LAUSR

Objective To observe the therapeutic efficacy of sinew-bone balancing manipulation plus exercise therapy in treating postures of primary school students with upper crossed syndrome (UCS). Methods Sixty pupils with UCS were divided into an exercise group and a combination group using the random number table method, with 30 cases in each group. The combination group received treatments of sinew-bone balancing manipulation plus exercise therapy, while the exercise group received exercise therapy alone. The two groups received interventions once every other day, for a total of 1 month. The sagittal static posture assessment total score, forward head angle (FHA) and forward shoulder angle (FSA) were compared before and after treatment; the sagittal static assessment total score, FHA and FSA were compared between the exercise group and the combination group. Results Before treatment, there were no significant differences comparing the sagittal static posture assessment total score, FHA and FSA between the two groups (all P >0.05); after treatment, the sagittal static posture assessment total score, FHA and FSA decreased in the two groups, with intra-group statistical significance (all P <0.01), and were lower in the combination group than in the exercise group, with inter-group statistical significance (all P <0.01). Conclusion Sinew-bone balancing manipulation plus exercise therapy can notably improve the FHA and FSA and reduce the sagittal static posture total score in pupils with UCS, so as to correct the bad postures and adjust UCS physique. It can produce more significant efficacy compared with exercise therapy alone. 目的 观察筋骨调衡手法联合运动疗法治疗小学生上交叉综合征(UCS)体态的疗效. 方法 将60 名UCS小学生采用随机数字表法分为运动组和联合组, 每组30 例. 将60 名UCS小学生采用随机数字表法分为运动组和 联合组, 每组30 例. 联合组接受筋骨调衡手法联合运动疗法治疗, 运动组仅接受运动疗法治疗. 两组均隔天治 疗1 次, 共治疗1 个月. 对比治疗前后矢状位静态评估总分、 头前倾角度(FHA)和圆肩角度(FSA)的变化; 比较运动 组和联合组矢状位静态评估总分、 FHA 和 FSA 的差异. 结果 治疗前, 两组矢状位静态评估总分、 FSA 和 FHA 无 显著性差异(均 P >0.05); 治疗后, 两组矢状位静态评估总分、 FSA 和FHA 均降低, 组内差异具有统计学意义(均 P >0.01), 且联合组矢状位静态评估总分、 FHA 和FSA 均低于运动组, 组间差异均具有统计学意义(均 P >0.01). 结论 筋骨调衡手法联合运动疗法可明显改善UCS 小学生的 FHA 及 FSA, 降低矢状位静态评估总分, 从而纠正不 良姿势, 调整 UCS 体态, 其疗效优于单独运动疗法.