CAJ | 학술논문

背景:矫形器治疗是目前公认的适于未发育成熟轻中度特发性脊柱侧凸患者惟一有效的非手术治疗方法.目的:回顾性分析热塑矫形器治疗青少年特发性脊柱侧凸临床疗效.方法:1997-04/2004-03在海南省人民医院康复医学部矫形科收治特发性脊柱侧凸患者113例.佩戴热塑矫形器(brace)从开始2.0-3.0 /d,逐渐增加22 h/d.复查时cobb's角减少大于30%,则佩戴时间减至20 h/d,Risser征Ⅳ度或月经初潮1年后佩戴时间减至4 h/d.同时每天完成1 h矫正体操,包括腰背肌锻练:5点式(即头、双肘及双足支撑)和3点式(即头、双足支撑)锻练.随访2年后复测cobb's角,监测cobb's角变化.结果与结论:全部病例随访2年,有效98例(86.7%);治疗无效15例(13.3%),出现脊柱侧凸进展加重.脊柱侧凸cobb's角在20°-30°者68例,有效63例(92.6%).31°-45°者45例,有效35例(77.8%).未发现材料方面的特殊不良反应.结果证明,热塑矫形器结合矫正体操综合治疗特发性脊柱侧凸疗效明显,可减少∞bb's角度,改善侧凸,防止或延缓特发性脊柱侧凸进展.
배경:교형기치료시목전공인적괄우미발육성숙경중도특발성척주측철환자유일유효적비수술치료방법.목적:회고성분석열소교형기치료청소년특발성척주측철림상료효.방법:1997-04/2004-03재해남성인민의원강복의학부교형과수치특발성척주측철환자113례.패대열소교형기(brace)종개시2.0-3.0 /d,축점증가22 h/d.복사시cobb's각감소대우30%,칙패대시간감지20 h/d,Risser정Ⅳ도혹월경초조1년후패대시간감지4 h/d.동시매천완성1 h교정체조,포괄요배기단련:5점식(즉두、쌍주급쌍족지탱)화3점식(즉두、쌍족지탱)단련.수방2년후복측cobb's각,감측cobb's각변화.결과여결론:전부병례수방2년,유효98례(86.7%);치료무효15례(13.3%),출현척주측철진전가중.척주측철cobb's각재20°-30°자68례,유효63례(92.6%).31°-45°자45례,유효35례(77.8%).미발현재료방면적특수불량반응.결과증명,열소교형기결합교정체조종합치료특발성척주측철료효명현,가감소∞bb's각도,개선측철,방지혹연완특발성척주측철진전.
BACKGROUND: Orthosis therapy has been well known as an effective method for treating mild or moderate adolescent idiopathic scoliosis.OBJECTIVE: To retrospectively analyze the clinical efficacy of thermosetting plastic brace on treating adolescent idiopathic scoliosis. METHODS: A total of 113 patients with adolescent idiopathic scoliosis were selected from Department of Orthopaedics, Rehabilitation Medicine Services, Hainan Provincial People's Hospital between April 1997 and March 2004. The thermosetting plastic brace was performed for 2.0-3.0 hours per day and then gradually for 22 hours per day. By rechecking, the cobb's angle reduced more than 30%, so the thermosetting plastic brace was performed for 20 hours per day. Additionally, the thermosetting plastic brace was perforemd 4 hours per day if the Risser symptoms were classified into grade IV or menarche was finished 1 year. Meanwhile, corrective gymnastics, including 5-point style (head, both elbows, and both feet supporting) and 3-point style (head and both feet supporting) were done for 1 hour everyday. Two years after following up, the cobb's angle was remeasured. RESULTS AND CONCLUSION: Two years after following up, 98 cases (86.7%) were treated effectively, and 15 cases (13.3%) were treated ineffectively, showing an aggravation of adolescent idiopathic scoliosis. Cobb's angle was 20-30 in 68 cases, and 63 cases (92.6 %) were treated effectively; cobb's angle was 31-45 in 45 cases, and 35 cases (77. 8%) were treated effectively Any adverse reaction was not observed in all cases. The results suggested that thermosetting plastic brace was an effective method to treat adolescent idiopathic scoliosis, reduce cobb's angle, relieve symptoms of scoliosis, and provent or delay development of adolescent idiopathic scoliosis.