The Construction Of Orthopedic Movements In Rigo A Type AIS Patients And Its Curative Effect Observation

Research purposes:In recent years,exercise therapy intervention for adolescent idiopathic scoliosis(AIS)is quite popular,but the effect of exercise intervention has not been fully confirmed.How to determine the orthopedic action taken by the patient has effectively become a key issue of sports intervention.This study intends to use three-dimensional motion capture technology to collect data on some PSSE corrective actions and analyze the three-dimensional motion changes of the spine during sports intervention to evaluate its effectiveness,and provide scientific guidance for the rehabilitation of AIS patients.Research objects and methods:Study 1.Construction of orthopedic movements in Rigo A type AIS patientsSubjects were 8 patients with Rigo A type AIS who met the inclusion criteria.Partial scoliosis-specific motion therapy(PSSE)orthopedic movements were selected,and the Vicon system was used to collect data on the kinematics of the thoracic and lumbar bending vertebrae corresponding to each movement in the three-dimensional plane and analyze the data to obtain effective movements.Study 2.Evaluation of the effects of orthopedic movementsFour mild(10-25° Cobb angle of the main chest curve)Rigo A type AIS patients were selected.The effective action selected from the results of Study 1 was used to intervene for half a year.Before and after the intervention,the whole spine was taken to observe the changes of the Cobb angle.The test data of this study were all processed by SPSS 22.0,the data were expressed as mean and 95% CI,and the statistical method used paired sample T test.Research result:(1)Lateral movements can be corrected in the coronal and horizontal planes before and after fusion 3D correction.Paired T test is significantly different(P<0.05).The correction amplitude after fusion 3D correction is significantly better than simplelateral shift.Standing sideways and sitting sideways move the lumbar vertebrae to the left to produce displacement.Lateral movements were used to correct the lumbar vertebrae in the coronal plane and horizontal plane after fusion 3D correction(P<0.05).(2)Schroth orthopedic maneuvers are used to correct the thoracic and lumbar vertebrae at the coronal and horizontal planes,and Schroth intensified maneuvers are significantly better than thoracic and lumbar spine corrections compared to standing muscle cylinder paired T test(P< 0.05).(3)The stretching action of the right lumbar square muscle of the brace makes the thoracic vertebrae correct in the coronal plane and the horizontal plane.The paired T test has a significant difference(P<0.05).The left lumbar square muscle of the brace is in the coronal and horizontal planes.Correction of the thoracic vertebrae has no effect.(4)Both the left bridge and the thoracic vertebrae were corrected in the coronal and horizontal planes.The paired T test showed significant differences(P<0.05).The right bridge was ineffective in correcting the thoracic spine on the coronal plane.(5)Prone left and right psoas strengthening strengthens the thoracic vertebrae in the coronal and horizontal planes.Paired T test has significant difference(P<0.05),and prone left and right psoas strengthening exercises have effects on lumbar correction It is better than the thoracic spine.Prone right lumbar major muscle strengthening on the coronary surface cannot correct the lumbar vertebral vertebrae(P<0.05).In addition,prone left lumbar muscle strengthening strengthens the lumbar top vertebrae on the coronary and horizontal planes(P<0.05).(6)Four patients undergoing the above-mentioned orthopedic interventions,the results consisted of 20.1o(95%CI 18.4o,21.8o)thoracic spine before intervention,13.5o lumbar spine(95%CI 11.0o,15.9o);17.4o thoracic spine after intervention(95%CI 16.2o,18.5o),decreased by 2.7o after intervention(95%CI-5.3o,-0.1o),lumbar spine was 9.3o(95%CI 8.4o,10.2o),decreased by 4.1o after intervention(95%CI-5.7o,-2.5o).There were significant differences in thoracolumbar vertebrae by paired T test(P<0.05).Analysis conclusion:(1)Standing and lateral fusion 3D correction,sitting posture fusion 3D correction,Schroth orthopaedic action,brace right lumbar muscle stretching,left side bridge,prone position left lumbar muscle strengthening in the coronal and horizontal planes and sagittal plane To correct the effective corrective action of Rigo A type AIS.(2)Standing support lateral shift,sitting posture lateral shift,prone position strengthening of the right lumbar major muscle will cause the lumbar vertebrae of this group of patients to move to the convex side of the lumbar spine.Stretching the left lumbar square muscle and the right side bridge will make this group The patient's thoracic vertebra moves to the convex side of the thoracic curve.The above actions are all invalid actions of Rigo A patients or increase the risk of scoliosis.(3)In the correction of Rigo type AIS type A patients,the fusion 3D correction is more effective than the simple sitting posture and standing support lateral displacement on the coronary and horizontal planes,and the correction range of the fusion 3D correction on the thoracic spine is greater than Lumbar spine.(4)Vicon movement analysis and formulation of "targeted" orthopedic movements have an effective intervention effect.