中醫藥研究論叢

202.3 青少年之原發性脊椎側彎中西證治綜論
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
黃蕙棻1,2* 盧禾潾1,2 黃建榮1 柯建新2,3 賴尚志2,4 張恆源2 陳建霖1,2
1 佛教慈濟醫療財團法人台北慈濟醫院中醫部,台北,台灣
2 慈濟大學學士後中醫系,花蓮,台灣
3 佛教慈濟醫療財團法人花蓮慈濟醫院中醫部,花蓮,台灣
4 佛教慈濟醫療財團法人花蓮慈濟醫院藥劑部,花蓮,台灣
【摘要】
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。
【關鍵詞】
脊椎側彎,中醫治療,物理治療,復健
 
Hui-Fen Huang1,2* Ho-Lin Lu1,2 Chien-Jung Huang1 Chien-Hsin Ko2,3
Sang-Chih Lai2,4 Heng-Yuan Chang2 Chien-Lin Chen1,2
1Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taiwan
2School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Taiwan
3Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taiwan
4Department of Pharmacy, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation,
Hualien, Taiwan
【Summary】
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.
Keywords: Scoliosis, Traditional Chinese medicine, Physical therapy, Rehabilitation medicin