本体感觉神经肌肉促进技术联合螺旋稳定肌肉链训练治疗青少年特发性脊柱侧弯的临床效果研究

Background ?Research shows that China's primary and secondary school students scoliosis rate of 4.40%the high incidence of age 13-15 years old79.5% of students with mild scoliosisthe number of incidence and the degree of scoliosis with the time of the annual trendprevention and control of the situation is grim. Objective ?To investigate the efficacy of 3-times-weekly proprioceptive neuromuscular facilitationPNFtechnique combined with spiral stabilizing muscle chain trainingSPSon adolescent idiopathic scoliosisAISwhich can promote the high quality of adolescent spinal health management work and provide a reference to achieve multifaceted screening and monitoring and precise scoliosis prevention and control. Methods ?The experiment was designed to screen 1 060 primary and middle school students in Nanjing from January to March 2024. A total of 32 AIS students aged 10 to 18 years with an angle of trunk rotationATRof 5 to 0.05. The degree of scoliosisATIhead deflectionshoulder height of students in the combined group were lower than those in the control group after the interventionP<0.05compared with the pre-intervention periodthe degree of scoliosisATIhead deflectionshoulder heightand hip height of the students in the SPS groupthe PNF groupand the combined group were all lower after the interventionP<0.05. The results of correlation analysis showed that ATI and RMSR before and after the intervention were positively correlated with the degree of scoliosis before and after the interventionP<0.05ATI after the intervention was positively correlated with head deflectionshoulder heightand hip height after the interventionP<0.05and RMSR after the intervention was positively correlated with head deflection and hip height after the interventionP<0.05. The RMS and IEMG of the trapezius muscle on both sides were higher than those of the PNF group and those of the multifidus muscle on both sides were higher than those of the control group in the combined group after the interventionP<0.05compared with the pre-intervention periodthe RMS and IEMG of the trapeziuserector spinaeand multifidus muscles on both sides were higher after the intervention in the students of the SPS groupthe PNF groupand the combined groupand the overall RMS ratioRMSRwas lower after the interventionP<0.05. Compared with pre interventionSlopeMF was elevated in both trapeziuserector spinaeand multifidus muscles in the SPS group and combined group of students after interventionand in both trapeziuserector spinaeand left multifidus muscles in the PNF group of students after interventionP<0.05. Compared with the pre-intervention periodSlopeMPF of the trapeziuserector spinaeand left multifidus muscles on both sides were elevated after intervention for students in the SPSPNFand combined groupsSlopeMPF of the right multifidus muscle was elevated after intervention for students in the SPS and combined groupsP<0.05. Shoulder height after intervention was negatively correlated with the RMS of both trapezius and right multifidus musclesthe SlopeMPF of left trapeziusleft erector spinaeand right multifidus musclesP<0.05hip height was negatively correlated with the RMS of both trapezius and both multifidus musclesthe SlopeMPF of the left trapezius muscleP<0.05. Conclusion ?Our findings suggest that ATIbody balanceand surface EMG values improved significantly in all test groupsSPSPNFand combined groupsafter treatmentwith the combined group showing a particularly strong treatment effect in shoulder and hip balanceand fatigue resistance of the paravertebral muscles on both sides of the joint group after treatment. The PNF combined with the SPS intervention can benefit AIS students through the activation of more muscle fibers for exercise and improved muscle fatigue.