201108092242Critical review on non-operative management of adolescent idiopathic scoliosis.

Critical review on non-operative management of adolescent idiopathic scoliosis.

 
Abstract

There are a number of different non-operative interventions which aim to control moderate adolescent idiopathic scoliosis (AIS) from progression. Clinicians may find difficulties in the selection of appropriate interventions for AIS. A comprehensive literature review was carried out to study all contemporary non-operative interventions, it was noted that rigid spinal orthoses apparently give more curve control; however, it would compromise the patient's quality of life via those inevitable factors--physical constraint, poor acceptance and psychological disturbance. There is a trend to develop more effective, acceptable and user-friendly interventions. Under such an aspiration, the theories and clinical evidence of different interventions should be developed along the clinical pathway of early intervention with reliable indicators/predictors, patient's active participation, dynamic control mechanism, holistic psychological and psychosocial considerations, and effective and long-lasting outcome.

 

Abstract

 

目前有數種不同的非手術治療方式,而其治療的目的就是控制青少年中度原發性脊柱側彎之惡化。臨床醫師也許會發覺,要選擇適當的原發性脊柱側彎之治療方式是有困難的。而所有的文獻回顧對於當代所有以非手術治療方式的研究,顯然均是以硬式脊柱裝具來給予脊柱側彎之控制,然而經由以下這些因素,如:身體限制、低接受度與心理障礙等,都有可能會讓患者的生活品質打折扣,相對的亦會影響到矯正效果,而目前研究已朝向發展更有效率、更能被接受與更便於使用的治療方式。在這樣的努力方向中,對於不同治療方式的理論與臨床之跡象,應該要藉著可靠的指標與預測、病人積極參與、動態控制之機制、全面的心理的與社會心理的考量、以及有效與長期的治療結果等等,而以上這些通盤考量都應該應用在初期的臨床治療上。

 

出處:http://www.ncbi.nlm.nih.gov/pubmed/14727706

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