Influence of the Wearing Time of Cheneau Scoliosis Brace on Its Clinical Efficacy_West China Medical Journal

Authors：

LAI Huabing ¹ , WU Qiang ¹ , HU Yin. ²

1. Orthopedic Center, Department of Rehabilitation, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China; 2. Department of Gynecology and Obstetrics, Chengdu Angel Women’s and Children’s Hospital, Chengdu, Sichuan 610042, P. R. China;

Corresponding author：

Keywords：

脊柱侧弯; 色努矫形器; 脊柱柔韧性; 功能锻炼; Cobb角; 椎体旋转角度

DOI：

10.7507/1002-0179.20130166

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目的　探讨比较色努式脊柱侧弯矫形器佩戴时间及功能锻炼对矫正治疗效果的影响。方法　将2004年7月－20011年7月收治的126例脊柱侧弯患者，按自愿选择分为试验组和对照组，试验组佩戴色努式脊柱侧弯矫形器18～20 h，功能锻炼＞90 min；对照组佩戴侧弯矫形器23 h，功能锻炼30～60 min。对比两组患者治疗前后的Cobb角、顶椎偏离中线距离（AVT）、顶椎旋转度(AVR)、躯干位移（TS）、脊柱柔韧性及肺功能指标的改善。结果　经X线检查测定，治疗后两组患者的Cobb角、AVT、AVR、TS均低于治疗前（P＜0.01），且试验组明显低于对照组（P＜0.01）。肺功能指标：试验组治疗后肺活量（VC)、第1秒钟用力呼气容积（FEV1）、用力肺活量（FVC）、肺总量（TLC），等均高于治疗前，残气量（RV）低于治疗前（P＜0.01），对照组治疗后VC、FEV1、FVC、TLC均低于治疗前，RV高于治疗前（P＜0.01），且试验组优于对照组（P＜0.01）。功能位Cobb角：两组患者的功能位主弯Cobb角、代偿弯Cobb角均低于治疗前（P＜0.01），且试验组明显低于对照组（P＜0.01）。结论　色努式脊柱侧弯矫形器每天佩戴18～20 h，并结合适当的体操疗法，呼吸、肌力训练及麦肯基力学疗法，可使肺功能、腰背部肌力、脊柱柔韧性、身体的协调性、以及平衡能力得到改善，从而达到脊柱侧弯治疗的较好效果。

Citation： LAI Huabing,WU Qiang,HU Yin.. Influence of the Wearing Time of Cheneau Scoliosis Brace on Its Clinical Efficacy. West China Medical Journal, 2013, 28(4): 520-523. doi: 10.7507/1002-0179.20130166 Copy

1.	杰克·色努. 色努脊柱侧弯矫形器[M]//龙华, 译. 北京: 人民军医出版社, 2011: 1.
2.	Katz DE, Durrani AA. Factors that influence outcome in bracing large curves in patients with adolescent idiopathic scoliosis[J]. Spine (Phila Pa 1976), 2001, 26(21): 2354-2361.
3.	Vijvermans V, Fabry G, Nijs J. Factors determining the final outcome of treatment of idiopathic scoliosis with the Boston brace: a longitudinal study[J]. J Pediatr Orthop B, 2004, 13(3): 143-149.
4.	Karol LA. Effectiveness of bracing in male patients with idiopathic Scoliosis[J]. Spine (Phila Pa 1976), 2001, 26(18): 2001-2005.
5.	Weinstein SL, Dolan LA, Cheng JC, et al. Adolescent idiopathic scoliosis[J]. Lancet, 2008, 371(9623): 1527-1537.
6.	张建新, 周惠清, 林国文, 等. 矫形器配合肌肉锻炼治疗特发性脊柱侧凸症效果分析[J]. 中国中医骨伤科杂志, 2010, 18(3): 17-19.
7.	朱泽章, 邱勇, 王斌, 等. 青少年特发性脊柱侧凸的支具治疗[J]. 中华骨科杂志, 2004, 24(5): 276-280.
8.	王肖虎, 夏磊, 孟志强, 等. 支具治疗指导表指导治疗青少年特发性脊柱侧凸的临床疗效[J]. 中华骨科杂志, 2011, 31(3): 207-212.
9.	Weinstein SL. Natural history[J]. Spine (Phila Pa 1976), 1999, 24(24): 2592-2600.
10.	Escalada F, Marco E, Duarte E, et al. Growth and curve stabilization in girls with adolescent idiopathic scoliosis[J]. Spine (Phila Pa 1976), 2005, 30(4): 411-417.
11.	中华人民共和国国务院. 医疗机构管理条例[EB/OL]. (1994-09-01)[2012-06-10] http://www.gov.cn/banshi/2005-08/01/content_19113.htm.
12.	李向东. 脊柱侧弯矫形器的终检与医嘱[J]. 中国矫形外科杂志, 2001, 8(2): 184-185.
13.	Lenke LG, Betz RR, Harms J, et al. Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis[J]. Bone joint surg Am, 2001, 83(8): 1169-1181.
14.	Hamzaoglu, Azm T, Ufuk T. Mehmetetal assessment of curve flexibility in adolescent idiopathic scoliosis [J]. Spine, 2005, 30(2): 1637-1642.
15.	Ylikoski M. Growth and progression of adolescent idiopathic scoliosis in girls[J]. J Pediatr Orthop B, 2005, 14(5): 320-324.
16.	赵辉三. 假肢与矫形器学[M]. 北京: 华夏出版社, 2005: 198-212.
17.	杜靖远. 矫形器的应用[M]. 北京：华夏出版社， 1997: 99.

