- 作者：Wei Hui ; Xu Jinyuan ; Jiang Zhong ; Ye Shuliang ; Song Hongquan ; Ning Xitao ; Huang Huanmin ; Chen Wei ; Pei Jianwei ; Jiang Nengyi ; Chen Shao ; Du Honggen ; duhonggen1212@163.com" class="auth_mail" title="E-mail the corresponding author
- 关键词：Medicine ; Chinese traditional ; Scoliosis ; Adolescent ; Electromyography ; Treatment outcome ; Respiratory function tests ; Randomized controlled trial
- 刊名：Journal of Traditional Chinese Medicine
- 出版年：2015
- 出版时间：15 October 2015
- 年：2015
- 卷：35
- 期：5
- 页码：514-519
- 全文大小：561 K
Methods
One hundred twenty outpatients with mild and moderate adolescent idiopathic scoliosis were randomly divided into a TCM group (TCMG) and a brace group (CG). TCMG patients underwent Daoyin, Tuina, and acupotomology therapies. CG patients were treated with a Milwaukee brace. Each patient's Cobb angle was measured after 12 and 24 months of treatment, and pulmonary function was determined after 12 months of treatment. Average electromyogram (AEMG) ratio of the surface electromyogram was measured after 6 and 12 months of treatment and followed-up after 18 and 24 months.
Results
The Cobb angle significantly decreased in both groups after 12 months of treatment compared with before treatment (P < 0.05). The percentages of original Cobb angle in TCMG and CG were 51.4% and 47.8% (P > 0.05) after 12 months and 62.5% and 34.7% (P < 0.05) after 24 months, respectively. Pulmonary function significantly improved after 12 months in TCMG (P < 0.05) but significantly decreased in CG (P < 0.05). The AEMG ratio was significantly lower (P < 0.01) and tended to remain at 1 after stopping treatment in TCMG, but increased in CG (P < 0.05).
Conclusion
TCM combined therapy can prevent the progression of scoliosis. The AEMG ratio is a promising index that could replace radiography in the evaluation of treatment effect and progression in scoliosis.