整脊手法联合触发点疗法提高青少年特发性脊柱侧弯疗效的可行性分析

Feasibility Analysis of Spinal Manipulation Combined with Trigger Point Therapy to Improve the Therapeutic Effect of Adolescent Idiopathic Scoliosis

摘要: 青少年特发性脊柱侧弯(Adolescent Idiopathic Scoliosis, AIS)是指青少年在发育期间出现不明原因的脊柱结构异常。主要表现为脊柱向一侧弯曲，站立时躯干不对称如双肩不等高、一侧肩胛骨向后突出，腰背部肌肉疼痛等表现，严重者甚至影响心肺功能，并可能压迫神经、脊髓造成更加严重的伤害。当前治疗方案主要为外科手术治疗与保守治疗两种方式。手术治疗适用于40˚以上的严重脊柱侧突，或伴有肺功能障碍及胸廓畸形严重者，但其具有出血感染、损伤脊髓神经、预后效果不佳等问题。对于40˚以下的AIS，通常采取保守治疗，主要包括中医治疗、支具治疗及电刺激治疗等，其中运用最广泛的为中医理筋整脊手法治疗，而触发点疗法为肌筋膜疼痛的重要治疗方法，本文旨在探讨整脊手法联合触发点疗法提高治疗青少年特发性脊柱侧弯疗效的可行性，为AIS的治疗提供更好的治疗方案。

Abstract: Adolescent Idiopathic Scoliosis (AIS) refers to unexplained spinal structural abnormalities that occur in adolescents during development. The main manifestation is the curvature of the spine to one side, asymmetry of the trunk when standing, such as unequal height of the shoulders, backward protrusion of one shoulder blade, and pain in the lower back muscles. In severe cases, it may even affect cardiovascular function and may compress nerves and spinal cord, causing more serious damage. The current treatment options mainly include surgical treatment and conservative treatment. Surgical treatment is suitable for severe scoliosis above 40˚, or those with severe pulmonary dysfunction and thoracic deformities, but it has problems such as bleeding, infection, spinal cord nerve injury, and poor prognosis. For AIS below 40˚, conservative treatment is usually adopted, mainly including traditional Chinese medicine treatment, support therapy, and electrical stimulation therapy. Among them, the most widely used is the traditional Chinese medicine tendon and spinal manipulation treatment, and trigger point therapy is an important treatment method for myofascial pain. This article aims to explore the feasibility of spinal manipulation combined with trigger point therapy to improve the treatment effect of adolescent idiopathic scoliosis, and provide a better treatment plan for AIS.