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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Clinical Biomechanics of Orthotic Treatment of Idiopathic Scoliosis
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Clinical Biomechanics of Orthotic Treatment of Idiopathic Scoliosis

机译：矫形治疗特发性脊柱侧弯的临床生物力学

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It is the author's intent to use principles of mechanics, diagrams, models and examples to establish a background of organized understanding that will enable us to more accurately evaluate scoliosis deformities and render more complete and effective orthotic treatment. The difference between good and bad orthotic treatment of scoliosis lies not so much in the Cobb angle resu it lies in considering the total status of the deformity, treating all aspects, minimizing side effects and complications, and maximizing patient comfort, cosmesis, and sense of normalcy during treatment. The spinal deformity we call scoliosis has several components and must be appreciated on two levels. We need to stand close to observe how the deformity manifests itself in certain areas of the spine and in individual curves. Focusing on localized features of the x-ray, we are able to note such things as vertebral tilt, rotation, and Cobb angle. It is equally, if not more, important to step back a bit from the patient and x-ray to note the alignment of the upper thorax with respect to the pelvis and how well the "family" of curves are "balanced" about the centerline. It is also from a distance that we must observe and evaluate the patient's spinal curvature in the sagittal plane. One of the most important and basic principles in the treatment of idiopathic scoliosis (IS) is often overlooked: that any effort to treat any one curve in either the frontal or the sagittal plane will affect all curves in both planes. Secondary effects may be large or small, beneficial or detrimental. The author occasionally relates scoliosis geometry and treatment mechanics to Milwaukee orthosis design. That helps connect theory to practice. Patient examples are presented for the same reason. An understanding of the fundamental mechanical principles of IS treatment should be helpful in orthotic design and fitting, regardless of the type of orthosis.
机译：作者的意图是利用力学原理，图表，模型和示例来建立有组织的理解背景，这将使我们能够更准确地评估脊柱侧弯畸形并提供更完整和有效的矫形治疗。脊柱侧凸矫形治疗的好坏之间的区别不在于Cobb角结果。它在于考虑畸形的总体状况，治疗各个方面，最大程度地减少副作用和并发症，并在治疗过程中最大程度地提高患者的舒适度，美容水平和正常感。我们称脊柱侧弯的脊柱畸形有几个组成部分，必须在两个层面上加以重视。我们需要站起来观察畸形如何在脊柱的某些区域和个别曲线中表现出来。着眼于X射线的局部特征，我们能够注意到诸如椎骨倾斜度，旋转度和Cobb角之类的东西。同样重要的是，即使不是更多，从患者和X射线后退一点以注意上胸部相对于骨盆的对齐方式以及曲线的“系列”在中心线上的“平衡”程度也同样重要。我们还必须从远处观察和评估患者在矢状面内的脊柱弯曲度。在特发性脊柱侧凸（IS）的治疗中，最重要和最基本的原则之一经常被忽略：治疗额叶或矢状面中任何一条曲线的任何努力都会影响到这两个平面中的所有曲线。次要影响可能是大的或小的，有益或有害的。作者偶尔将脊柱侧弯的几何形状和治疗机理与密尔沃基矫正器的设计联系起来。这有助于将理论与实践联系起来。出于相同的原因介绍了患者示例。不管矫形器的类型如何，对IS治疗的基本机械原理的理解都将有助于矫形器的设计和安装。

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