Recent Clinical Efficacy Of Combination Therapy To Treat Mild Adolescent Idiopathic Scoliosis

Objective:Our hospital with "bones of both, static and dynamic binding," as the guiding principle, the integrated use of pelvic traction, back muscle exercise, gymnastics exercise, orthosis four methods of treating mild AIS patients, can effectively alleviate the disease progression, avoid surgical intervention. Design of this study is to verify the effectiveness of the therapy, to provide a theoretical basis for clinical practice.Methods:Paired before and after their use, select 2014.3-2015.9 our hospital spinal cord clinic were eligible for inclusion and exclusion criteria of the AIS 30 patients. All patients admitted to hospital after the completion of the film, and then a course of three weeks of pelvic traction, with traction back muscle function during exercise. Film and give the wearer and adjusting brace adapt again after 2-4 days after discharge traction completed. Orthosis home with 23 hours a day, leaving one hour of personal hygiene and less than 30 minutes of gymnastics workout. Orthosis four months later and film. All patients radiography are full-length standing spine X-ray, done by the same group radiographer. The same group of people is measured and recorded before traction, after traction, spinal orthosis coronal four months after the cobb angle, top vertebral rotation, visual analogue scale (VAS), and finally the application SPSS20.0 software for statistical analysis.Results:29 patients had incomplete comprehensive treatment, and 1 patient wear a brace as irregular termination cases. Finally, patient cured,21 patients improved significantly,7. patients in stable condition, the total effective rate was 96.7% failure rate (termination cases) was 3.3%. Cobb angle comparison:front traction 28.79±1.07°, wear a brace after 4 months 23.38±1.44°(p<0.01). Top vertebral rotation comparison:protraction 1.90±0.62°, wear a brace after 4 months 1.90±0.41°(p<0.01). VAS scores:protraction 1.72±1.28 points, orthosis 0.10±0.31 points (p<0.01) 4 months later. Description Cobb angle, the top vertebral rotation, VAS score before traction and wear a brace significant differences were four months.Conclusion:In pelvic traction, back muscle exercise, gymnastics exercise, orthosis based combination therapy to treat mild AIS term effect is certainly worthy of clinical application.