Citation Analysis And Empirical Study Of Physiotherapeutic Scoliosis-Specific Exercises Intervention For Idiopathic Scoliosis

Scoliosis is a three-dimensional deformity in which one or more segments of the spine are shifted laterally with vertebral rotation.The Cobb method was used to measure the lateral curvature of the spine on the standing coronal radiograph of the whole spine.Scoliosis was defined when the Cobb Angle reached or exceeded 10°.Idiopathic scoliosis is a complex,progressive,multifactorial neuromusculoskeletal system disease.There IS no known cause of the disease.According to the results of meta-analysis,the prevalence of scoliosis in primary and middle school students in mainland China was 1.02.Patients with Cobb Angle at 10-20° were significantly more than those with Cobb Angle above 20°,accounting for 80%.The prevalence rate of male was significantly lower than that of female,and the prevalence rate of female and male was 1.54,and the peak prevalence of female was earlier than that of male.When the Angle of scoliosis reaches a "critical threshold," adult idiopathic scoliosis increases the risk of progression,increases the likelihood of deformities,disabilities,significant pain and functional limitations,and decreases the level of quality of life.Due to its high incidence and adverse consequences,the treatment of idiopathic scoliosis has received increasing attention this year.Among them,special exercise therapy(PSSE)is one of the emerging methods,which requires fewer tools,is easy to implement,is non-invasive to patients,and is more acceptable to patients.However,the international association for scoliosis(SRS)does not include this method as a worthy treatment,but as an auxiliary method like yoga and aerobics.Therefore,it is the focus of this paper to understand the research progress of PSSE in the current academic field and explore the therapeutic value of this method.This paper used literature research,citation analysis,questionnaire survey,meta-analysis,interview and case study to explore the therapeutic effect of PSSE intervention on idiopathic scoliosis from mathematical and empirical perspectives.The main conclusions are as follows:1.The field of scoliosis intervention has received more and more academic and social attention in the past 20 years,and the volume of published literature has continued to increase.The regions,institutions and authors of high-quality literature are mainly concentrated in the United States.Spine is a core journal in this field.In terms of hot spots,children,adolescents and women were concerned,patients were treated with fusion surgery,spinal parameters of patients were analyzed by retrospective analysis,and the study on idiopathic and early hairstyle scoliosis was the main hot topic.In terms of cutting-edge research,the application of non-surgical intervention such as braces and rehabilitation,and the treatment of infants and children with growth rod technology are the current cutting-edge research contents.The change of research trend can be summarized into four aspects: the comprehensiveness of pathological research,the possibility of influencing factors,the accuracy of surgical intervention and the effectiveness of conservative intervention.2.PSSE intervention in the field of idiopathic scoliosis has gradually gained attention and recognition in the past 10 years.The volume of publications has remained stable,but the quantity and quality remain low.The regions,institutions and authors of high-quality literature are mainly concentrated in Italy.Scoliosis SDIS and Eur SJ are the more important journals in the field.In terms of hot spots,adolescent patients with idiopathic scoliosis were the subjects,and the study on the effectiveness of PSSE in the intervention of idiopathic scoliosis was a hot spot.Therefore,RCT test was an urgent research method in this field.Combined with the history of brace studies,with the increase of high-quality RCT literature,meta-analysis is almost non-existent,and meta-analysis of PSSE is the future research frontier.3.Moderate quality of evidence showed that PSSE could improve the Cobb Angle number and quality of life in patients with idiopathic scoliosis,especially in patients with mild severity.MCID of PSSE intervention in idiopathic scoliosis was 3.6° Cobb Angle improvement,and only some trials achieved clinical efficacy.These conclusions need to be confirmed by more RCT studies.4.Empirical study: two cases of idiopathic scoliosis were given short-term intensive(6 days)sports therapy education and six months of family self-correction,and the improvement of frontal and horizontal deformities was obvious.Due to the lack of sagittal plane exercise,the thoracic kyphosis decreased,and the training content related to the activity degree of thoracic kyphosis should be added at the later stage.