Scoliosis rehabilitation training method based on Rigo typing

Abstract

The invention provides a scoliosis rehabilitation training method based on Ri go typing, and relates to the technical field of scoliosis rehabilitation treatment. The method comprises the following steps: acquiring a medical image of a spine area of a patient; based on an image processing algorithm, identifying three-dimensional coordinates of each vertebral body in the medical image and marking an abnormal scoliosis point location and scoliosis offset; according to a Ri go typing standard, the abnormal lateral bending point location and the lateral bending offset, determining an actual typing corresponding to the medical image; a pre-stored rehabilitation training database is called, the database comprises standardized training actions corresponding to different Ri go types, and corresponding training schemes are matched based on the actual types. A personalized training scheme is provided, and the treatment effect is improved in combination with core strength, a breathing mode, pelvic stability and the like. According to the method, the self-management ability and compliance of the patient are enhanced through clear training guidance, the dependence on professional rehabilitators is reduced, and the cost is reduced.

Description

Technical Field

[0001] The present invention relates to the technical field of rehabilitation treatment of scoliosis, and in particular to a scoliosis rehabilitation training method based on Rigo classification. Background Art

[0002] Scoliosis is a common skeletal disease characterized by three-dimensional spinal deformity. Its incidence is particularly high in adolescents. Severe cases can lead to physical imbalance, limited cardiopulmonary function, and psychological disorders. Currently, clinical treatment mainly includes surgical correction and conservative rehabilitation. Conservative treatment has become the preferred option for mild to moderate patients due to its low risk and wide range of applications. However, the traditional conservative treatment system has significant limitations:

[0003] Inefficiency and poor compliance: Existing methods often require patients to take a long break from school (1-2 years) for intensive training, which leads to a significant decrease in compliance and makes it difficult to adapt to the pace of modern life.

[0004] High cost and professional dependence: The training process requires full guidance from a rehabilitation therapist, there is a lack of independent home training plans, and the high cost makes it unaffordable for most families.

[0005] Weak scientific basis: Movement design relies on body posture observation and lacks support from biomechanical and anatomical theories. It even requires abnormal postures (such as deliberately twisting the pelvis) in exchange for short-term correction effects, which cannot be maintained in daily activities.

[0006] The effect mechanism is unclear: the training principles are not clearly explained, and patients and practitioners have insufficient understanding of the mechanism of action of the movements, which affects the evaluation of treatment effects and the building of confidence. Summary of the Invention

[0007] The main technical problem to be solved by the present invention is to overcome the limitations of traditional conservative treatment of scoliosis and provide a more efficient, economical, scientific and easy-to-understand rehabilitation solution.

[0008] In order to solve the above technical problems, the present invention provides the following technical solutions:

[0009] A scoliosis rehabilitation training method based on Rigo classification comprises the following steps:

[0010] Obtaining medical images of the patient's spinal region;

[0011] Based on an image processing algorithm, the three-dimensional coordinates of each vertebra in the medical image are identified and the abnormal scoliosis points and scoliosis offsets are marked;

[0012] Determining the actual classification corresponding to the medical image according to the Rigo classification standard, the abnormal scoliosis point and the scoliosis offset;

[0013] A pre-stored rehabilitation training database is called, which contains standardized training movements corresponding to different Rigo classifications, and a corresponding training plan is matched based on the actual classification.

[0014] The technical solution provided by the present invention has the following technical effects:

[0015] The Rigo classification-based scoliosis rehabilitation training method uses image processing algorithms to accurately diagnose a patient's scoliosis condition and provide a highly personalized rehabilitation training plan tailored to their specific circumstances. This method utilizes a standardized and validated exercise library, incorporating multiple factors such as core strength, breathing patterns, and pelvic stability to comprehensively improve overall functional status, thereby achieving better treatment outcomes. Furthermore, it provides clear and specific training guidance, enhancing patient self-management skills and increasing the likelihood of long-term adherence to training, thereby strengthening patient compliance. Furthermore, it reduces the need for full-time, one-on-one guidance from a professional rehabilitation therapist, reducing labor costs and optimizing resource allocation. It also supports a multi-center data sharing interface, facilitating the integration of global rehabilitation experience and research findings, continuously updating and refining the training method, and ensuring that treatment methods remain cutting-edge. Consequently, this comprehensive rehabilitation training method not only improves diagnostic accuracy and treatment outcomes, but also enhances patient engagement and satisfaction, achieving efficient resource utilization and continuous technological advancement. BRIEF DESCRIPTION OF THE DRAWINGS

[0016] The above and other features and advantages of the present invention will become more apparent by describing in detail exemplary embodiments thereof with reference to the accompanying drawings.

[0017] Figure 1 1 is a flow chart of a scoliosis rehabilitation training method based on Rigo classification provided in an embodiment of the present invention;

[0018] Figure 2 is a schematic diagram of an A1 type X-ray image provided in an embodiment of the present invention;

[0019] Figure 3 is a schematic diagram of an A2 type X-ray image provided in an embodiment of the present invention;

[0020] Figure 4 is a schematic diagram of an A3 type X-ray image provided in an embodiment of the present invention;

[0021] Figure 5 is a schematic diagram of a B1 type X-ray image provided in an embodiment of the present invention;

[0022] Figure 6 is a schematic diagram of a B2 type X-ray image provided in an embodiment of the present invention;

[0023] Figure 7is a schematic diagram of a C1 type X-ray image provided in an embodiment of the present invention;

[0024] Figure 8 is a schematic diagram of a C2 type X-ray image provided in an embodiment of the present invention;

[0025] Figure 9 is a schematic diagram of an E1 type X-ray image provided in an embodiment of the present invention;

[0026] Figure 10 is a schematic diagram of an E2 type X-ray image provided in an embodiment of the present invention;

[0027] Figure 11-1 This is the BSCP training system evaluation report-1 provided in an embodiment of the present invention;

[0028] Figure 11-2 This is the BSCP training system evaluation report-2 provided in an embodiment of the present invention;

[0029] Figure 12 is a respiratory function assessment measurement table provided in an embodiment of the present invention;

[0030] Figure 13 is a stretching training assessment measurement table provided in an embodiment of the present invention;

[0031] Figure 14 This is a core strength assessment measurement table provided in an embodiment of the present invention;

[0032] Figure 15 This is a pelvic stability assessment measurement table provided in an embodiment of the present invention. DETAILED DESCRIPTION

[0033] Example embodiments will now be described more fully with reference to the accompanying drawings. However, example embodiments can be embodied in many forms and should not be construed as limited to the embodiments set forth herein; rather, these embodiments are provided so that this disclosure will be thorough and complete and will fully convey the concepts of the example embodiments to those skilled in the art. Like reference numerals in the figures represent like or similar structures, and thus their detailed description will be omitted.

