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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.
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