青少年之原發性脊椎側彎中西證治綜論

A Literature Review of Adolescent Idiopathic Scoliosis with Physical Therapy and Chinese Traumatologic Treatment

青少年原發性脊椎側彎除影響病患身體結構外，還會影響心理以及社會適應問題。臨床上必須針對結構性問題，如椎體變型、肌力不平衡、長短腳等進行矯正。根據不同嚴重度以及發病年齡有不同處理方式。西醫及物理治療方面以背架搭配復健運動，嚴重者以手術治療。中醫有傷科手法、電針療法、小針刀以及練功療法，臨床上常搭配互相使用，以求改善病患脊椎角度。本文藉由回顧脊椎側彎之復健物理治療及中醫之文獻，嘗試結合中西醫治療之概念，提供給臨床醫師參考。

In this article, we will pay attention to combination of physical therapy and traditional Chinese medicine treatments for Adolescent Idiopathic Scoliosis. Adolescent Idiopathic Scoliosis is a body-structure alteration, which can result in psychological disturbance and social maladaptation. Clinicians should correct structural anomalies including vertebral deformities, muscle tone/strength imbalance and leg-length discrepancy. Treatment depends upon the magnitude of the curve and the time of presentation. Modern rehabilitation medicine and physical therapy suggest brace treatment and therapeutic exercise for mild or moderate curves, and surgery for severe scoliosis. Traditional manual therapy, acupuncture, and kung-fu exercise are conventionally used as treatment for Scoliosis. Management based on patient’s manifestation can collocate to correct curves.