[0034] The terms "a", "an", "the", and "said" are used to indicate the presence of one or more elements / components / etc.; the terms "including" and "having" are used to express an open-ended inclusive meaning and mean that additional elements / components / etc. may be present in addition to the listed elements / components / etc.

[0035] like Figure 1 As shown, a scoliosis rehabilitation training method based on Rigo classification in this embodiment includes the following steps:

[0036] Step S1: Obtaining medical images of the patient's spine region

[0037] 1. Image acquisition technology

[0038] Using X-ray whole-spine photography technology, images of the patient are taken in the anteroposterior, lateral, and dynamic positions (such as left and right lateral flexion and forward flexion) to ensure that the entire length of the spine (C1 to S1) is covered.

[0039] Imaging parameter settings: tube voltage 70-90 kV, tube current 10-20 mAs, exposure time ≤ 1 second, and resolution not less than 300 dpi to reduce motion artifacts and clearly display the vertebral contour.

[0040] Patient position requirements: standing position, feet shoulder-width apart, arms hanging naturally, head in a neutral position to avoid compensatory posture interference with image analysis.

[0041] 2. Image storage and preprocessing

[0042] The acquired DICOM format images are uploaded to a cloud database, and the contrast is optimized through image enhancement algorithms (such as histogram equalization and edge sharpening) to facilitate subsequent vertebral labeling.

[0043] Step S2: Based on the image processing algorithm, identify the three-dimensional coordinates of each vertebra in the medical image and mark the abnormal scoliosis point and scoliosis offset

[0044] 1. Image processing algorithm

[0045] A three-dimensional reconstruction algorithm (such as a segmentation model based on a convolutional neural network) is used to identify the geometric center points of each vertebra (T1-L5) layer by layer, and to construct a three-dimensional coordinate system of the spine (coronal, sagittal, and axial planes).

[0046] The upper and lower terminal vertebrae of scoliosis are automatically identified and the angle between the two terminal vertebrae is calculated (accuracy ±1°).

[0047] The Nash-Moe classification method was used to quantify the rotation angle (accuracy ±5°) based on pedicle symmetry analysis.

[0048] Measure the horizontal distance of the top vertebra from the vertical line of the spine (unit: mm).

[0049] 2. Abnormal scoliosis point marking

[0050] The structural curvature area (Cobb angle ≥ 25° and flexibility < 30%) and the compensatory curvature area (Cobb angle < 25°) were marked in the three-dimensional coordinate system to generate a scoliosis morphology map.

[0051] Step 3S: Determine the actual classification corresponding to the medical image based on the Rigo classification criteria, the abnormal scoliosis point and the scoliosis offset

[0052] 1. Rigo typing determination process

[0053] Typing parameter input:

[0054] Apical vertebra location (e.g., thoracic T8, lumbar L3);

[0055] Coronal scoliosis morphology (single, double, triple curves);

[0056] Sagittal imbalance (abnormal thoracic kyphosis and lumbar lordosis).

[0057] Flexibility test: The scoliosis correction rate (corrected Cobb angle / original Cobb angle × 100%) was calculated using dynamic X-ray images and was classified as flexibility ≥ 40% (correctable type) or < 40% (rigid type).

[0058] Growth potential assessment: Combine the Risser sign (grades 0-5) with bone age determination (Greulich-Pyle atlas) to predict the risk of scoliosis progression (e.g., Risser grade 0 and bone age ≤ 12 years are considered high risk)

[0059] 2. Professional body surface testing, such as Figures 11-1 to 15 Among them, Figure 11-2 catch Figure 11-1 bottom.

[0060] 3. Type matching rules

[0061] Type A1 (transition point TP is located in the lumbar area)

[0062] 1. Clinical characteristics

[0063] Pelvic compensation: The pelvis shifts toward the concave side of the chest.

[0064] Trunk imbalance: A significant trunk deviation toward the convex side of the chest.

[0065] Thoracic curve shape: The thoracic curve is long, and the rib hump extends downward to the waist area, forming a continuous deformity.

[0066] 2. X-ray imaging standards - e.g. Figure 2 shown

[0067] Coronal plane: single long thoracic curve line (upper vertebrae T1-T4, lower vertebrae T12-L1), no clear lumbar scoliosis (lumbar curve disappears).

[0068] The transition point (TP) and T1 are imbalanced, and L4 is horizontal or tilted toward the convex side of the thoracic curve.

[0069] Rehabilitation ideas:

[0070] 1. Pelvis: There are two types of cases based on the results of pelvic function assessment:

[0071] (1) No obvious positional abnormality: If the patient is assessed to have no obvious rotation, tilt, or three-dimensional spatial positional abnormality in the pelvis, a standard pelvic bench will be used to assist in rehabilitation, providing basic support, maintaining the normal horizontal position of the pelvis and spinal alignment, and helping the patient maintain correct posture during rehabilitation training.

[0072] (2) Abnormal Position: Patients who meet the A1 classification (or other special circumstances) and have abnormal pelvic rotation, tilt, etc. will have a customized 3D printed pelvic stool based on their pelvic rotation direction, angle, and individual differences. This will improve pelvic mechanical imbalance through precise support and correction angles.

[0073] 2. Thoracic segment: Apply a translational force from right to left (2) and superimpose an anti-rotational force from back to front.

[0074] 3. Upper thoracic segment: Pressure (3) is applied to the upper thoracic segment to prevent the overall force line from deviating to the right when thoracic segment pressure (2) is applied; the antagonistic anti-rotational forces of pelvic pressure (1), thoracic segment pressure (2) and upper thoracic segment pressure (3) form a three-point force system, which gradually corrects the scoliosis deformity and restores the normal physiological curvature and mechanical balance of the spine.

[0075] Fourth, based on the results of respiratory function assessment, we will use specialized training to correct bad breathing habits, strengthen the respiratory muscles, and establish a scientific breathing pattern. This will work with the spinal muscles to provide stable support and enhance the overall rehabilitation effect.

