Effect of a Traditional Chinese Medicine combined therapy on adolescent idiopathic scoliosis: a randomized controlled trial
Autor: | Jin-Yuan Xu, Huanmin Huang, Shu-liang Ye, Neng-yi Jiang, Jian-wei Pei, Wei Chen, Xi-tao Ning, Hui Wei, Shao Chen, Zhong Jiang, Hong-quan Song, Hong-gen Du |
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Rok vydání: | 2015 |
Předmět: |
Male
medicine.medical_specialty Adolescent Acupuncture Therapy Traditional Chinese medicine Scoliosis Milwaukee brace law.invention Pulmonary function testing Young Adult Randomized controlled trial law medicine Humans Combined Modality Therapy Treatment outcome Medicine(all) Massage Medicine Chinese traditional Cobb angle Electromyography business.industry General Medicine Respiratory function tests medicine.disease Surgery Physical therapy Female business Acupuncture Points |
Zdroj: | Journal of Traditional Chinese Medicine. 35:514-519 |
ISSN: | 0254-6272 |
DOI: | 10.1016/s0254-6272(15)30133-3 |
Popis: | ObjectiveTo evaluate the effectiveness of a combined Traditional Chinese Medicine (TCM) therapy versus conventional treatment on adolescent idiopathic scoliosis.MethodsOne 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.ResultsThe 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).ConclusionTCM 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. |
Databáze: | OpenAIRE |
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