| Objective: To study the effect of Schroth therapy combined with Shujinhuoluo Lotion on Adolescent Idiopathic Scoliosis(AIS),by observing the improvement of scoliosis,lumbago and back pain and quality of life,we evaluated the efficacy and safety of the treatment,and analyzed the principle and advantages of the treatment,to provide new ideas and theoretical basis for the treatment of mild AIS with integrated traditional Chinese and Western medicine.Methods: From May 2021 to May 2022,60 patients who met the inclusion criteria in the clinic of spine diagnosis and treatment center of Gansu Provincial Hospital of traditional Chinese 2021 were randomly divided into two groups.The trial group was treated with Schroth therapy combined with Shujin Huoluo lotion,while the control group was treated with Schroth therapy.The treatment time was 24 weeks in both groups.Cobb angle,ATR,SVA,Vas and qol were compared between the two groups before and after treatment,and the differences of Cobb Peking Union Medical College Hospital were compared between the two groups,the data were analyzed by SPSS 25.0,and p < 0.05 showed statistical difference.Results:1.Comparison of baseline data,before treatment,there were no significant differences in sex,age,height,weight,BMI,Cobb angle,ATR,SVA,Vas,SRS-22,PUMC(concordant)type Ⅰ subtypes(single-thoracotomy IA,single-thoracotomy IB,single-thoracotomy IC)between the two groups(p < 0.05),be comparable.2.Comparison of Cobb angle before and after treatment in the trial group and the control group2.1 The Cobb angle after treatment in the trial group and the control group was significantly lower than that before treatment(p < 0.05);After treatment,the improvement of Cobb Angle in the test group was significantly greater than that in the control group(p < 0.05).67.9% of the patients in the experimental group improved their Cobb Angle,and 32.1% of the patients in the control group stabilized their Cobb angle,and 35.7% of the patients in the control group improved their Cobb angle,and 64.3% of the patients in the control group stabilized their Cobb angle,the results showed that the improvement of Cobb Angle in the experimental group was more significant than that in the control group(p < 0.05).2.2 The Cobb angle of IA,IB,IC scoliosis in the experimental group and the control group were significantly improved after treatment(p < 0.05).There was no significant difference in Cobb angle of IA,IB and IC scoliosis between groups before treatment(P > 0.05)After treatment,there was no significant difference in Cobb angle between the two groups(p >0.05)After treatment,the improvement of Cobb Angle in the experimental group was more significant than that in the control group(p < 0.05).3.Comparing the changes of trunk rotation angle(ATR)between two groups: ATR after treatment in both groups were significantly lower than that before treatment(p < 0.05);After treatment,the improvement of ATR in the trial group was more significant than that in the control group(p < 0.05).4.Comparison of the changes of SVA in sagittal position between the two groups: the SVA of the two groups after treatment was significantly reduced compared with that before treatment(p < 0.05);There was no significant difference in the improvement of SVA between the two groups after treatment(p > 0.05).5.Comparison of the changes of Vas: after treatment,the VAS scores of the two groups were significantly lower than those before treatment(p < 0.05);Comparison between groups:after treatment,the VAS scores in the test group were significantly lower than those in the control group(p < 0.05).6.Comparison of SRS-22 life scale scores between the two groups: after treatment,the scores of SRS-22 in both groups were significantly increased,and the quality of life was significantly improved(p < 0.05);After treatment,the improvement of SRS-22 scores in pain,mental health,activity function and management satisfaction in the trial group was more significant than that in the control group(p < 0.05),however,there was no significant difference in self-image between the two groups(p > 0.05).Conclusion:(1)Schroth therapy combined with Shujin Huoluo Lotion and Schroth therapy is safe and effective in the treatment of mild AIS,cobb angle,ATR,SVA,Vas and SRS-22 quality of life were improved in different degrees.(2)Compared with simple Schroth therapy,schroth therapy combined with Shujinhuoluo lotion had a more significant improvement in Cobb angle,ATR,VAS score and SRS-22 score(pain,mental health,activity function,management satisfaction),can improve the quality of life of patients.(3)According to the results of this study,there was no difference in the improvement of SVA and self-image score between the patients treated with Schroth combined with Shujinhuoluo lotion and those treated with Schroth.(4)In this study,the Cobb angle of single thoracic curve IA,single lumbar curve IB and single lumbar curve IC were improved in different degrees in both groups,but the Cobb angle of single thoracic curve IA was improved in patients with single lumbar curve IB,there was no significant difference between the two groups,but the improvement of Cobb angle in patients with IB and IC was more significant in the experimental group than in the control group. |
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