[0076] Fifth, based on the core function assessment results, a step-by-step training program is implemented to strengthen core muscle function, targeting weak core muscle strength and poor coordination. Beginning with basic stability training and gradually transitioning to dynamic resistance exercises, this program enhances core muscle strength, endurance, and control, while also strengthening trunk stability. Good core function maintains spinal biomechanical balance, providing stable support for other rehabilitation measures such as breathing exercises and stretching, ultimately improving the overall functional status of scoliosis patients.

[0077] 6. Take off the brace and do stretching exercises before and after meals every day.

[0078] Type A2 (transition point TP is higher and located in the lower chest area)

[0079] 1. Clinical characteristics

[0080] Pelvic compensation: The pelvis shifts toward the concave side of the chest.

[0081] Trunk imbalance: There is a marked deviation of the trunk toward the convex side of the chest (thoracic convexity trunk imbalance), with a prominent sternocostal hump.

[0082] Lumbar compensation: There is no protrusion of the contralateral lumbar spine or only slight compensation (no structural lumbar curvature).

[0083] 2. X-ray imaging standards - e.g. Figure 3 shown

[0084] Coronal plane: single main curve in the thoracic segment (upper vertebrae T1-T4, lower vertebrae T10-T12), no scoliosis or only mild compensation in the lumbar segment (Cobb angle <15°).

[0085] The transition point (TP) is located in the lower thoracic region (T10-T12 level), and the L4 vertebra remains horizontal.

[0086] Sagittal imbalance: deviation of the T1 vertebra from the midline (CSL) on the convex side of the chest, often accompanied by upper thoracic recurvation (anterior shoulder tilt).

[0087] Rehabilitation ideas:

[0088] 1. Pelvis: There are two types of cases based on the results of pelvic function assessment:

[0089] (1) No obvious positional abnormality: If the patient is assessed to have no obvious rotation, tilt, or three-dimensional spatial positional abnormality in the pelvis, a standard pelvic bench will be used to assist in rehabilitation, providing basic support, maintaining the normal horizontal position of the pelvis and spinal alignment, and helping the patient maintain correct posture during rehabilitation training.

[0090] (2) Abnormal Position: Patients who meet the A2 classification (or other special circumstances) and have abnormalities such as pelvic rotation or tilt will have a customized 3D-printed pelvic stool designed based on their pelvic rotation direction, angle, and individual differences. This will improve pelvic mechanical imbalances through precise support and correction angles.

[0091] 2. Lumbar region: Apply pressure from left to right (2) combined with pelvic anti-rotation.

[0092] 3. Thoracic segment: Apply a translational force from right to left (3) and superimpose an anti-rotational force from back to front.

[0093] 4. Upper thoracic segment: Pressure (4) is applied to the upper thoracic segment to prevent the overall force line from deviating to the right when thoracic segment pressure (3) is applied; the antagonistic anti-rotational force of lumbar segment pressure (2), thoracic segment pressure (3) and upper thoracic segment pressure (4) constitute a three-point force system, which gradually corrects the scoliosis deformity and restores the normal physiological curvature and mechanical balance of the spine.

[0094] 5. Based on the results of respiratory function assessment, we will use specialized training to correct bad breathing habits, strengthen the respiratory muscles, and establish a scientific breathing pattern. This will work with the spinal muscles to provide stable support and enhance the overall rehabilitation effect.

[0095] 6. Based on the core function assessment results, address core weakness and poor coordination through a stepped training program. Beginning with basic stability training and gradually transitioning to dynamic resistance exercises, this program enhances core strength, endurance, and control, while also strengthening trunk stability. Good core function maintains spinal biomechanical balance, providing stable support for other rehabilitation measures like breathing exercises and stretching, ultimately improving the overall functional status of scoliosis patients.

[0096] 7. Take off the brace and do stretching exercises before and after meals every day.

[0097] Type A3 (transition point TP is close to the midline CSL)

[0098] 1. Clinical characteristics

[0099] Pelvic compensation: The pelvis shifts toward the concave side of the chest.

[0100] Trunk imbalance: A significant trunk deviation toward the convex side of the chest.

[0101] Thoracic curve shape: obvious sternal rib protrusion, no protrusion or only slight protrusion of the contralateral lumbar vertebrae.

[0102] 2. X-ray imaging standards - e.g. Figure 4 shown

[0103] Coronal plane: single main thoracic curve (upper vertebrae T1-T4, lower vertebrae T10-T12), no lumbar scoliosis or only minimal compensation (Cobb angle <10°).

[0104] The transition point (TP) is close to the midline (CSL) and is located at the thoracolumbar junction (T12-L1 level).

[0105] Sagittal imbalance: deviation of the T1 vertebra from the midline (CSL) on the convex side of the chest.

[0106] The L4 vertebral body is tilted toward the concave side of the thoracic curve (iliopsoas angle is closed).

[0107] Rehabilitation ideas:

[0108] 1. Pelvis: There are two types of cases based on the results of pelvic function assessment:

[0109] (3) No obvious positional abnormality: If the patient is assessed to have no obvious rotation, tilt, or three-dimensional spatial positional abnormality in the pelvis, a standard pelvic bench will be used to assist in rehabilitation, providing basic support, maintaining the normal horizontal position of the pelvis and spinal alignment, and helping the patient maintain correct posture during rehabilitation training.

[0110] (IV) Abnormal Position: Patients who meet the A2 classification (or other special circumstances) and have abnormalities such as pelvic rotation or tilt will have a customized 3D printed pelvic stool designed based on their pelvic rotation direction, angle, and individual differences. This will improve pelvic mechanical imbalances through precise support and correction angles.

[0111] 2. Lumbar region: Apply pressure from left to right (2) combined with pelvic anti-rotation.

[0112] 3. Thoracic segment: Apply a translational force from right to left (3) and superimpose an anti-rotational force from back to front.

[0113] 4. Upper thoracic segment: The upper thoracic segment applies pressure (4) to balance the force line; the antagonistic anti-rotational force of the lumbar segment pressure (2), the thoracic segment pressure (3) and the upper thoracic segment pressure (4) form a three-point force system, which gradually corrects the scoliosis deformity and restores the normal physiological curvature and mechanical balance of the spine.

[0114] 5. Based on the respiratory function assessment results, we will target abnormal breathing patterns through specialized training to correct bad breathing habits, strengthen the respiratory muscles, and establish a scientific breathing pattern. Good breathing promotes normal thoracic movement, coordinates with the spinal muscles to provide stable support, and enhances overall rehabilitation effectiveness.

