| 标题： | 青少年脊柱侧弯中医推拿“舒筋调骨”诊疗模式 |
| title： | Adolescent Idiopathic Scoliosis Treatment with Traditional Chinese Medicine Massage: "Relaxing Muscles and Adjusting Bones" Therapy |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 专家共识 |
| classification： | Experts consensus |
| 领域： | 诊疗 |
| field： | Diagnosis and Treatment |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 各级医疗机构的中医科、推拿科、骨伤科、康复科等相关科室临床医师、康复治疗师及护理人员 |
| Guide users： | Clinical physicians, rehabilitation therapists, and nursing staff from Traditional Chinese Medicine departments, massage therapy departments, orthopedics and traumatology departments, rehabilitation departments, and other related sections of medical institutions at all levels. |
| 证据分级方法： | GRADE分级系统 |
| Evidence grading method： | Grading of Recommendations Assessment, Development and Evaluation |
| 制定单位： | 上海中医药大学附属曙光医院 |
| Formulating unit： | Shanghai University Of Traditional Chinese Medicine Shuguang Hospital |
| 注册时间： | 2024-08-01 |
| Registration time： | |
| 注册编号： | PREPARE-2024CN099 |
| Registration number： | |
| 指南制订的目的： | 请帮我用英文表达以下内容：青少年脊柱侧弯（adolescent idiopathic scoliosis, AIS）是儿童青少年快速生长发育期出现的复杂脊柱三维畸形，目前已成为继近视、肥胖之后影响我国儿童青少年身心健康的第三大疾病，如何有效防治AIS目前已成为社会亟待解决的公共难题。目前研究证实，以“舒筋调骨”为核心的中医推拿能有效控制Cobb角进展，在改善椎体旋转、减轻患者腰背痛等方面临床显效，患者依从性佳。然而，由于我国推拿流派繁多，“重治疗、轻评估”等现象严重，导致临床缺乏系统且规范的“筋骨评估”方式用以指导“舒筋调骨”手法的应用，临床疗效参差不齐，难于形成标准化的临床诊疗模式推广应用。 |
| Purpose of the guideline： | Adolescent idiopathic scoliosis (AIS) is a complex three-dimensional spinal deformity that occurs during the rapid growth and development period of children and adolescents. It has become the third major health issue affecting the physical and mental well-being of children and adolescents in China, following myopia and obesity. Effective prevention and treatment of AIS has become an urgent public health challenge that society needs to address. Current research has confirmed that Traditional Chinese Medicine (TCM) massage therapy, centered around the concept of "muscle relaxation and bone adjustment," can effectively control the progression of the Cobb angle. It has shown clinical efficacy in improving vertebral rotation and alleviating patients' back pain, with good patient compliance. However, due to the numerous schools of thought in Chinese massage and a tendency to "emphasize treatment over assessment," there is a severe lack of systematic and standardized "musculoskeletal assessment" methods to guide the application of "muscle relaxation and bone adjustment" techniques. This leads to inconsistent clinical outcomes, making it difficult to establish a standardized clinical treatment model for widespread application |
