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Schroth 治療法的基本概念

  1. 脊椎側彎與姿勢不正確有密切關係的。
  2. 由於圍繞脊骨附近的肌肉張力不平均，造成多組肌肉過緊或過弱，引致脊骨異常地彎曲的情況。
  3. Schroth 治療法是根據人類的脊骨型態而建立出一套針對性的運動治療法來強化過弱的肌肉及放鬆過緊的肌肉。
  4. Schroth治療師教導病人如何從日常活動和改變呼吸的方式來鞏固及改善身體姿勢。
  5. 它是適合用於兒童和成人身上。
  6. 沒有手術風險，而且能夠有效地改善側彎度數、姿勢、外觀、背痛等問題。

Schroth 治療師的專業資格

不是每位脊醫都能懂得和有專業資格為病人進行Schroth脊椎側彎治療法。所有 Schroth 治療師都需要到德國 Asklepios Katherina Schroth Klink骨科復康中心接受正統 訓練，並須通過實習和考試，才可成為認可的 Schroth脊椎側彎治療師。現時，全世界約有60位的被認可的Schroth治療師，本診所的王漢榮脊醫是其中之一。

(www.schroth-skoliosebehandlung.de)

脊骨側彎門診部

每位脊椎側彎病人來到香港脊骨神經醫務中心，脊醫會因應病人的情況和需要設計一套針對性的治療計劃。 由於治療計劃是根據病人脊椎側彎的嚴重程度、位置、影響性、日常生活習慣等因素而決定，因此每位病人所接受的治療內容會有所不同。治療內容大致上包括:

1. 脊椎側彎全面檢查及評估



先進行一個全面的評估，目的是了解病人脊椎側彎的位置、側彎度數、病發時段和原因，以及其他個人背景資料，從而協助醫生制訂切合病人需要的治療計劃、目標和 Schroth Method的運動治療內容。

脊椎側彎的評估方法:

  1. 體態姿勢檢查 Postural Analysis - 例如:肩膀高低和骨盆高低
  2. 彎腰 Adams Position
  3. 雙腳長度檢查 Leg Length Inequality
  4. 脊椎側彎度數儀 Scoliometer - 測量患者脊椎側彎的旋轉程度及背部傾斜度
  5. X-ray


2. Schroth Method 脊椎側彎治療法



Schroth脊椎側彎治療法是一種風險低，但又能夠有效地改善側彎度數、姿勢、外觀、背痛等問題的治療方法，現已廣泛被歐洲醫生作為治療脊椎側彎之用。本診所的王漢榮脊醫已到德國完成Schroth脊椎側彎治療法訓練及正式成為被認可的Schroth治療師。在整個治療過程中，王漢榮脊醫會指導病人進行不同針對脊骨的運動和正確呼吸方法，從而改善脊椎側彎所帶來的問題。本醫務中心一共設有兩間獨立的 Schroth 脊骨側彎冶療室，冶療室內有齊所需設備，方便病人進行Schroth的運動治療。

3. 脊骨矯正治療

為針對不同的症狀及患者本身的體格, 本診所特別提供多種不同的脊醫治療。由一 般的脊骨矯正手法治療外, 還會用到一些特別的醫療儀器如:3D牽引床、整脊槍等。目 的是舒緩脊椎側彎所帶來的各種痛症。

4. 其他輔助治療

  1. Kinesio Taping 美國特許運動復康貼
  2. Chattanooga Group Interferential 電療機
  3. Ngan’s Pro 按摩機
  4. Chattanooga 超聲波治療機

1. 誰人適合接受 Schroth 脊骨側彎治療法?

Schroth 脊骨側彎治療法是適合7-8歲或以上患有脊骨側彎症的人士。 任何脊椎側彎度數(Cobb Angle)、有或沒有佩戴矯形梏具、手術前，以 及手術後均可接受Schroth治療。

2. Schroth脊骨側彎治療法是否只適用於正在發育的小朋友身上?

不是。根據臨床經驗，Schroth脊椎側彎治療法是適用於成年人士及年紀偏大的人士，而且他們的脊骨側彎亦有明顯改善。可是，由於成年患者較遲接受治療，肌肉也較為堅硬，因此他們的療程時間也理應較長。

3. Schroth 脊骨側彎治療法可以保証改善我的側彎嗎?

在醫學上,沒有任何一種治療可以百份之一百保證對脊椎側彎症有成效, 包括手術, 側彎架或一些運動治療, 但如果可以長期做一些特定的 Schroth運動和Schroth呼吸技巧,大多數的患者都會看見或感受到自己外觀, X-RAY上的脊椎弧度或本身一些其他部位的痛 症也大大改善。

4. 如果我選擇接受Schroth脊骨側彎治療法，幾時會見到效果?

