Clinical study on the treatment of scoliosis in children with traditional Chinese medicine bone setting manipulation combined with functional rehabilitation
中医正骨手法配合功能康复治疗小儿脊柱侧弯临床研究

摘要

目的 探讨并观察中医正骨手法配合功能康复治疗小儿脊柱侧弯的临床疗效。方法 选择90例符合小儿脊柱侧弯诊断标准的患儿，将其随机分成3组，每组各30例。A组患儿只接受康复训练及体态矫正，B组患儿采用中医正骨手法结合康复训练及体态纠正，C组患儿接受常规矫治。通过对三组患儿的疗效、顶椎椎体旋转度及Cobb角评分进行比较，以寻求治疗儿童脊柱侧弯的最佳方案。结果 （1）治疗前，三组的Cobb角比较无统计学差异（P＞0.05）；治疗后，B组的Cobb角显著小于A组和C组（P＜0.05）。（2）治疗前，三组的顶椎椎体旋转度比较无统计学差异（P＞0.05）；治疗后，B组的顶椎椎体旋转度显著小于A组和C组（P＜0.05）。B组的临床总有效率为96.67%，高于A组的70.00%，高于C组的66.67%，（P＜0.05）。结论 将正骨技术与功能康复技术相结合，在治疗儿童脊柱侧凸方面取得了良好的疗效。此疗法不但可使病人症状得到明显改善，而且可明显减少顶椎椎旋转及Cobb角度。它以柔和、精确的手法，充分体现了中医学对人体生理机能的认识，通过调节脊椎的力学平衡，使机体达到自然康复的目的，具有较高的临床应用价值。

Abstract

Objective To investigate and observe the clinical effect of traditional Chinese medicine bone-setting manipulation combined with functional rehabilitation in the treatment of children with scoliosis.
Methods 90 children with scoliosis were randomly divided into 3 groups with 30 cases in each group. The children in group A only received rehabilitation training and posture correction, the children in group B were treated with traditional Chinese bone-setting techniques combined with rehabilitation training and posture correction, and the children in group C received routine correction. The results, rotation degree of parietal vertebra and Cobb Angle score of the three groups were compared to find the best treatment plan for children with scoliosis.
Results (1) Before treatment, there was no significant difference in Cobb Angle among the three groups (P > 0.05); After treatment, the Cobb Angle in group B was significantly lower than that in groups A and C (P < 0.05). (2) Before treatment, there was no statistical difference in the rotation degree of parietal vertebrae among the three groups (P > 0.05); After treatment, the rotation degree of parietal vertebra in group B was significantly lower than that in groups A and C (P < 0.05). The total clinical effective rate of group B was 96.67%, which was higher than that of group A (70.00%) and group C (66.67%) (P < 0.05).
Conclusion   The combination of bone-setting technique and functional rehabilitation technique has a good effect in the treatment of scoliosis in children. This treatment can not only significantly improve the patient's symptoms, but also significantly reduce the parietal rotation and Cobb Angle. It fully embodies the understanding of the physiological function of the human body in a soft and precise way. By adjusting the mechanical balance of the spine, the body can achieve the purpose of natural rehabilitation, and has high clinical application value.