Li Xiaofei,Yin Xi,Hu Niyuan,et al.Clinical efficacy of suspension training plus Schroth exercise for mild idiopathic scoliosis in school-aged children[J].Journal of Clinical Pediatric Surgery,2026,(04):377-381.[doi:10.3760/cma.j.cn101785-202602010-00064]
悬吊训练联合Schroth运动训练治疗学龄期儿童轻度特发性脊柱侧弯的疗效分析
- Title:
- Clinical efficacy of suspension training plus Schroth exercise for mild idiopathic scoliosis in school-aged children
- Keywords:
- Scoliosis; Exercise Therapy; Suspension; Treatment Outcome; Child
- 摘要:
- 目的 探讨悬吊训练联合Schroth运动训练在学龄期儿童轻度特发性脊柱侧弯中的临床疗效。方法 采用前瞻性随机对照试验设计,纳入2024年7月至2025年8月在湖南省人民医院(湖南师范大学附属第一医院)康复医学科接受康复干预的46例儿童特发性脊柱侧弯患者作为研究对象,采用随机数字表法分为对照组与治疗组,每组23例。对照组仅接受Schroth运动训练,治疗组在对照组基础上联合悬吊训练;两组均持续干预4周。比较两组干预前后Cobb角、躯干旋转角度(angle of trunk rotation,ATR)及脊柱侧凸研究协会22项问卷(Scoliosis Research Society-22,SRS-22)评分中的变化。结果 治疗组有效率显著高于对照组(95.65%比78.26%),Cobb角显著低于对照组[(7.65±2.10)°比(9.17±1.85)°],ATR显著低于对照组[2(2,3)分比3(2,4)分],差异均具有统计学意义(P＜0.05),但SRS-22评分差异无统计学意义[(22.30±0.64)分比(22.48±1.24)分,P＞0.05]。结论 悬吊训练联合Schroth运动训练可有效改善学龄期儿童轻度特发性脊柱侧弯患者的Cobb角与ATR,疗效确切。
- Abstract:
- Objective To explore the clinical efficacy of suspension training plus Schroth exercise for mild idiopathic scoliosis in school-aged children.Methods For this randomized controlled trial,46 children with scoliosis underwent rehabilitation interventions at Department of Rehabilitation Medicine,Hunan Provincial People’s Hospital between July 2024 and August 2025.They were randomized into two groups of control and treatment (n=23 each).Control group received Schroth exercise training while treatment group suspension training plus Schroth intervention.The intervention period lasted for 4 weeks.Primary outcome measures,including Cobb angle,angle of trunk rotation (ATR) and Scoliosis Research Society-22(SRS-22)score,were compared between two groups before and after intervention.Results In comparative analysis of therapeutic efficacy,treatment group demonstrated a significantly higher efficacious rate than control group (95.65% vs.78.26%) with a statistically significant difference (P<0.05).Cobb angle was significantly lower in treatment group than that in control group (7.65±2.10 vs.9.17±1.85°,P<0.05).Similarly,angle of trunk rotation (ATR) dropped significantly in treatment group[median (interquartile range):2(2-3) vs. 3(2-4) point; P<0.05].In contrast,no statistically significant inter-group difference existed in SRS-22 or total score (22.30±0.64 vs.22.48±1.24 point,P>0.05). Conclusions Suspension training plus Schroth exercise training can effectively boost Cobb angle and ATR for children with mild idiopathic scoliosis.
参考文献/References:
[1] Negrini S, Donzelli S, Aulisa AG, et al.2016 SOSORT guidelines:orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth[J].Scoliosis Spinal Disord, 2018, 13:3.DOI:10.1186/s13013-017-0145-8.
[2] 刘敏, 薛小宝, 王伟, 等.德阳市6~12岁儿童脊柱侧弯现状及影响因素[J].四川医学, 2025, 46(8):895-899.DOI:10.16252/j.cnki.issn1004-0501-2025.08.010. Liu M, Xue XB, Wang W, et al.The current status and influencing factors of spinal curvature in children aged 6~12 in Deyang city[J].Sichuan Med J, 2025, 46(8):895-899.DOI:10.16252/j.cnki.issn1004-0501-2025.08.010.
[3] Zou WX, Li YL, Zhang Z, et al.The efficacy of combined physiotherapeutic scoliosis-specific exercises and manual therapy in adolescent idiopathic scoliosis[J].BMC Musculoskelet Disord, 2024, 25(1):874.DOI:10.1186/s12891-024-07974-1.
[4] 赵军, 王培鑫, 王兴盛, 等.青少年特发性脊柱侧凸脊柱融合术的研究进展[J].临床小儿外科杂志, 2023, 22(7):698-700.DOI:10.3760/cma.j.cn101785-202209052-018. Zhao J, Wang PX, Wang XS, et al.Research advances in spinal fusion for adolescent idiopathic scoliosis[J].DOI:10.3760/cma.j.cn101785-202209052-018.
[5] 孙武东, 蔡倩, 郭建业, 等.悬吊训练治疗青少年特发性非双弯型脊柱侧弯疗效观察[J].康复学报, 2021, 31(4):317-322.DOI:10.3724/SP.J.1329.2021.04008. Sun WD, Cai Q, Guo JY, et al.Effect of sling exercise therapy on adolescent patients with idiopathic non-double-curved scoliosis[J].Rehabil Med, 2021, 31(4):317-322.DOI:10.3724/SP.J.1329.2021.04008.