1. 　杰克·色努. 色努脊柱侧弯矫形器[M]//龙华, 译. 北京: 人民军医出版社, 2011: 1.
2. 　Katz DE, Durrani AA. Factors that influence outcome in bracing large curves in patients with adolescent idiopathic scoliosis[J]. Spine (Phila Pa 1976), 2001, 26(21): 2354-2361.
3. 　Vijvermans V, Fabry G, Nijs J. Factors determining the final outcome of treatment of idiopathic scoliosis with the Boston brace: a longitudinal study[J]. J Pediatr Orthop B, 2004, 13(3): 143-149.
4. 　Karol LA. Effectiveness of bracing in male patients with idiopathic Scoliosis[J]. Spine (Phila Pa 1976), 2001, 26(18): 2001-2005.
5. 　Weinstein SL, Dolan LA, Cheng JC, et al. Adolescent idiopathic scoliosis[J]. Lancet, 2008, 371(9623): 1527-1537.
6. 　张建新, 周惠清, 林国文, 等. 矫形器配合肌肉锻炼治疗特发性脊柱侧凸症效果分析[J]. 中国中医骨伤科杂志, 2010, 18(3): 17-19.
7. 　朱泽章, 邱勇, 王斌, 等. 青少年特发性脊柱侧凸的支具治疗[J]. 中华骨科杂志, 2004, 24(5): 276-280.
8. 　王肖虎, 夏磊, 孟志强, 等. 支具治疗指导表指导治疗青少年特发性脊柱侧凸的临床疗效[J]. 中华骨科杂志, 2011, 31(3): 207-212.
9. 　Weinstein SL. Natural history[J]. Spine (Phila Pa 1976), 1999, 24(24): 2592-2600.
10. 　Escalada F, Marco E, Duarte E, et al. Growth and curve stabilization in girls with adolescent idiopathic scoliosis[J]. Spine (Phila Pa 1976), 2005, 30(4): 411-417.
11. 　中华人民共和国国务院. 医疗机构管理条例[EB/OL]. (1994-09-01)[2012-06-10] http://www.gov.cn/banshi/2005-08/01/content_19113.htm.
12. 　李向东. 脊柱侧弯矫形器的终检与医嘱[J]. 中国矫形外科杂志, 2001, 8(2): 184-185.
13. 　Lenke LG, Betz RR, Harms J, et al. Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis[J]. Bone joint surg Am, 2001, 83(8): 1169-1181.
14. 　Hamzaoglu, Azm T, Ufuk T. Mehmetetal assessment of curve flexibility in adolescent idiopathic scoliosis [J]. Spine, 2005, 30(2): 1637-1642.
15. 　Ylikoski M. Growth and progression of adolescent idiopathic scoliosis in girls[J]. J Pediatr Orthop B, 2005, 14(5): 320-324.
16. 　赵辉三. 假肢与矫形器学[M]. 北京: 华夏出版社, 2005: 198-212.
17. 　杜靖远. 矫形器的应用[M]. 北京：华夏出版社， 1997: 99.

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