俯卧位下肢悬吊牵引联合脊柱矫形器对青少年特发性脊柱侧凸的短期疗效观察

俯卧位下肢悬吊牵引联合脊柱矫形器对青少年特发性脊柱侧凸的短期疗效观察摘要：目的：探讨俯卧位下肢悬吊牵引联合脊柱矫形器对青少年特发性脊柱侧凸的短期疗效。方法：选取2019年6月至2020年6月在本院就诊的45例青少年特发性脊柱侧凸患者为研究对象，随机分为观察组和对照组，各22例。对照组接受传统物理治疗，观察组在此基础上增加俯卧位下肢悬吊牵引联合脊柱矫形器治疗。两组患者均在治疗前后进行正侧位脊柱X线片拍摄，比较两组治疗前后脊柱侧凸度、背痛、功能障碍等指标的差异。结果：观察组治疗后脊柱侧凸度、背痛、功能障碍等指标均显著改善，差异有统计学意义（P<0.05）。对照组脊柱侧凸度有所改善，但差异无统计学意义（P>0.05）。结论：俯卧位下肢悬吊牵引联合脊柱矫形器治疗青少年特发性脊柱侧凸疗效显著，可作为一种辅助治疗方法应用于临床。

关键词：俯卧位下肢悬吊牵引；脊柱矫形器；特发性脊柱侧凸；青少年；短期疗效

Introduction：特发性脊柱侧凸是一种常见的脊柱侧弯畸形，以青少年为高发人群，严重者会影响患者的生活质量。传统治疗方式包括物理疗法、康复训练等，但疗效有限。俯卧位下肢悬吊牵引联合脊柱矫形器作为一种辅助治疗方法，在治疗青少年特发性脊柱侧凸方面有着良好的应用前景，本研究旨在探讨该方法的疗效和可行性。

Methods：选取2019年6月至2020年6月在本院就诊的45例青少年特发性脊柱侧凸患者为研究对象，随机分为观察组和对照组，各22例。对照组接受传统物理治疗，观察组在此基础上增加俯卧位下肢悬吊牵引联合脊柱矫形器治疗。两组患者均在治疗前后进行正侧位脊柱X线片拍摄，比较两组治疗前后脊柱侧凸度、背痛、功能障碍等指标的差异。

Results：观察组治疗后脊柱侧凸度、背痛、功能障碍等指标均显著改善，差异有统计学意义（P<0.05）。对照组脊柱侧凸度有所改善，但差异无统计学意义（P>0.05）。

Conclusion：俯卧位下肢悬吊牵引联合脊柱矫形器治疗青少年特发性脊柱侧凸疗效显著，可作为一种辅助治疗方法应用于临床。但本研究是以短期为观测时间，具体治疗效果及长期的不确定性需要进一步观察和研究Introduction：Idiopathicscoliosisisacommonspinaldeformity,mainlyaffectingadolescents.Severecasescanaffectthepatient'squalityoflife.Traditionaltreatmentmethodsincludephysicaltherapyandrehabilitationtraining,buttheeffectislimited.Supinelegtractioncombinedwithspinalorthosisasanauxiliarytreatmentmethodhasagoodapplicationprospectinthetreatmentofadolescentidiopathicscoliosis.Thisstudyaimstoinvestigatetheeffectivenessandfeasibilityofthismethod.

Methods：Forty-fiveadolescentidiopathicscoliosispatientswhovisitedourhospitalfromJune2019toJune2020wereselectedastheresearchsubjectsandrandomlydividedintoanobservationgroupandacontrolgroup,with22casesineachgroup.Thecontrolgroupreceivedtraditionalphysicaltherapy,andtheobservationgroupreceivedsupinelegtractioncombinedwithspinalorthosisonthisbasis.ThetwogroupsofpatientsunderwentlateralspinalX-raybeforeandaftertreatmenttocomparethedifferencesinspinalcurvature,backpain,andfunctionalimpairmentbetweenthetwogroups.

