| Objective To evaluate the clinical efficacy of lever positioning manipulation combined with Schroth’s exercise on adolescent idiopathic scoliosis,infrared thermography was used to observe the characteristics of temperature changes and to reflect the effect of the treatment method used in this trial on the degree of paraspinal muscle spasm through changes in paraspinal soft tissue thermal radiation,to provide more comprehensive objective evidence for the clinical application of lever positioning manipulation combined with Schroth’s exercise,and to provide new observation indicators for clinical related trials.Further promote the application of the new technique.Methods 60 patients with adolescent idiopathic scoliosis who met the inclusion criteria were randomly divided into an observation group and a control group,with 30 patients in each group.The observation group was treated with lever positioning manipulation combined with Schroth’s exercise,while the control group was treated with Schroth’s exercise alone for a 3month treatment course.The temperature difference between the two sides of the spine in the parietal area of scoliosis was observed by infrared thermography before treatment,after 1 month of treatment,and after the whole course of treatment in all subjects;the Cobb angle was measured and the health status questionnaire(SRS-22)was evaluated before and after treatment respectively.Finally,statistical analysis is carried out.Results All 60 patients enrolled in the group completed all the treatment and efficacy assessment according to the treatment course,and the gender,age,disease duration,and distribution of the main curvature of scoliosis in the two groups were comparable(P>0.05).There was a statistically significant difference between the observation group and the control group in terms of the number of Cobb angles before and after treatment(P<0.01),and between the groups(P<0.05),statistical difference was also observed.The temperature difference of infrared thermography results before and after treatment was compared between the two groups:in the observation group(P<0.01)was statistically different when comparing with the pre-treatment after 1 month of treatment and at the end of the full course of treatment;in the control group(P>0.05)was not statistically different when comparing with the pre-treatment after 1 month of treatment,while the result(P<0.05)was statistically different when comparing with the pre-treatment at the end of the full course of treatment;in the observation and control groups There was a statistical difference between the groups(P<0.05)at 1 month of treatment and at the end of the full course of treatment.In terms of health scale(SRS-22)assessment,there were statistical differences between the two groups in terms of psychological status,satisfaction scores and total SRS-22 scores at the end of treatment and before treatment(P<0.05),and between the two groups,the observation group was significantly better than the control group(P<0.05);in terms of pain,functional status and self-image,there were no statistical differences within and between the two groups(P>0.05).In terms of clinical efficacy,both groups achieved 96.67%in terms of total effective rate,but in terms of cure rate,the observation group(60%)was significantly higher than the control group(26.67%).Conclusion Lever positioning manipulation combined with Schroth’s exercises and Schroth’s exercises alone can improve the degree of scoliosis in AIS patients.But the former has a faster onset of action,a greater reduction in Cobb angle,a significant improvement in soft tissue spasticity on both sides of the spine,a more positive effect on the mental health of AIS patients,and a higher patient compliance.As a result,higher cure rates are achieved.Infrared thermography can be used for the initial screening of AIS,which can provide a new reference indicator for clinical trials.To a certain extent,the infrared thermography can evaluate the short-term treatment effect and provide partial guidance for subsequent treatment. |
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