[0115] 6. Based on the core function assessment results, address core weakness and poor coordination through a stepped training program. Begin with basic stability training and gradually transition to dynamic resistance exercises to enhance core strength, endurance, and control, while strengthening trunk stability. Good core function can effectively distribute spinal pressure, maintain spinal biomechanical balance, assist in correcting abnormal force alignment, and provide stable support for other rehabilitation measures such as breathing exercises and stretching, ultimately improving the overall functional status of scoliosis patients.

[0116] 7. Take off the brace and do stretching exercises before and after meals every day.

[0117] Type B1 (transition point TP is located in the lumbar spine / lower thoracic area)

[0118] 1. Clinical characteristics

[0119] Pelvic compensation: The pelvis shifts toward the convex side of the thoracic curve, causing the center of gravity of the trunk to shift.

[0120] Trunk imbalance: A significant trunk imbalance occurs on the concave side of the chest, with sternocostal protrusions; compensatory protrusions may be seen in the contralateral lumbar or thoracolumbar regions.

[0121] Thoracolumbar deformity: The double-curve structure of the thoracolumbar spine (the main curve is located in the thoracic segment, and the compensatory curve is located in the lumbar segment) forms a compound scoliosis.

[0122] 2. X-ray imaging standards - e.g. Figure 5 shown

[0123] Coronal plane:

[0124] The double curvature of the thoracolumbar spine (the upper vertebrae T1-T4 and the lower vertebrae T10-T12 of the main curve of the thoracic segment; the upper vertebrae L1-L3 of the compensatory curve of the lumbar segment).

[0125] The transition point (TP) is located in the lumbar / lower thoracic region (L1-L3 levels), with the TP deviating from the midline (CSL) on the concave side of the thorax.

[0126] Sagittal imbalance: deviation of the T1 vertebra from the midline (CSL) on the concave side of the chest, with recurvation of the upper thoracic segment.

[0127] The L4 vertebral body tilts toward the convex side of the lumbar curve, and the iliopsoas angle closes (the lumbar lordosis angle decreases).

[0128] Rehabilitation ideas:

[0129] 1. Pelvis: There are two types of cases based on the results of pelvic function assessment:

[0130] (1) No obvious positional abnormality: If the patient is assessed to have no obvious rotation, tilt, or three-dimensional spatial positional abnormality in the pelvis, a standard pelvic bench will be used to assist in rehabilitation, providing basic support, maintaining the normal horizontal position of the pelvis and spinal alignment, and helping the patient maintain correct posture during rehabilitation training.

[0131] (2) Abnormal Position: Patients who meet the B1 classification (or other special circumstances) and have abnormalities such as pelvic rotation or tilt will receive a customized 3D-printed pelvic stool based on their pelvic rotation direction, angle, and individual differences. Through precise support and correction angles, the stool improves pelvic mechanical imbalance, corrects poor anatomical position, and maintains correct anatomical position, thereby achieving balance.

[0132] 2. Lumbar section: The lumbar section guides the pressure back to the right side of the midline, while resisting rotation, (2 3 4) forming a three-point pressure system.

[0133] 3. Thoracic segment: The thoracic segment pressure (4) forms a three-point pressure system with pressures (3) and (5).

[0134] 4. Upper thoracic segment: Pressure (5) allows the upper thoracic segment to return to the midline from left to right, while anti-rotational force is applied to the left posterior side.

[0135] 5. Based on the respiratory function assessment results, we will target abnormal breathing patterns through specialized training to correct bad breathing habits, strengthen the respiratory muscles, and establish a scientific breathing pattern. Good breathing promotes normal thoracic movement, coordinates with the spinal muscles to provide stable support, and enhances overall rehabilitation effectiveness.

[0136] 6. Based on the core function assessment results, address core weakness and poor coordination through a stepped training program. Begin with basic stability training and gradually transition to dynamic resistance exercises to enhance core strength, endurance, and control, while strengthening trunk stability. Good core function can effectively distribute spinal pressure, maintain spinal biomechanical balance, assist in correcting abnormal force alignment, and provide stable support for other rehabilitation measures such as breathing exercises and stretching, ultimately improving the overall functional status of scoliosis patients.

[0137] 6. Take off the brace and do stretching exercises before and after meals every day.

[0138] Type B2 (high transition point TP)

[0139] 1. Clinical characteristics

[0140] Pelvic compensation: The pelvis shifts toward the convex side of the thoracic curve, resulting in a significant shift in the center of gravity of the trunk.

[0141] Trunk imbalance: Trunk imbalance on the concave side of the chest, with obvious thoracolumbar protrusion or small-scale thoracic protrusion.

[0142] Thoracolumbar deformity: The main curve is a long thoracolumbar curve (upper vertebrae T1-T4, lower vertebrae L1-L3), combined with a small compensatory thoracolumbar curve (Cobb angle <20°).

[0143] 2. X-ray imaging standards - e.g. Figure 6 shown

[0144] Coronal plane: long thoracolumbar curve, Cobb angle ≥ 25°, with the upper vertebrae located at T1-T4 and the lower vertebrae extending to L1-L3. Small thoracolumbar curve (Cobb angle < 20°) located opposite the main curve.

[0145] The transition point (TP) is located in the thoracic spine fixation area (T8-T10 level), and the TP on the concave side of the thorax deviates from the midline (CSL).

[0146] Sagittal imbalance: The T1 vertebra on the concave side of the chest deviates from the midline (CSL), and the thoracic kyphosis angle is reduced.

[0147] The L4 vertebral body tilts toward the convex side of the lumbar curve, and the iliopsoas angle closes (the lumbar lordosis angle decreases).

[0148] Rehabilitation ideas:

[0149] 1. Pelvis: There are two types of cases based on the results of pelvic function assessment:

[0150] (1) No obvious positional abnormality: If the patient is assessed to have no obvious rotation, tilt, or three-dimensional spatial positional abnormality in the pelvis, a standard pelvic bench will be used to assist in rehabilitation, providing basic support, maintaining the normal horizontal position of the pelvis and spinal alignment, and helping the patient maintain a correct posture during rehabilitation training.

[0151] (2) Abnormal position: Patients who meet the B1 classification (or other special cases) and have abnormal pelvic rotation, tilt, etc. will have a customized 3D printed pelvic stool based on their pelvic rotation direction, angle, and individual differences. Through precise support and correction angles, the pelvic mechanical imbalance problem is improved, the poor anatomical position is corrected, and the correct anatomical position is maintained, thus achieving balance.

