Functional rehabilitation training improves adolescent idiopathic scoliosis / 中国组织工程研究

ABSTRACT

BACKGROUND:Various methods are involved in the treatment of adolescent idiopathic scoliosis (AIS),and functional rehabilitation training can provide support for clinical rehabilitation.OBJECTIVE:To explore the ipositive effects of exercise on the weak links of spinal mechanical disturbance,and to fully improve AIS through sport rehabilitation.METHODS:Nineteen AIS patients were randomly divided into experimental (n=10) and control (n=9) groups,followed by given manual reduction combined with functional rehabilitation training,or manual reduction combined with conventional strength training.The shape of the spine was acquired under different postures using X-ray and Spinalmouse.The spinal lateral flexion strength was assessed by Back-Check tester.The range of motion of the waist was measured by joint angle measurement apparatus.The patients' subjective feeling was measured through Scoliosis Research Society-22 questionnaire.All data underwent t-test.RESULTS AND CONCLUSION:After 32-week intervention,the Cobb angle and distance of top cone deviating from the midline of sacrum had significant difference between experimental and control groups (F ＜ 0.05).The experimental group patients had the sagittal spinal joint angle that was closer to the physiological curve.There was a significant difference in the muscle strength between experimental and control groups (P ＜ 0.05).The range of motion of the waist under anteflexion,as well as posterior extension and right lateroflexion showed significant difference between experimental and control groups (P ＜0.01,P ＜ 0.05).The Scoliosis Research Society-22 Questionnaire scores in the experimental group were significantly higher than those in the control group (P ＜ 0.05).These results indicate that functional rehabilitation training can improve the control ability of deep muscle groups and muscle strength and endurance.