医学, 2022, 25(32): 4059-4064. DOI: 10.12114/j.issn.1007-9572.2022.0386.

Figures/Tables 7

Figure 1 Schroth therapy：shoulder countertraction

Figure 2 Schroth therapy：psoas major-synergy training in the prone position

Figure 3 Schroth therapy：core training on the fitness ball

Table 1 Comparison of pre- and post-treatment Cobb angle between two groups

组别	例数	治疗前	治疗后	t_配对值	P值
对照组	20	15°±5°	13°±5°	3.202	0.005
治疗组	20	14°±4°	8°±3°	8.276	<0.001
t值		-0.401	-3.777
P值		0.690	0.001

Table 2 Comparison of pre- and post-treatment angle of trunk rotation between two groups

组别	例数	治疗前	治疗后	t_配对值	P值
对照组	20	5°±2°	4°±2°	7.678	<0.001
治疗组	20	5°±2°	2°±1°	7.712	<0.001
t值		0.169	-2.530
P值		0.866	0.017

Figure 4 Pre- and post-treatment imaging findings of a 13-year-old female patient seeking healthcare due to hunchback for more than 3 months

Table 3 Comparison of overall clinical response between two groups of patients

组别	例数	显效	有效	无效
对照组	20	6（30.0）	13（65.0）	1（5.0）
治疗组	20	17（85.0）	2（10.0）	1（5.0）

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