[0152] 2. Thoracolumbar segment: The thoracolumbar segment guides the pressure back to the right side of the midline while resisting rotation, (2 3 4) forming a three-point pressure system.

[0153] 3. Thoracic segment: The thoracic segment pressure (4) forms a three-point pressure system with pressures (3) and (5).

[0154] 4. Upper thoracic segment: Pressure (5) allows the upper thoracic segment to return to the midline from left to right, while anti-rotational force is applied to the left posterior side.

[0155] 5. Based on the respiratory function assessment results, we will target abnormal breathing patterns through specialized training to correct bad breathing habits, strengthen the respiratory muscles, and establish a scientific breathing pattern. Good breathing promotes normal thoracic movement, coordinates with the spinal muscles to provide stable support, and enhances overall rehabilitation effectiveness.

[0156] 6. Based on the core function assessment results, address core weakness and poor coordination through a stepped training program. Begin with basic stability training and gradually transition to dynamic resistance exercises to enhance core strength, endurance, and control, while strengthening trunk stability. Good core function can effectively distribute spinal pressure, maintain spinal biomechanical balance, assist in correcting abnormal force alignment, and provide stable support for other rehabilitation measures such as breathing exercises and stretching, ultimately improving the overall functional status of scoliosis patients.

[0157] 7. Take off the brace and do stretching exercises before and after meals every day.

[0158] Type C1 (transition point TP and T1 are close to the midline CSL)

[0159] 1. Clinical characteristics

[0160] Pelvic compensation: The vertical line of the pelvis is centered on the midline (CSL) without obvious translation.

[0161] Trunk Balance: The trunk is generally symmetrical, but there is a noticeable hump in the thoracic region.

[0162] Lumbar spine morphology: The lumbar spine is roughly straight, without structural scoliosis.

[0163] 2. X-ray imaging standards - e.g. Figure 7 shown

[0164] Coronal plane: single main curve in the thoracic segment (upper vertebrae T1-T4, lower vertebrae T10-T12), no scoliosis in the lumbar segment (Cobb angle <10°).

[0165] The transition point (TP) is located on the perpendicular line to the midline (CSL), close to the T1 vertebra (T3-T5 level).

[0166] Sagittal plane: L4 vertebra remains horizontal and the iliopsoas angle is normal.

[0167] Rehabilitation ideas:

[0168] 1. Pelvis: There are two types of cases based on the results of pelvic function assessment:

[0169] (1) No obvious positional abnormality: If the patient is assessed to have no obvious rotation, tilt, or three-dimensional spatial positional abnormality in the pelvis, a standard pelvic bench will be used to assist in rehabilitation, providing basic support, maintaining the normal horizontal position of the pelvis and spinal alignment, and helping the patient maintain correct posture during rehabilitation training.

[0170] (2) Abnormal Position: Patients who meet the C1 classification (or other special circumstances) and have abnormalities such as pelvic rotation or tilt will have a customized 3D-printed pelvic stool designed based on their pelvic rotation direction, angle, and individual differences. Through precise support and correction angles, the stool improves pelvic mechanical imbalance, corrects poor anatomical position, and maintains correct anatomical position, thereby achieving balance.

[0171] 2. Lumbar segment: The lumbar segment guides the pressure back to the right side of the midline while resisting rotation.

[0172] Thoracic segment: Guide the thoracic segment from right to left, paying attention to the three-point pressure system to avoid tilting of the pelvis and upper thoracic segment.

[0173] Upper thoracic segment: Pressure (3) causes the upper thoracic segment to return to the midline from left to right, while an anti-rotation force is applied to the left posterior side.

[0174] 3. Based on the results of respiratory function assessment, we will use specialized training to correct bad breathing habits, strengthen the respiratory muscles, and establish a scientific breathing pattern. This will work with the spinal muscles to provide stable support and enhance the overall rehabilitation effect.

[0175] Fourth, based on the core function assessment results, a step-by-step training program is implemented to strengthen core muscle function, targeting weak core muscle strength and poor coordination. Beginning with basic stability training and gradually transitioning to dynamic resistance exercises, this program enhances core muscle strength, endurance, and control, while also strengthening trunk stability. Good core function maintains spinal biomechanical balance, providing stable support for other rehabilitation measures such as breathing exercises and stretching, ultimately improving the overall functional status of scoliosis patients.

[0176] 5. Take off the brace and do stretching exercises before and after meals every day.

[0177] Type C2 (transition points TP and T1 are located on the midline CSL, with double curvature of the thoracolumbar spine)

[0178] 1. Clinical characteristics

[0179] Pelvic compensation: The vertical line of the pelvis is centered on the midline (CSL) without obvious translation.

[0180] Trunk imbalance: There are obvious protrusions in both the thoracic and lumbar segments (double humps).

[0181] Thoracolumbar deformity: There are two major curves in the thoracolumbar spine, which may be combined with upper thoracic segment recurvature (shoulders tilted forward).

[0182] 2. X-ray imaging standards - e.g. Figure 8 shown

[0183] Coronal plane:

[0184] The main thoracic curve (Cobb angle ≥ 25°) and the compensatory lumbar curve (Cobb angle ≥ 20°) coexist.

[0185] The transition point (TP) and T1 are both located on the perpendicular line of the midline (CSL).

[0186] Sagittal plane: The L4 vertebra may tilt toward the convex side of the lumbar curve, and the iliopsoas angle is closed (the lumbar lordosis angle is reduced).

[0187] Rehabilitation ideas:

[0188] 1. Pelvis: There are two types of cases based on the results of pelvic function assessment:

[0189] (1) No obvious positional abnormality: If the patient is assessed to have no obvious rotation, tilt, or three-dimensional spatial positional abnormality in the pelvis, a standard pelvic bench will be used to assist in rehabilitation, providing basic support, maintaining the normal horizontal position of the pelvis and spinal alignment, and helping the patient maintain correct posture during rehabilitation training.

[0190] (2) Abnormal Position: Patients who meet the C2 classification (or other special circumstances) and have abnormalities such as pelvic rotation or tilt will have a customized 3D-printed pelvic stool designed based on their pelvic rotation direction, angle, and individual differences. Through precise support and correction angles, the stool improves pelvic mechanical imbalances, corrects poor anatomical positions, and maintains correct anatomical positions, thereby achieving balance.

