体医融合指导下的青少年特发性脊柱侧弯运动疗法的实施路径

中国预防医学杂志2023年1月第24卷第1期Chin Prev Med,Jan.2023,Vol.24No.1·7D0I:10.16506Wj.1009-6639.2023.01.004·专家共识·体医融合指导下的青少年特发性脊柱侧弯运动疗法的实施路径中华预防医学会脊柱疾病预防与控制专业委员会中华预防医学会体育运动与健康分会摘要：我国青少年特发性脊柱侧弯问题突出，尽早进行针对性运动疗法干预对于避免病情恶化和预防并发症至关重要。体医融合指导下开展和实施青少年特发性脊柱侧弯的运动疗法干预是将体育与医学的最先进的理论理念与最有效的实践经验相结合，并提供了一种新的主动健康服务模式。但目前我国体医融合实践仍处于初级探索阶段，尚缺乏统一标准。为此，中华预防医学会脊柱疾病预防与控制专业委员会和中华预防医学会体育运动与健康分会组织相关专家，就青少年特发性脊柱侧弯运动疗法的体医隐合实施路径达成共识。本共识介绍了体医融合指导下对青少年特发性脊柱侧弯实施运动疗法过程中的相关问题，包括分级诊疗的意义、内容、模式、路径和质量评估，以指导和促进实施过程的安全、有效和可持续性。关键词：特发性脊柱侧弯；体医融合；运动疗法；专家共识中图分类号：R681.5文献标识码：A文章编号：1009-6639(2023)01-0007-08Implementation pathway of exercise therapy for adolescentidiopathic scoliosis guided by sports and medicine integration:based on expert consensusChinese Preventive Medicine Association.Spinal Disease Prevention and Control Committee:ChinesePreventive Medicine Association.Sports Exercise and PopulationCorresponding author:LIU Hai-ying.E-mail:liuhaiying1131@sina.com:GUO Jian-jun.E-mail:guojianjun@cupes.edu.cnAbstract:Adolescent diopathic scoliosis is a prominent problem in China.and early targeted exercise interven-tions are essential to avoid deterioration and prevent complications.The exercise therapy for adolescent idiopathicscoliosis developed and implemented under the notion of sports and medicine integration combines the most ad-vanced concept and the most successful practical experience,and offers a new model of active health services.How-ever.the integration of sports and medicine is still at primary stage in China.without unified standards.Therefore.Spinal Disease Prevention and Control Committee and Sports Exercise and Population branch of Chinese Preven-tive Medicine Association organized experts conferee to reach a consensus on the implementation pathway ofexer-cise therapy for adolescent idiopathi scoliosis guided by sports and medical integration.In order to guide and pro-mote the safety.effectiveness.and sustainability of the implementation process.this consensus introduces issues re-lated to the exercise therapy for adolescent idiopathic scoliosis under the guidance of sports and medicine integra-tion,including the meaning.content.model.pathway.and quality assessment of tiered health care.Key words:Idiopathic scoliosis:Sports and medicine integration:Exercise therapy:Expert consensus近年来，我国青少年脊柱侧弯问题突出，已成形势非常严峻。青少年特发性脊柱侧弯(adoles-为影响下一代健康成长的第三大疾病。据统计，cent idiopathic scoliosis,AIS)占所有脊柱侧弯人目前我国脊柱侧弯人数已超过300万人，并以每年群的80%以上，但其发病机制尚不明确。AIS严30万的速度递增，其中超过半数为青少年四，防控重影响青少年的身心健康，尤其在生长发育期侧弯畸形快速加重，若不及时干预，随畸形程度增加，通信作者：刘海鹰，E-mail:liuhaiying113l@sina.com:伴随出现一系列问题，包括体态异常、腰背疼痛、郭建军，E-mail:guojianjun(@cpes.edu.cm心血管机能下降、呼吸功能下降、运动能力下降，(C)1994-2023 China Academic Journal Electronic Publishing House.All rights reserved.http://www.cnki.net