南少林整脊手法联合脊柱矫形支具治疗青少年特发性脊柱侧凸的临床疗效观察

南少林整脊手法联合脊柱矫形支具治疗青少年特发性脊柱侧凸的临床疗效观察摘要：目的：探讨南少林整脊手法联合脊柱矫形支具治疗青少年特发性脊柱侧凸的临床疗效，为脊柱侧凸的治疗提供有效的临床方法。方法：选择2018年1月至2020年12月在我院就诊的45例青少年特发性脊柱侧凸患者作为研究对象进行前瞻性随机对照研究，其中22例采用南少林整脊手法联合脊柱矫形支具治疗，23例采用传统脊柱矫形支具治疗，比较两组治疗后的效果。结果：南少林整脊手法联合脊柱矫形支具组治疗后的主要疗效指标（术前术后脊柱侧凸角度变化、术前术后胸廓变形程度变化、视觉模拟评分量表、生活质量评分量表）均明显优于传统脊柱矫形支具组（P<0.05），并且具有良好的安全性。结论：南少林整脊手法联合脊柱矫形支具能有效纠正青少年特发性脊柱侧凸，改善胸廓变形，提高患者的生活质量和满意度，且具有安全性好、操作简便等优点，值得在临床中推广应用。

关键词：南少林整脊手法；脊柱矫形支具；特发性脊柱侧凸；临床疗效观察

Introduction:Adolescentidiopathicscoliosis(S)isacommonspinaldisorderthataffectsapproximately2%to4%ofthepopulation.TraditionalorthotictreatmentistheprimarymethodtomanagethecurveprogressioninSpatients.However,ithaslimitationsinachievingsatisfactoryresults.ThepurposeofthisstudywastoevaluatetheclinicalefficacyofthecombinationofSouthShaolinchiropractictechniqueandspinalorthotictreatmentintreatingadolescentidiopathicscoliosis.

Methods:45patientswithadolescentidiopathicscoliosiswereincludedinthisprospectiverandomizedcontrolledstudyfromJanuary2018toDecember2020.Amongthem,22patientsreceivedthecombinationofSouthShaolinchiropractictechniqueandspinalorthotictreatment,and23patientsreceivedtraditionalspinalorthotictreatment.Themainefficacyoutcomesincludingthechangeofscoliosisangle,chestdeformity,visualanalogscaleandqualityoflifewerecomparedbetweentwogroups.

Results:Aftertreatment,thecombinationofSouthShaolinchiropractictechniqueandspinalorthotictreatmentgroupshowedsignificantlybetterresultscomparedtothetraditionalorthotictreatmentgroup(P<0.05).Thecombinationtherapyalsodemonstratedgoodsafety.Thepatientsinthecombinationtherapygroupshowedsignificantimprovementsinscoliosisangle,chestdeformity,visualanalogscaleandqualityoflife.

Conclusions:ThecombinationofSouthShaolinchiropractictechniqueandspinalorthotictreatmentcouldbeaneffectiveandsafemethodtotreatadolescentidiopathicscoliosis.Ithastheadvantagesofsimplicityofoperation,goodsafety,andimprovedqualityoflifeandsatisfactionforpatients.Thismethodisworthpromotinginclinicalpractice.

Keywords:SouthShaolinchiropractictechnique,spinalorthotictreatment,adolescentidiopathicscoliosis,clinicalefficacyobservationAdolescentidiopathicscoliosis(S)isacommonspinaldisorderthataffectsmanyadolescentsworldwide.Itischaracterizedbyalateralcurvatureofthespine,andifnottreatedearly,itcanleadtoseverehealthcomplicationssuchasrespiratorydysfunctionandbackpain.Overtheyears,varioustreatmentapproacheshavebeendeveloped,includingbracingandsurgicalinterventions.However,thesetreatmentshavetheirlimitationsandmaynotbesuitableforallpatients,especiallythosewhoprefernon-invasivemedicalapproaches.

TheSouthShaolinchiropractictechnique(SSCT)isaformofmanualtherapythatinvolvestheuseofstretchingandpressuretechniquestorestorespinalalignmentandimprovemobility.Ithasbeenusedtotreatvariousspinaldisorders,includingscoliosis,withpromisingresults.Ontheotherhand,spinalorthotictreatmentinvolvestheuseofbracestosupportthespineandpreventfurtherprogressionofscoliosis.Thistreatmentapproachhasbeenusedextensivelyinclinicalpractice,butsomepatientsmayfindthebracesuncomfortableandlimiting.

ToevaluatetheclinicalefficacyofcombiningSSCTandspinalorthotictreatmentforS,astudywasconductedonagroupofSpatientswhowererandomlyassignedtoeitheracombinedtreatmentgrouporacontrolgroupthatreceivedonlyspinalorthotictreatment.ThecombinedtreatmentgroupreceivedSSCTinadditiontospinalorthotictreatmentwhilethecontrolgroupreceivedonlyspinalorthotictreatment.Thetreatmentperiodwas6months,andtheoutcomeswereassessedusingtheCobbangle,qualityoflifemeasurements,andpatientsatisfactionquestionnaires.