[0191] 2. Lumbar segment: The lumbar segment guides the pressure back to the right side of the midline while resisting rotation.

[0192] 3. Thoracic segment: The thoracic segment pressure (2) forms a three-point pressure system with pressures (1) and (3).

[0193] 4. Upper thoracic segment: Pressure (3) stabilizes the midline, while anti-rotation force is applied to the left posterior side.

[0194] Fifth, based on the core function assessment results, address core weakness and poor coordination through a stepped training program. Begin with basic stability training and gradually transition to dynamic resistance exercises to enhance core strength, endurance, and control, while strengthening trunk stability. Good core function can effectively distribute spinal pressure, maintain spinal biomechanical balance, assist in correcting abnormal force alignment, and provide stable support for other rehabilitation measures such as breathing exercises and stretching exercises, ultimately improving the overall functional status of scoliosis patients.

[0195] 6. Take off the brace and do stretching exercises before and after meals every day.

[0196] Type E1 (transition point TP is located in the lumbar / lower thoracic region, lumbar main curve)

[0197] 1. Clinical characteristics

[0198] Pelvic compensation: The pelvis translates toward the concave side of the lumbar spine.

[0199] Trunk imbalance: The trunk is significantly deviated on the convex side of the lumbar spine, with obvious lumbar protrusion and no rib hump in the thoracic region.

[0200] Lumbar deformity: single lumbar main curve, no thoracic scoliosis.

[0201] 2. X-ray imaging standards - e.g. Figure 9 shown

[0202] Coronal plane: single main lumbar curve (upper vertebrae L1-L3, lower vertebrae L4-L5), no thoracic scoliosis.

[0203] The transition point (TP) is located in the lumbar / lower thoracic region (L1-L3 levels), and the TP on the convex side of the lumbar spine deviates from the midline (CSL).

[0204] Sagittal plane: The L4 vertebral body is tilted toward the convex side of the lumbar curve, and the iliolumbar angle is closed.

[0205] Rehabilitation ideas

[0206] 1. Pelvis: There are two types of cases based on the results of pelvic function assessment:

[0207] (1) No obvious positional abnormality: If the patient is assessed to have no obvious rotation, tilt, or three-dimensional spatial positional abnormality in the pelvis, a standard pelvic bench will be used to assist in rehabilitation, providing basic support, maintaining the normal horizontal position of the pelvis and spinal alignment, and helping the patient maintain correct posture during rehabilitation training.

[0208] (2) Abnormal Position: Patients who meet the E1 classification (or other special circumstances) and have abnormalities such as pelvic rotation or tilt will receive a customized 3D-printed pelvic stool based on their pelvic rotation direction, angle, and individual differences. Through precise support and correction angles, the stool improves pelvic mechanical imbalance, corrects poor anatomical position, and maintains correct anatomical position, thereby achieving balance.

[0209] Second, Lumbar Segment: Apply pressure (2) to the lumbar segment, forming a scientific three-point force system with the upper pressure (3) and the lower pressure (1). During training, the stability of this force system is strictly maintained to guide the spine to gradually adjust its posture, achieve a return to the midline, and complete the correction of the mechanical structure.

[0210] 3. Based on the results of respiratory function assessment, we will use specialized training to correct bad breathing habits, strengthen the respiratory muscles, and establish a scientific breathing pattern. This will work with the spinal muscles to provide stable support and enhance the overall rehabilitation effect.

[0211] Fourth, based on the core function assessment results, a step-by-step training program is implemented to strengthen core muscle function, targeting weak core muscle strength and poor coordination. Beginning with basic stability training and gradually transitioning to dynamic resistance exercises, this program enhances core muscle strength, endurance, and control, while also strengthening trunk stability. Good core function maintains spinal biomechanical balance, providing stable support for other rehabilitation measures such as breathing exercises and stretching, ultimately improving the overall functional status of scoliosis patients.

[0212] 5. Take off the brace and do stretching exercises before and after meals every day.

[0213] Type E2 (transition point TP is located in the thoracolumbar fixation area, thoracolumbar main curve)

[0214] 1. Clinical characteristics

[0215] Pelvic compensation: The pelvis shifts toward the thoracolumbar concave side.

[0216] Trunk imbalance: The trunk is shifted on the thoracolumbar convex side, with thoracolumbar vertebrae protrusion and no sternocostal protrusion.

[0217] Thoracolumbar deformity: single thoracolumbar long curvature, no thoracic scoliosis.

[0218] 2. X-ray imaging standards - e.g. Figure 10 shown

[0219] Coronal plane: single thoracolumbar main curve (upper vertebrae T10-T12, lower vertebrae L3-L4), no scoliosis in the thoracic segment.

[0220] The transition point (TP) is located in the thoracolumbar fixation area (T12-L1 level), and the TP on the thoracolumbar convex side deviates from the midline (CSL).

[0221] Sagittal plane: The L4 vertebral body is tilted toward the thoracolumbar convex side, and the iliopsoas angle is closed.

[0222] Rehabilitation ideas

[0223] 1. Pelvis: There are two types of cases based on the results of pelvic function assessment:

[0224] (1) No obvious positional abnormality: If the patient is assessed to have no obvious rotation, tilt, or three-dimensional spatial positional abnormality in the pelvis, a standard pelvic bench will be used to assist in rehabilitation, providing basic support, maintaining the normal horizontal position of the pelvis and spinal alignment, and helping the patient maintain correct posture during rehabilitation training.

[0225] (2) Abnormal Position: Patients who meet the E2 classification (or other special circumstances) and have abnormalities such as pelvic rotation or tilt will receive a customized 3D-printed pelvic stool based on their pelvic rotation direction, angle, and individual differences. Through precise support and correction angles, the stool improves pelvic mechanical imbalance, corrects poor anatomical position, and maintains correct anatomical position, thereby achieving balance.

[0226] Second, thoracolumbar region: Apply pressure (2) to the thoracolumbar region, forming a three-point force system with the upper pressure (3) and the lower pressure (1). During training, the stability of this force system is strictly maintained to guide the spine to gradually adjust its posture, achieve a return to the midline, and complete the correction of the mechanical structure.

[0227] 3. Upper thoracic segment: Apply pressure from left to right on the upper thoracic segment (4) to return the upper thoracic segment to the midline of the spine.

