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先進行一個全é¢çš„評估,目的是了解病人脊椎å´å½Žçš„ä½ç½®ã€å´å½Žåº¦æ•¸ã€ç—…發時段和原因,以åŠå…¶ä»–個人背景資料,從而å”助醫生制訂切åˆç—…人需è¦çš„æ²»ç™‚計劃ã€ç›®æ¨™å’Œ Schroth Methodçš„é‹å‹•治療內容。

脊椎å´å½Žçš„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å´å½Žåº¦æ•¸å„€ Scoliometer - æ¸¬é‡æ‚£è€…脊椎å´å½Žçš„æ—‹è½‰ç¨‹åº¦åŠèƒŒéƒ¨å‚¾æ–œåº¦
  5. X-ray


2. Schroth Method 脊椎å´å½Žæ²»ç™‚法



Schroth脊椎å´å½Žæ²»ç™‚法是一種風險低,但åˆèƒ½å¤ æœ‰æ•ˆåœ°æ”¹å–„å´å½Žåº¦æ•¸ã€å§¿å‹¢ã€å¤–è§€ã€èƒŒç—›ç­‰å•題的治療方法,ç¾å·²å»£æ³›è¢«æ­æ´²é†«ç”Ÿä½œç‚ºæ²»ç™‚脊椎å´å½Žä¹‹ç”¨ã€‚本診所的王漢榮脊醫已到德國完æˆSchroth脊椎å´å½Žæ²»ç™‚æ³•è¨“ç·´åŠæ­£å¼æˆç‚ºè¢«èªå¯çš„Schroth治療師。在整個治療éŽç¨‹ä¸­ï¼ŒçŽ‹æ¼¢æ¦®è„Šé†«æœƒæŒ‡å°Žç—…äººé€²è¡Œä¸åŒé‡å°è„Šéª¨çš„é‹å‹•å’Œæ­£ç¢ºå‘¼å¸æ–¹æ³•,從而改善脊椎å´å½Žæ‰€å¸¶ä¾†çš„å•題。本醫務中心一共設有兩間ç¨ç«‹çš„ Schroth 脊骨å´å½Žå†¶ç™‚室,冶療室內有齊所需設備,方便病人進行Schrothçš„é‹å‹•治療。

3. 脊骨矯正治療

為é‡å°ä¸åŒçš„ç—‡ç‹€åŠæ‚£è€…本身的體格, 本診所特別æä¾›å¤šç¨®ä¸åŒçš„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:3Dç‰½å¼•åºŠã€æ•´è„Šæ§ç­‰ã€‚ç›® 的是舒緩脊椎å´å½Žæ‰€å¸¶ä¾†çš„å„種痛症。

4. 其他輔助治療

  1. Kinesio Taping 美國特許é‹å‹•復康貼
  2. Chattanooga Group Interferential 電療機
  3. Ngan’s Pro 按摩機
  4. Chattanooga è¶…è²æ³¢æ²»ç™‚機

1. 誰人é©åˆæŽ¥å— Schroth 脊骨å´å½Žæ²»ç™‚法?

Schroth 脊骨å´å½Žæ²»ç™‚法是é©åˆ7-8歲或以上患有脊骨å´å½Žç—‡çš„人士。 任何脊椎å´å½Žåº¦æ•¸(Cobb Angle)ã€æœ‰æˆ–沒有佩戴矯形æ¢å…·ã€æ‰‹è¡“å‰ï¼Œä»¥ åŠæ‰‹è¡“後å‡å¯æŽ¥å—Schroth治療。

2. Schroth脊骨å´å½Žæ²»ç™‚法是å¦åªé©ç”¨æ–¼æ­£åœ¨ç™¼è‚²çš„å°æœ‹å‹èº«ä¸Š?

䏿˜¯ã€‚根據臨床經驗,Schroth脊椎å´å½Žæ²»ç™‚法是é©ç”¨æ–¼æˆå¹´äººå£«åŠå¹´ç´€å大的人士,而且他們的脊骨å´å½Žäº¦æœ‰æ˜Žé¡¯æ”¹å–„ã€‚å¯æ˜¯ï¼Œç”±æ–¼æˆå¹´æ‚£è€…è¼ƒé²æŽ¥å—æ²»ç™‚ï¼Œè‚Œè‚‰ä¹Ÿè¼ƒç‚ºå …ç¡¬ï¼Œå› æ­¤ä»–å€‘çš„ç™‚ç¨‹æ™‚é–“ä¹Ÿç†æ‡‰è¼ƒé•·ã€‚

3. Schroth 脊骨å´å½Žæ²»ç™‚法å¯ä»¥ä¿è¨¼æ”¹å–„我的å´å½Žå—Ž?

在醫學上,沒有任何一種治療å¯ä»¥ç™¾ä»½ä¹‹ä¸€ç™¾ä¿è­‰å°è„Šæ¤Žå´å½Žç—‡æœ‰æˆæ•ˆ, 包括手術, å´å½Žæž¶æˆ–一些é‹å‹•治療, 但如果å¯ä»¥é•·æœŸåšä¸€äº›ç‰¹å®šçš„ Schrothé‹å‹•å’ŒSchroth呼叿Ѐ巧,大多數的患者都會看見或感å—到自己外觀, X-RAY上的脊椎弧度或本身一些其他部ä½çš„ç—› 症也大大改善。

4. å¦‚æžœæˆ‘é¸æ“‡æŽ¥å—Schroth脊骨å´å½Žæ²»ç™‚法,幾時會見到效果?

é€™è¦æ ¹æ“šç—…人脊椎å´å½Žçš„åš´é‡ç¨‹åº¦ã€ä½ç½®ï¼Œä»¥åпޥ嗿²»ç™‚的頻密程度而定。我們大部分病人都會接å—è„Šé†«çš„å»ºè­°æ¯æ˜ŸæœŸé€²è¡Œ5-6次Schroth 的特定é‹å‹•ï¼Œæ¯æ¬¡30分é˜è‡³1å°æ™‚,大約1 個月後便會見到效果。

5. 我需è¦ä¸æ–·åš Schroth 的特定é‹å‹•å—Ž?

正確。 Schroth 是一個特別的脊椎å´å½Žæ²»ç™‚法, 它å¯ä»¥èžåˆæ–¼åœ¨å¹³å¸¸å·¥ä½œåŠç”Ÿæ´»ä¸­, 從而å¯ä»¥ä»¤æ‚£è€…學懂怎樣改善其脊彎症。

Scroth脊柱å´å½Žæ²»ç™‚法的功效顯注,並得到醫學界èªåŒã€‚以下是部分有關Schroth脊柱å´å½Žæ²»ç™‚法的醫學文ç»åŠç ”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.







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