這要根據病人脊椎側彎的嚴重程度、位置，以及接受治療的頻密程度而定。我們大部分病人都會接受脊醫的建議每星期進行5-6次Schroth 的特定運動，每次30分鐘至1小時，大約1 個月後便會見到效果。

5. 我需要不斷做 Schroth 的特定運動嗎?

正確。 Schroth 是一個特別的脊椎側彎治療法, 它可以融合於在平常工作及生活中, 從而可以令患者學懂怎樣改善其脊彎症。

Scroth脊柱側彎治療法的功效顯注，並得到醫學界認同。以下是部分有關Schroth脊柱側彎治療法的醫學文獻及研究報告:

Freidel, K., Petermann, F., Reichel, D., Steiner, A., Warschburger, P., Weiss, H.R. ( 2002). Quality of life in women with IS. Spine 27: E87-E91.

Freidel K., Petermann, F., Reichel. D, Warschburger, P, Weiss, H.R. (1999). Stationare intensivrehabilitation beiskoliose--Medizinischer und Psychosozialer Outcome (in-patient intensive rehabilition in patients with scoliosis-medical and psychosocial outcome). Verlag Zentrum fur Reha-Forschung der Universitat Bremen.

Lehnert-Schroth, C. (1992). Introduction to the three-dimensional scoliosis treatment according to Schroth.

Weiss, H.R. (1988). Vision analitico-funcional el tratamiento tridimensional de la escoliosis segun Schroth 13: 215-223

Weiss, H.R. (1990). Krummungsverlaufe idiopatisher Skoliosen unter dem Einfluss eines krankengymnastischen Rehabilitations programmes. Orthop Praxis 26: 648-654.

Weiss, H.R. (1991). The effect of an exercise program on vital capacity and rib mobility in patients with IS. Spine 16:88-93.

Weiss, H.R. (1991). Vision analitico-funcional el tratamiento tridimensional de la escoliosis segun Schroth. Fisioterapia 13:215-223.

Weiss, H.R. (1992). The progression of idiopathic scoliosis under the influence of a physiotherapy rehabilitation programme. Physiotherapy 78:815-821.

Weiss, H.R. (1992). Particularities of rehabilitative physiotherapy in adults with scoliosis. Rehabilitation 31: 38-42.

Weiss, H.R. (1993). Imbalance of electromyographic activity and physical rehabilitation of patients with IS. European Spine Journal 1: 240-243.

Weiss, H.R. (1993). Scoliosis-related pain in adults--treatment influences. European Journal of Physical Medicine and Rehabilitation 3: 91-94.

Weiss, H.R. (1994). The adjustment of orthoses in scoliosis treatment. Sonderdruck aus: Orthopeadie Technik Verlag.

Weiss, H.R. (1995). Technical error of vertebral rotation measurements. pp 243-249 in Three Dimensional Analysis of Spinal Deformities. M D'Amico et al (eds) IOS Press.

Weiss, H.R. (1995). Standard der orthesenversorgung in der skoliosebehandlung. Medizinisch Orthopadische Technik 115: 323-330.

Weiss, H.R. (1995). Preliminary results of specific exercises during in patient scoliosis rehabilitation. pp 385-391 in Three Dimensional Analysis of Spinal Deformities. M D'Amico et al (eds) IOS Press.

Weiss, H.R. (1995). Initial results of a prospective study of Schroth scoliosis-specific spinal rehabilitation. Zeitschrift Orthopedics 133: 114-117

Weiss, H.R. (1995). Cardiopulmonary performance in patients with severe scoliosis. pp 393-397 in Three dimensional Analysis of Spinal Deformities. M D'Amico et al (eds), IOS Press.

Weiss, H.R. (1995). Indicence of postural decompensation in a sample of patients with severe scoliosis--influence of a rehabilitation program. pp 313-317 in Three Dimensional Analysis of Spinal Deformities, M D'Amico et al (eds) IOS Press.

Weiss, H.R. (1995). Scoliotic flatback and specific rehabilitation. pp 399-402 in Three Dimensional Analysis of Spinal Deformities, M D'Amico et al (eds), IOS Press.

Weiss, H.R. (1995). Technical error of vertebral rotation measurement. pp 243-249 in Three Dimensional Analysis of Spinal Deformities. M D'Amico et al (eds), IOS Press.

Weiss, H.R. (1997). The given biomechanical individuality of the patient has to be considered in brace construction. pp 465-469 in Research into Spinal Deformities 1. JA Sevastik and KM Diab (eds) IOS Press.

Weiss, H.R. (2001). Letter to the editor. Spine 26: 2058-59.

