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題名 | Effect of Exercise Therapy for Mild Functional Scoliosis=運動治療對輕度功能性脊柱側彎的效果 |
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作者姓名(中文) | 卓瓊鈺; | 書刊名 | 中華民國物理治療學會雜誌 |
卷期 | 24:1 1999.01[民88.01] |
頁次 | 頁24-30 |
分類號 | 418.92 |
關鍵詞 | 脊柱側彎; 運動治療; Scoliosis; Exercise therapy; |
語文 | 英文(English) |
中文摘要 | 脊柱側彎是一種好發於青少年的姿勢問題,尤其容易發生在青春期的少女身上。 本研究之主要目的乃是要探討短期運動治療計劃對輕度功能性脊柱側彎的治療效果,以期在 為脊柱側彎病患設計運動治療時,做一全盤的考量。十四名經醫師轉介的輕度脊柱側彎病患 自願參與本研究,研究者將其隨機分為兩組:七名為監視運動組,另外七名為居家運動組。 物理治療師為其做的評估包括: 臨床姿勢評估與骨骼肌肉分析系統評估( Metrecom 2000 ):分別在第一次前來評估及三個月運動計畫結束後執行。第一次評估後研究者分別為其設 計適合個人之運動計畫。研究數據以描述性統計與配對 t- 測試作分析。結果顯示:雖然研 究者觀察到病患的姿勢就先前為對稱,然而在量化之臨床評估部份,監視運動組的表現雖較 居家運動組為佳, 兩者之間的差距並無統計上明顯的差異( p>.05 )。 且以 Metrecom 2000 所做之脊柱側彎弧度分析,監視運動組的弧度則有明顯的改善( p<0.05 )。 研究結 果顯示,針對輕度脊柱側彎病患,由治療師設計並親自指導運動治療的效果會比病患自行在 家執行運動計畫得到較明顯效果。 |
英文摘要 | Scoliosis is frequently found among general population, especially for female adolescent group. Patients with scoliosis may be treated by exercise therapy. However, the effect of exercise is always a controversial topic. The purpose of this study was to examine the effect of a three-month exercise therapy program for patients with mild scoliosis. Fourteen volunteers with mild scoliosis served as subjects of the study (6 males, 8 females). They were randomly divided into two groups: supervised exercise group and home program group. There was no significant difference in demographic characteristics between these two groups. Physical assessments included clinical evaluation of posture, and Metrecom 2000 postural analysis. Both of them were conducted during the initial patient interview. Physical therapist designed exercise for each individual. All participants were informed to conduct the exercise at least two times a week. The supervised exercise group performed their exercise under the supervision of a licensed physical therapists, and the home program group conducted their exercise at home after the inital interview. The second set of physical assessments was conducted after three months of exercise therapy. Descriptive statistic and paired f-test were used for data analysis. Nearly all patients performed better in the clinical evaluation results, however, the differences between these two groups were not significant (p>0.05). As for scoliotic curve analysis, there was a significant improvement of scoliotic angle in the supervised exercise group (p<0.05), but no significant difference in the home program group. The results of this study showed that exercise therapy might improve scoliotic patient's posture, such as more symmetric shoulder, and pelvic level. However, for the quantitative evaluation such as forward bending and side-bending test, the researcher did not find any significant difference between pre-and post exercise measurements. Our results suggested that improvement of scoliotic curve in the exercise group may be due to better compliance and supervision. |
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