Clinical Research On Chiropractic Manipulation And Yijinjing Exercise For Adolescent Idiopathic Scoliosis

Objective:To observe the clinical effect of chiropractic manipulation combined with Yijinjing exercise in the treatment of adolescent idiopathic scoliosis by a randomized controlled study,in order to provide a safe,standardized and effective treatment plan for the clinic.Methods:The 74 patients with adolescent idiopathic scoliosis who met the diagnostic criteria,inclusion criteria and exclusion criteria were selected and divided into treatment group(37 cases)and control group(37 cases)according to the principle of randomized controlled study.①Treatment group:Chiropractic manipulation combined with Yijinjing exercise was used for treatment.The manipulation was performed once every other day,and the Yijinjing exercise was performed once a day,10 to 20 minutes each time,for two weeks as a course of treatment;②control group:Braces were used for treatment,wearing for 18-23 hours a day,and two weeks was a course of treatment.To evaluate the clinical efficacy and safety of chiropractic manipulation combined with Yijinjing exercise in the treatment of adolescent idiopathic scoliosis,with the Cobb angle correction rate,the change of Cobb angle degree and the score of SRS-22 scale as the main observation indicators.Results:(1)Effectiveness evaluation:① Overall efficacy evaluation:The total effective rates of the treatment group and the control group were 91.43%and 52.94%respectively.In statistics,P<0.01,a significant difference between the two groups.②The change of Cobb angle:The Cobb angle after treatment was 18.066±5.655 in the treatment group and 21.374±5.061 in the control group respectively.In statistics,P<0.01,a significant difference between the two groups.The correction rate of Cobb angle(%)was 30.13±11.53 in the treatment group and 11.82±9.55 in the control group.In statistics,P<0.01,a significant difference between the two groups.③Comparison of SRS-22 scale points:The scores of the treatment group and the control group were 50.91±6.653 and 56.18±7.146 respectively.In statistics,P<0.01,a significant difference between the two groups.Conclusion:The clinical effect of chiropractic manipulation combined with Yijinjing exercise on adolescent idiopathic scoliosis better than that of brace therapy,which is worthy of clinical application.