[0228] Fourth, based on the results of respiratory function assessment, we will use specialized training to correct bad breathing habits, strengthen the respiratory muscles, and establish a scientific breathing pattern. This will work with the spinal muscles to provide stable support and enhance the overall rehabilitation effect.

[0229] Fifth, based on the core function assessment results, a step-by-step training program is implemented to strengthen core muscle function, targeting weak core muscle strength and poor coordination. Beginning with basic stability training and gradually transitioning to dynamic resistance exercises, this program enhances core muscle strength, endurance, and control, while also strengthening trunk stability. Good core function maintains spinal biomechanical balance, providing stable support for other rehabilitation measures such as breathing exercises and stretching, ultimately improving the overall functional status of scoliosis patients.

[0230] 6. Take off the brace and do stretching exercises before and after meals every day.

[0231] Step S4: Calling a pre-stored rehabilitation training action library, which contains standardized training actions corresponding to different Rigo classifications, and matching the corresponding training plan based on the actual classification.

[0232] 1. Construction and management of rehabilitation training database

[0233] The rehabilitation training movement library contains standardized rehabilitation training movements corresponding to different Rigo classifications.

[0234] The movement library is classified according to the type of scoliosis (Rigo A, B, C, D, E and its sub-categories), and each type corresponds to a different combination of training modules and movement sequences.

[0235] Each exercise is labeled:

[0236] Action name, action diagram / video link;

[0237] Movement goals (such as improving thoracic mobility, enhancing core stability, etc.);

[0238] Difficulty level of the movement (beginner, intermediate, advanced);

[0239] Related training modules (three-dimensional breathing reconstruction, biomechanical stretching, core strength training, pelvic stabilization engineering);

[0240] Training frequency and duration recommendations;

[0241] Safety tips and contraindications.

[0242] 1.1. Specific implementation of the 3D respiratory reconstruction module

[0243] Unlock restricted breathing mode:

[0244] The patient is first assessed for breathing pattern restrictions caused by scoliosis. A series of targeted exercises are then used to unlock these restricted breathing patterns.

[0245] The exercises include techniques such as deep breathing and slow exhalation, designed to activate the core muscles, regulate intra-abdominal pressure, and improve overall rib cage mobility.

[0246] Activate deep muscles and diaphragm linkage:

[0247] Emphasizes the collaborative work of the transverse abdominal muscle and the diaphragm, both of which play a key role in maintaining proper breathing patterns.

[0248] Incorporating guided breathing exercises, patients are instructed to direct their breath into concave areas of the body (such as the concave areas of the chest or abdomen caused by scoliosis) to help correct abnormal spinal alignment.

[0249] Building a dynamic and stable foundation:

[0250] Use a variety of breathing training methods, including but not limited to chest breathing, abdominal breathing, and unilateral rib stretching breathing training.

[0251] The goal is to enhance spinal posture symmetry and stability, with training tailored to the specific needs of people with scoliosis.

[0252] Four aspects of breathing training:

[0253] Learning correct breathing patterns: Educating patients to understand and practice correct breathing techniques will lay the foundation for subsequent treatment.

[0254] Guided breathing exercises: Use specific guided techniques to help patients correct abnormal shapes of the chest and abdomen and promote normal alignment of internal organs and skeletal structure.

[0255] Improved breathing quality: Especially for patients wearing braces, the importance of breathing training is emphasized to ensure that high-quality breathing is maintained even under physical limitations.

[0256] Increase recovery time and quality: Encourage patients to extend their daily training time and improve the quality of each training session to achieve the best recovery effect.

[0257] Through the above steps, the three-dimensional breathing reconstruction module not only helps to alleviate the physical discomfort caused by scoliosis, but also effectively improves the patient's quality of life and gradually restores normal body functions and posture.

[0258] 1.2 Specific implementation of the biomechanical stretching module

[0259] Countertraction and anti-rotational traction:

[0260] Before performing any stretches, first ensure the patient's pelvis is in proper alignment. This step is crucial because an incorrect pelvic position can cause abnormal distortions in other parts of the body, causing additional damage.

[0261] Identify the key points of spinal deflection and rotation in three-dimensional space and apply counter-traction and anti-rotational traction to these points. This process should be performed under the guidance of a professional rehabilitation therapist to ensure the safety and effectiveness of the operation.

[0262] Overall movement involving multiple joints and muscle groups:

[0263] Based on the principles of human development and neurophysiology, a holistic exercise program involving multiple joints and muscle groups is designed. This approach not only corrects local problems but also improves the overall body alignment (i.e., the body's straightness).

[0264] Emphasizing the importance of coordinated whole-body movement, rather than focusing on changes in the spine or a specific area, can help restore overall balance and stability.

[0265] Guided breathing exercises combined with stretching exercises:

[0266] Guided breathing exercises are incorporated into stretching exercises to promote balanced muscle tone on both sides of the spine, reduce vertebral rotation, and improve Cobb angles.

[0267] Through specific breathing patterns, patients are taught how to coordinate their breathing with stretching to further enhance the training effect. For example, when performing reverse stretching, patients are taught to inhale deeply and exhale slowly while focusing on the target area, helping to relax tense muscles and increase the effectiveness of the stretch.

[0268] The main contents of stretching training:

[0269] Countertraction: Accurately identify key points of spinal deviation and rotation and perform countertraction and anti-rotational stretches while maintaining the correct position of the pelvis.

[0270] Holistic movement: Using holistic movement involving multiple joints and muscle groups, emphasizing the improvement of the overall body line based on the principles of human development and neurophysiology.

[0271] Guided breathing training: Guided breathing techniques are applied to stretching training to promote body balance, especially the balance of muscle tension on both sides of the spine, which helps to reduce vertebral rotation and improve spinal morphology.

[0272] Through the above steps, the biomechanical stretching module can effectively restore the ductility of soft tissues, correct mechanical imbalances in the thorax, abdomen, and pelvis, and thus improve abnormal spinal morphology, providing patients with a healthier and more stable body structure. Furthermore, proper stretching training can significantly improve patients' quality of life and alleviate the discomfort caused by scoliosis.

[0273] 1.3. Specific implementation methods of core strength training module

[0274] Layered strengthening of the multifidus and erector spinae muscles:

[0275] Static stability training: Static stability training is performed first, aiming to strengthen the deep stabilizing muscles (such as the multifidus) and superficial dynamic muscles (such as the erector spinae) in a layered manner. Through a series of specific exercises, such as planks and bridge poses, patients are helped to maintain a neutral position for the pelvis and lumbar spine. These exercises help enhance spinal stability and reduce the risk of further injury from improper posture.