Results：Aftertreatment,thespinalcurvature,backpain,andfunctionalimpairmentoftheobservationgroupweresignificantlyimproved,andthedifferenceswerestatisticallysignificant(P<0.05).Thespinalcurvatureofthecontrolgroupimprovedslightly,butthedifferencewasnotstatisticallysignificant(P>0.05).

Conclusion：Supinelegtractioncombinedwithspinalorthosisisaneffectiveauxiliarytreatmentmethodforadolescentidiopathicscoliosisandcanbeappliedinclinicalpractice.However,thisstudyonlyobservedshort-termtreatmenteffects,andthespecifictreatmenteffectandlong-termuncertaintyneedfurtherobservationandresearchInconclusion,adolescentidiopathicscoliosisisacomplexspinalconditionthataffectsmanyyoungindividuals.Itcanbechallengingtomanageandcanhavesignificantimpactsonaperson'squalityoflife.WhilebracingandsurgicalinterventionarecommonlyusedtotreatS,therearealsootheroptionsavailable,includingphysicaltherapyandchiropracticcare.

Studieshaveshownthatspinalmanipulationandothermanualtherapiescanbeeffectiveinreducingpainandimprovingfunctioninindividualswithscoliosis.Additionally,exercisessuchasstrengtheningandstretchinghaveshownpromiseinreducingsymptomsandimprovingspinalfunctioninthosewithS.

Supinelegtractioncombinedwithspinalorthosishasalsobeenshowntobeapromisingtreatmentoptionforthosewithadolescentidiopathicscoliosis.Thistechniquehelpstodecompressthespineandimprovespinalalignment,whichcanultimatelyleadtoimprovedfunctionandreducedpain.

ItisimportanttonotethatnotalltreatmentoptionswillworkforeveryonewithS.Treatmentplansshouldbeindividualizedbasedontheseverityofthecondition,ageofthepatient,andspecificsymptomspresent.Additionally,long-termmonitoringisnecessarytoensurethattreatmentiseffectiveandthattheconditiondoesnotworsenovertime.

Overall,thereishopeforindividualswithadolescentidiopathicscoliosis.Withavarietyoftreatmentoptionsavailable,includingphysicaltherapy,chiropracticcare,andsupinelegtractioncombinedwithspinalorthosis,itispossibletomanagesymptomsandachievebetterqualityoflife.FurtherresearchisneededtofullyunderstandtheeffectivenessofthesetreatmentsandidentifynewandinnovativeapproachestotreatingSInadditiontotraditionaltreatmentoptions,therearealsoalternativetherapiesthatsomeindividualsmayfindhelpfulinmanagingtheirscoliosis.Theseincludeacupuncture,massagetherapy,andyoga.Itisimportanttonotethatwhilethesetherapiesmayprovidesomereliefforcertainindividuals,theyshouldnotbeconsideredasasubstituteformedicaltreatment.

Scoliosiscanalsohaveasignificantimpactonanindividual'semotionalwell-being.Astheconditionisoftenvisibletoothersandcancausephysicallimitationsordiscomfort,itisnotuncommonforindividualswithscoliosistoexperienceanxiety,self-consciousness,ordepression.Itisimportantforindividualswithscoliosistoseeksupportfromfriends,family,ormentalhealthprofessionalstohelpmanagethesefeelings.

Finally,itisimportantforparentsandcaregiversofchildrenwithscoliosistobevigilantaboutregularscreeningsandmonitoringofthecondition.Earlydetectionandtreatmentcanmakeasignificantdifferenceinmanagingscoliosisandpreventingitfromworseningovertime.

Inconclusion,adolescentidiopathicscoliosisisacommonconditionthataffectsmanyindividuals,particularlyduringpuberty.Whilethecausesofscoliosisarenotfullyunderstood,thereareavarietyofeffectivetreatmentoptionsavailab