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首页> 外文期刊>Current pediatric reviews >Observation and Early Intervention in Mild Idiopathic Scoliosis via Corrective Exercises in Growing Children.
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Observation and Early Intervention in Mild Idiopathic Scoliosis via Corrective Exercises in Growing Children.

机译：通过矫正运动对成长中的儿童进行轻度特发性脊柱侧弯的观察和早期干预。

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摘要

Idiopathic scoliosis afflicts 2-3% of the population. For mild curvatures, observation is the treatment of choice. Though this passive "wait and see" approach has been used for many years, the practice is inconsistent among different countries. In Anglo-Saxon countries where scoliosis specific exercises are not practised, observation is indicated for curvatures below 25° in growing children and adolescents. In countries, such as France, Germany, Italy and Poland where scoliosis specific corrective exercises are employed, only patients with no signs of maturity and with curvatures below 15° are treated by observation. Patients with curvatures between 15 - 25° are treated by scoliosis specific exercises. In view of the unpredictability of the progression of scoliosis curvatures in immature patients and the lack of knowledge of long term biomechanical repercussions of mild idiopathic scoliosis on lumbar spine and lower extremities, it is proposed that active intervention through scoliosis specific exercises rather than passive observation be employed in the treatment of mild adolescent idiopathic scoliosis.
机译：特发性脊柱侧弯折磨人口的2-3％。对于轻微的弯曲，观察是首选的治疗方法。尽管这种被动的“等待和观察”方法已经使用了很多年，但不同国家的做法并不一致。在未进行脊柱侧弯专门锻炼的盎格鲁撒克逊国家中，观察到成长中的儿童和青少年的曲率低于25°。在法国，德国，意大利和波兰等采用脊柱侧弯特定矫正运动的国家，只有观察到没有成熟迹象且曲率低于15°的患者。弯曲度在15-25°之间的患者可以通过脊柱侧弯特定运动进行治疗。鉴于未成熟患者脊柱侧弯弯曲度的不可预测性以及缺乏对轻度特发性脊柱侧弯对腰椎和下肢的长期生物力学影响的知识，建议通过脊柱侧弯特定锻炼而不是被动观察积极干预用于治疗轻度青少年特发性脊柱侧弯。

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