中医康复2025，Vol.2Issue(2)：46-50,5.DOI:10.19787/j.issn.2097-3128.2025.02.008
骨盆矫正手法干预特发性脊柱侧弯的下肢生物力学机制分析
Effect of Pelvic Correction Manipulation on Lower Extremity Biomechanics of Idiopathic Scoliosis
摘要
Abstract
Objective:To observe the efficacy of pelvic corrective manipulation combined with Schroth exercise training in the treatment of idiopathic scoliosis and analyze its biomechanical mechanisms.Methods:Eighty patients with idiopathic scoliosis were randomly divided into 40 cases each in the experimental group and the control group.In the experimental group,pelvic corrective manipulation was combined with Schroth's exercise training,while in the control group,only Schroth's exercise training was given,and Cobb's angle,gait spatial-temporal parameters,kinetic parameters,and kinematic parameters were measured before and after the interventions in order to analyze the clinical efficacy and biomechanical mechanisms.Results:After intervention,the Cobb Angle of spine in both groups decreased compared with that before intervention(P<0.05).Before and after intervention,there was no statistical significance in spatio-temporal parameters be-tween the two groups(P>0.05).After intervention,the maximum hip moment of experimental group was lower than that of control group(P<0.05).After intervention,the flexion-extension mobility of the concave side of the knee joint was significantly reduced and the dorsal plan-tarflexion mobility of the concave side of the ankle joint was significantly increased in the experimental group(P<0.05).Conclusions:On the basis of Schroth exercise training,pelvic corrective manipulation can significantly improve the spinal deformity of idiopathic scoliosis,and its therapeutic mechanism may be to adjust the load of the hip joint to make the force balanced,and then indirectly improve the angle of scoliosis and slow down the progression of scoliosis.关键词
特发性脊柱侧弯/骨盆矫正手法/Schroth运动训练/生物力学/青少年/作用机制Key words
idiopathic scoliosis/pelvic corrective manipulation/Schroth exercise training/biomechanics/adolescent/mechanism分类
临床医学引用本文复制引用
孙漪凡,陈少清,王宇,陈柏瑞,苟艳芸..骨盆矫正手法干预特发性脊柱侧弯的下肢生物力学机制分析[J].中医康复,2025,2(2):46-50,5.基金项目
国家自然科学基金青年项目(82205306) （82205306）
福建省财政专项(X20210003) （X20210003）
