目的 探討比較色努式脊柱側彎矯形器佩戴時間及功能鍛煉對矯正治療效果的影響。 方法 將2004年7月－20011年7月收治的126例脊柱側彎患者，按自愿選擇分為試驗組和對照組，試驗組佩戴色努式脊柱側彎矯形器18～20 h，功能鍛煉＞90 min；對照組佩戴側彎矯形器23 h，功能鍛煉30～60 min。對比兩組患者治療前后的Cobb角、頂椎偏離中線距離（AVT）、頂椎旋轉度(AVR)、軀干位移（TS）、脊柱柔韌性及肺功能指標的改善。 結果 經X線檢查測定，治療后兩組患者的Cobb角、AVT、AVR、TS均低于治療前（P＜0.01），且試驗組明顯低于對照組（P＜0.01）。肺功能指標：試驗組治療后肺活量（VC)、第1秒鐘用力呼氣容積（FEV1）、用力肺活量（FVC）、肺總量（TLC），等均高于治療前，殘氣量（RV）低于治療前（P＜0.01），對照組治療后VC、FEV1、FVC、TLC均低于治療前，RV高于治療前（P＜0.01），且試驗組優于對照組（P＜0.01）。功能位Cobb角：兩組患者的功能位主彎Cobb角、代償彎Cobb角均低于治療前（P＜0.01），且試驗組明顯低于對照組（P＜0.01）。 結論 色努式脊柱側彎矯形器每天佩戴18～20 h，并結合適當的體操療法，呼吸、肌力訓練及麥肯基力學療法，可使肺功能、腰背部肌力、脊柱柔韌性、身體的協調性、以及平衡能力得到改善，從而達到脊柱側彎治療的較好效果。
Objective To explore the therapeutic effect of rehabilitation therapy combined with computer-aided design and computer-aided manufacture (CAD/CAM) of orthopedic insoles on deputy scaphoid inflammation. Methods We selected the patients with deputy scaphoid inflammation who had treated in Sichuan Province Orthopedic Hospital between July 2018 and February 2020. The patients were randomly divided into control group and experimental group by drawing lots. The control group received rehabilitation therapy, while the experimental group received rehabilitation therapy combined with CAD/CAM orthopedic insoles. The clinical efficacy was tested at the 5th and 12th weeks after treatment, and the foot pain was assessed by Visual Analogue Scoring (VAS), and the foot function was assessed by the American Orthopaedic Foot and Ankle Association (AOFAS) scale. Results A total of 78 patients were included, and 3 patients dropped out. There was no significant difference in sex, age, weight or course of disease between the two groups (P>0.05). Before treatment, there was no statistically significant difference in VAS score (t=0.329, P=0.743) or AOFAS score (t=0.431, P=0.668) between the two groups. At the 5th and 12th weeks after treatment, the VAS score of the experimental group was lower than that of the control group (t=4.517, 5.299; P<0.001), and the AOFAS score was higher than that of the control group (t=6.239, 5.779; P<0.001). Over time, the VAS score of the two groups decreased (P<0.05), while the AOFAS score increased (P<0.05). Conclusion Rehabilitation therapy combined with CAD/CAM of orthopedic insoles have better curative effect than traditional rehabilitation therapy for deputy scaphoid inflammation.
目的 探討絕經后健康女性的穩定極限范圍（LOS）與育齡期健康成年女性相比有無下降，了解絕經后女性是否開始出現LOS的下降。 方法 選取2012年1月－10月期間于四川大學華西醫院健康體檢的女性共40例，絕經組：20例絕經后健康女性，年齡（56.2 ± 3.3）歲；對照組：20名育齡期健康女性，年齡（24.3 ± 3.5）歲。對所有受試者分別使用壓力平板儀測定前后左右4個方向LOS，使用SPSS 17.0統計學軟件比較兩組LOS的差異性。 結果 前、后、左、右4個方向的LOS在絕經組與對照組之間差異無統計學意義（P＞0.05）。絕經組及對照組的左右側LOS大于前后側、前側LOS大于后側，差異具有統計學意義（P＜0.05）；左右側LOS差異無統計學意義（P＞0.05）。 結論 絕經后女性仍保持較好的LOS，提示其仍具備良好的主動姿勢控制能力。