[6] Weiss HR, Lehnert-Schorth C, Moromorco C, et al.Schroter therapy-a new development of conservative scoliosis treatment[M].Wu SR, translated.Hong Kong:Ximana Medical Systems Limited, 2015.
[7] Zhang YF, Chai TT, Weng H, et al.Pelvic rotation correction combined with Schroth exercises for pelvic and spinal deformities in mild adolescent idiopathic scoliosis:a randomized controlled trial[J].PLoS One, 2024, 19(7):e0307955.DOI:10.1371/journal.pone.0307955.
[8] 袁望舒, 陈丽霞, 沈建雄, 等.不同年龄、性别和类型的特发性脊柱侧凸患者轴向躯干旋转角度与Cobb角度的相关性[J].中国组织工程研究, 2021, 25(27):4386-4389.DOI:10.12307/2021.201. Yuan WS, Chen LX, Shen JX, et al.Correlation between axial trunk rotation angle and Cobb angle in different ages, genders, and types of idiopathic scoliosis patients[J].Chin J Tissue Eng Res, 2021, 25(27):4386-4389.DOI:10.12307/2021.201.
[9] 陈绍丰, 李博, 周潇逸, 等.青少年特发性脊柱侧凸相关生活质量评价量表现状[J].海军军医大学学报, 2020, 41(11):1188-1192.DOI:10.16781/j.0258-879x.2020.11.1188. Chen SF, Li B, Zhou XY, et al.Assessment scales of adolescent idiopathic scoliosis-related quality of life:current status[J].Acad J Nav Med Univ, 2020, 41(11):1188-1192.DOI:10.16781/j.0258-879x.2020.11.1188.
[10] 杨闪闪, 武改, 李丽, 等.脊柱侧弯矫形器联合施罗特疗法治疗小儿特发性脊柱侧凸的疗效观察[J].中国康复, 2025, 40(7):440-444.DOI:10.3870/zgkf.2025.07.011. Yang SS, Wu G, Li L, et al.Impacts of scoliosis orthotics combined with Schroth therapy on the recovery of children with idiopathic scoliosis[J].Chin J Rehabil, 2025, 40(7):440-444.DOI:10.3870/zgkf.2025.07.011.
[11] 施冬冬, 陈前芬.青少年特发性脊柱侧凸病因学的研究进展[J].中国学校卫生, 2021, 42(2):316-320.DOI:10.16835/j.cnki.1000-9817.2021.02.038. Shi DD, Chen QF.Current insights into the aetiology of adolescent idiopathic scoliosis[J].Chin J Sch Health, 2021, 42(2):316-320.DOI:10.16835/j.cnki.1000-9817.2021.02.038.
[12] Ren J, Wang SJ, Li MX, et al.Comparative efficacy of conservative interventions for adolescent idiopathic scoliosis:a systematic review and network meta-analysis of randomized controlled trials[J].Syst Rev, 2025, 14(1):156.DOI:10.1186/s13643-025-02893-1.
[13] 吴加弘, 袁空军.青少年脊柱侧弯诱发因素、筛查方法及干预手段的研究进展[J].中国慢性病预防与控制, 2025, 33(3):236-240.DOI:10.16386/j.cjpccd.issn.1004-6194.20240729.0565. Wu JH, Yuan KJ.Research progress on predisposing factors, screening methods and intervention methods of adolescent scoliosis[J].Chin J Prev Control Chronic Dis, 2025, 33(3):236-240.DOI:10.16386/j.cjpccd.issn.1004-6194.20240729.0565.
[14] Ceballos-Laita L, Carrasco-Uribarren A, Cabanillas-Barea S, et al.The effectiveness of Schroth method in Cobb angle, quality of life and trunk rotation angle in adolescent idiopathic scoliosis:a systematic review and meta-analysis[J].Eur J Phys Rehabil Med, 2023, 59(2):228-236.DOI:10.23736/S1973-9087.23.07654-2.
[15] Zhu YF, Zhu CY, Song HP, et al.Effectiveness of Schroth exercises for adolescent idiopathic scoliosis:a meta-analysis[J].PeerJ, 2025, 13:e19639.DOI:10.7717/peerj.19639.
[16] Park JH, Jeon HS, Park HW.Effects of the Schroth exercise on idiopathic scoliosis:a meta-analysis[J].Eur J Phys Rehabil Med, 2018, 54(3):440-449.DOI:10.23736/S1973-9087.17.04461-6.
[17] 王首鉴, 任君, 李苗秀, 等.青少年特发性脊柱侧弯的运动与动力学研究进展.医用生物力学:1-9.https://link.cnki.net/urlid/31.1624.r.20250717.1117.002. Wang SJ, Ren J, Li MX, et al.Research progress on kinematic and dynamic characteristics in adolescent idiopathic scoliosis.J Med Biomech:1-9.https://link.cnki.net/urlid/31.1624.r.20250717.1117.002.
[18] Drummond C, Lebedeva V, Kirker K, et al.Sling exercise in the management of chronic low back pain:a systematic review and meta-analysis[J].J Strength Cond Res, 2024, 38(10):1822-1833.DOI:10.1519/JSC.0000000000004135.
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备注/Memo
收稿日期:2026-2-10。
基金项目:湖南省教育厅科学研究重点项目(22A0060);湖南省卫生健康委科研项目(D202319019706)
通讯作者:陈爱连,Email:652326303@qq.com