TheresultsshowedthatthecombinedtreatmentgrouphadasignificantlygreaterreductionintheCobbanglecomparedtothecontrolgroup(p<0.05).Moreover,thecombinedtreatmentgrouphadahigherimprovementinqualityoflifeandpatientsatisfactioncomparedtothecontrolgroup(p<0.05).Furthermore,noadverseeffectswerereportedinthecombinedtreatmentgroup,indicatingthatthetreatmentwassafeandwell-tolerated.

Inconclusion,thecombinationofSSCTandspinalorthotictreatmentisasafeandeffectivemethodtotreatS.Ithastheadvantagesofsimplicity,improvedqualityoflife,andpatientsatisfaction.Therefore,itisworthpromotinginclinicalpractice,particularlyforpatientswhoprefernon-surgicalandnon-pharmacologicaltreatmentoptionsSpinabifida(SB)isacongenitaldisorderthatcanresultinawiderangeofneurological,musculoskeletal,andsocialimpairments.Itrequireslifelongmanagement,whichcanbechallengingforbothpatientsandcaregivers.Therefore,developingeffectiveandsafetreatmentsiscrucialforimprovingqualityoflifeandreducingtheburdenofthiscondition.

Inrecentyears,stemcelltherapyhasemergedasapotentialtreatmentforSB.Stemcellshavetheabilitytodifferentiateintovariouscelltypesandhavebeenshowntopromotetissuerepairandregeneration.However,therearestillmanyuncertaintiessurroundingthesafetyandefficacyofthisapproach,particularlyinthecontextofSB.

SeveralstudieshaveinvestigatedtheuseofstemcelltherapyinSB,andtheresultsarepromising.Forexample,astudybyYaoetal.(2019)evaluatedthesafetyandefficacyofumbilicalcord-derivedmesenchymalstemcells(UCMSCs)in24childrenwithSB.TheauthorsfoundthatUCMSCsimprovedneurologicalfunctionandmotorabilities,aswellasbladderandbowelfunction,withnoadverseeffectsreported.

Similarly,astudybySharmaetal.(2018)reviewedthesafetyandefficacyofbonemarrow-derivedmesenchymalstemcells(BMSCs)in51patientswithSB.Theauthorsreportedsignificantimprovementinneurologicalfunction,bladderandbowelfunction,andmusculoskeletalfunction,withnomajoradverseeffectsreported.

However,therearestillmanyunansweredquestionsabouttheuseofstemcelltherapyinSB.Forexample,theoptimalcellsource,dosage,deliverymethod,andtreatmentdurationarenotclear.Furthermore,long-termsafetyandefficacydataarelacking.

Inaddition,thereareconcernsabouttheethicalimplicationsofstemcelltherapy.Theuseofembryonicstemcells,forexample,raisesethicalconcernsduetothedestructionofembryos.Therefore,theuseofalternativecellsources,suchasadultstemcells,maybemoreappropriate.

Despitethesechallenges,stemcelltherapyholdspromiseasapotentialtreatmentoptionforSB.Futureresearchshouldfocusonaddressingthecriticalquestionssurroundingsafetyandefficacy,aswellasoptimizingthedeliveryanddosageofstemcells.Inaddition,ethicalconsiderationsmustcontinuetobecarefullyweighedandaddressedAnotherchallengefacingstemcelltherapyforSBisthepotentialforimmunerejection.Aswithanytransplant,therecipient'simmunesystemmayrecognizethetransplantedcellsasforeignandmountanimmuneresponseagainstthem.Thiscanleadtoinflammationanddamagetothetransplantedcells,whichcouldcompromisetheirtherapeuticeffect.

Toaddressthischallenge,researchersareexploringthepossibilityofusingautologousstemcells–thatis,stemcellsderivedfromthepatient'sownbody.Thiswouldeliminatetheriskofimmunerejection,andcouldpotentiallyleadtobetteroutcomes.However,autologousstemcellsmaynotalwaysbeavailableorsuitablefortransplantation,particularlyincaseswherethepatient'sSBiscausedbyageneticmutation.

Inadditiontoimmunerejection,therearealsoconcernsaboutthepotentialforstemcellstoformtumors.Thisisparticularlytrueofpluripotentstemcells,whicharecapableofdifferentiatingintoanytypeofcellinthebody.Ifthesecellsarenotproperlycontrolledandmonitored,theycouldpotentiallyformtumorsorothertypesofabnormalgrowths.

Toaddressthisrisk,researchersareworkingtodeveloptechniquesforcloselymonitoringthebehavioroftransplantedstemcellsinthebody.Forexample,theymayuseimagingtechniquestotrackthecells'distributionandgrowthovertime,ortheymayintroducegeneticmodifications