Weiss, H.R., Bettany, J. The effectiveness of a three-dimensional exercise regime in the treatment of idiopathic scoliosis. pp 332-339 in International Symposium on 3-D Scoliotic Deformities, J Dansereau (ed) Fisher-Verlag

Weiss, H.R., Bickert, W. (1996). Improvement of the parameters of right-heart stress evidenced by electrocardiographic examinations by the in-patient rehabilitation program according to Schroth in adult patients with scoliosis. Orthopadische Praxis 32: 450-453.

Weiss H.R., Cherdron, J. (1992). The psychical and physical effect of physiotherapeutical rehabilitative inpatient treatment on patients with scoliosis. Orthopadische Praxis 28: 87-90.

Weiss, H.R., Cherdron, J. (1994). The impact of Schroth's rehabilitation programme on the self-concept of patients with scoliosis. Rehabilitation 33: 31-34.

Weiss, H.R., Dallmayer, R., & Stephan, C. (2006). First results of pain treatment in scoliosis patients using a sagittal realignment brace. Stud Health Technol Information 123:582-585.

Weiss, H.R., & Dallmayer, R (2006). Brace treatment of spinal claudication in an adolescent with a grade IV spondylosisthesis-A case report. Stud Health Technol Inform. 123:590-593.

Weiss, H.R., & Dallmayer, R (2006). Brace treatment of spinal claudication in an adult with lumbar scoliosis-A case report. Stud Health Technol Inform. 123:586-589.

Weiss, H.R., & Dallmayer, R (2006). Brace treatment of spinal claudication in an adolescent with a grade IV spondylosisthesis- A case report. Stud Health Technol Inform. 123:590-593.

Weiss, H.R., & Hawes, M.C. (2004). Adolescent idiopathic scoliosis, bracing and the Hueter-Volkmann principle. [comment]. Spine Journal: Official Journal of the North American Spine Society. 4(4):484-485; author reply 485-486.

Weiss, H.R., Dieckmann, J., Gerner, H.J. (2000). Outcome of in-patient rehabilitation in patients with m. Scheuermann as evaluated by surface topography. IRSSD Meeting.

Weiss, H.R., El Obeidi, N. (1995). Relationship between vertebral rotation and Cobb angle as measured on standard Xrays, pp 155-159 in Three Dimensional Analysis of Spinal Deformities. M D'Amico et al (eds) IOS press.

Weiss, H.R., El Obeidi, N., Lohschmidt, K. (1997). The inpatient scoliosis rehabilitation. A 'worst-case' analysis. pp 61-364. Research into Spinal Deformities 1. JA Sevastik and KM Diab (Eds) IOS Press.

Weiss, H.R., Lauf, R. (1995). Impairment of forward flexion--physiological or the precursor of spinal deformity? pp 307-310 in Three Dimensional Analysis of Spinal Deformities, M D'Amico et al (eds) IOS Press.

Weiss, H.R., Lehnert-Schroth, C. (1995). Breathing excursions in scoliosis patients. pp 285-288 in Three Dimensional Analysis of Spinal Deformities, M D'Amico et al (eds), IOS Press.

Weiss, H.R., Verres, C., & El-Obeidi, N. (1999). Evaluation of the result quality in spinal deformities rehabilitation by objective back shape analysis. Physikalische Medizin 9:41-47.

Weiss, H.R., Verres, C., Lohschmidt, K., & El Obeidi, N. (1998). Pain and scoliosis--is there any relationship? Orthopadische Praxis 34: 602-606.

Weiss, H.R., Verres, C., & Neumann (1998). Scoliosis and psyche: a study on juveniles and young adolescents. Orthopadische Praxis 34: 367-372.

Weiss, H.R., Verres, C., Steffan K, & Heckel I (1999). Outcome measurement of scoliosis rehabilitation by use of surface topography pp 246.

Weiss, H.R., Verres, C., El-Obeidi, N. (1999). Evaluation of the result quality in spinal deformities rehabilitation by objective back shape analysis. Phys Rehab Kur Med 9: 41-47

Weiss, H.R., Verres, C., Steffan K., & Heckel I (1999). Scoliosis and pain--is there any relationship? pp 293-296 in Research into Spinal Deformities, IAF Stokes (ed), IOS Press.

Weiss, H.R. & Weiss, G. (2003). Incidence of curvature progression in patients treated with in-patient scoliosis rehabilitation (Pediatric Rehabilitation)

Weiss, H.R., & Weiss, G. (2002). Curvature progression in patients treated with scoliosis in-patient rehabilitation--a sex and age matched controlled study. Stud Health Technol Inform. 91:352-356.

Weiss, H.R., & Weiss, G.M. (2005). Brace treatment during pubertal growth spurt in girls with idiopathic scoliosis (IS): A prospective trial comparing two different concepts. Pediatric Rehabilitation, 8(3):199-206.

Weiss, H.R., Weiss, G., & Schaar, H.J. (2002). Conservative management in patients with scoliosis--does it reduce the incidence of surgery? Stud Health Technol Inform. 91:342-347.