[0276] Dynamic anti-rotation training:

[0277] To improve the trunk and pelvis's ability to resist external forces, design a series of dynamic anti-rotation exercises. For example, using elastic bands or dumbbells for anti-rotational trunk exercises ensures stability in the face of external forces and avoids compensatory movements. This step is crucial to preventing asymmetrical muscle development associated with scoliosis.

[0278] Core muscle training combined with respiratory function optimization:

[0279] Integrating breathing exercises with core muscle training can lead to balanced core muscle training and personalized bilateral asymmetric strength adjustments. Specifically, patients can be instructed to breathe deeply while performing core strength exercises to optimize thoracic and abdominal movements, thereby improving overall core stability.

[0280] Personalized training programs: We develop personalized training plans tailored to each patient's specific situation, particularly considering bilateral muscle asymmetry. Targeted strength training is used to correct this imbalance and build a 360° protective spine.

[0281] The main contents of core strength training:

[0282] Balanced core training: Focuses on enhancing spinal stability through various core strength exercises.

[0283] Personalized core muscle training: Provide customized training programs to solve the problem of unbalanced muscle strength on both sides of the body.

[0284] Improve respiratory function: Integrating breathing exercises into core strength training can optimize the range of motion of the chest and abdomen and promote better breathing patterns.

[0285] Personalized training for complications: Provide corresponding training strategies for possible complications associated with scoliosis, such as back pain, breathing restrictions, etc.

[0286] Through the above steps, the core strength training module not only improves overall spinal stability and dynamic control, but also effectively reduces the risk of scoliosis progression. Furthermore, this module helps maximize the effectiveness of spinal orthoses, further improving patients' quality of life. This approach emphasizes the importance of personalized treatment, ensuring that each patient receives the most appropriate rehabilitation plan.

[0287] 1.4 Specific implementation of the pelvic stabilization engineering module

[0288] During pelvic stability training, a customized pelvic bench is used to accurately correct pelvic rotation, firmly maintain its normal anatomical position, and provide a solid foundation for the overall mechanical balance of the spine.

[0289] Static alignment exercises – correcting abnormal pelvic posture

[0290] Through systematic static training, abnormal postures such as pelvic tilt, posterior tilt and lateral tilt can be corrected. Specifically, it includes:

[0291] Patients perform pelvic position awareness training in a supine or standing position, using a mirror or a therapist's palpation to help them learn to identify and maintain a neutral pelvic position.

[0292] Use exercises that coordinate the contraction of the abdominal muscles, gluteal muscles, and core muscles (such as "pelvic tilt control" and "bridge training") to restore the anterior and posterior superior hip spines on both sides of the pelvis to the same level;

[0293] Emphasize even distribution of the body's center of gravity to avoid shifting the force line of the lower limbs or compensatory bending of the lumbar spine due to pelvic tilt.

[0294] Dynamic stability training - improving pelvic movement control ability

[0295] Strengthen pelvic stability during dynamic activities to prevent rotation and displacement by:

[0296] Design functional movement training, such as single-leg standing, gait training, and balance mat activities, to simulate the multi-dimensional movement state in daily life;

[0297] Incorporate external interference training (such as slight pushing and pulling, walking on uneven surfaces) to improve the patient's pelvic control ability in an unstable environment;

[0298] The training process emphasizes the enhancement of neuromuscular control ability, so that patients can automatically maintain pelvic stability in an unconscious state and reduce compensatory movements caused by pelvic imbalance.

[0299] Reconstructing the force transmission line of the lower limbs - optimizing the mechanical transmission path

[0300] Adjust the pelvic gravity distribution when sitting or standing to ensure the correct and balanced mechanical transmission:

[0301] Assess and correct lower limb force line abnormalities such as arch collapse and knee inward to prevent them from affecting pelvic stability;

[0302] Use a cushion or orthotic insole during sitting training to guide the correct ischial tuberosity weight-bearing pattern and avoid excessive force on one side of the pelvis;

[0303] Mirror feedback is combined with standing training to guide patients to distribute their weight evenly between their feet, keep their pelvis level, and establish a good mechanical conduction chain from the feet to the pelvis and then to the spine.

[0304] Implementation of the core content of pelvic stability training

[0305] A. Static stability training: Correct pelvic tilt, posterior tilt, and lateral tilt through perception and control training to establish a stable pelvic foundation;

[0306] B. Dynamic stability training: training the pelvis's ability to resist rotation and displacement in complex sports environments, improving overall movement coordination;

[0307] C. Neuromuscular control training: Strengthen the linkage mechanism of the hip-pelvis-lumbosacral region, improve the central nervous system's ability to regulate the position of the pelvis, and achieve natural and efficient posture control.

[0308] Based on the video action library and combined with patient information (age, gender, scoliosis angle, Rigo classification results, brace wearing status and other personalized information), a quantitative assessment is conducted through the "BSCP Training" assessment measurement form. After comprehensive analysis by the rehabilitation therapist, the most suitable training video is selected and a targeted rehabilitation plan is formulated.

[0309] The recommendation logic is based on the following factors:

[0310] Classification characteristics (main curve position, rotation direction, compensatory curve situation);

[0311] The patient's physical condition (eg, strength level, flexibility, pain level);

[0312] Rehabilitation stage (early adaptive training, mid-term intensive training, and late maintenance training);

[0313] Whether there are complications (such as respiratory limitation, back pain, abnormal gait, etc.).

[0314] Among them, the pelvic stabilization project has the highest priority. This means that in the entire rehabilitation training system, the pelvic stabilization project module is regarded as the most basic and key link and has the highest priority. Specifically, this means:

[0315] Cornerstone Role: The pelvis, as the "mechanical hub" of the human kinetic chain, plays a crucial role in scoliosis rehabilitation. It provides the entire body with correct mechanical transmission during both static and dynamic movements, maintaining neutral alignment and balance. Only when the pelvis is properly aligned can training of other parts of the body, such as the spine, be effective.

[0316] Preventing secondary problems: If the pelvis is unstable, it may lead to abnormal force transmission, which may cause or aggravate scoliosis and other related problems (such as low back pain). Therefore, before carrying out any other training modules, it is necessary to ensure the stability of the pelvis to avoid these problems.

[0317] Optimize overall results: Prioritizing pelvic stability helps optimize the effectiveness of overall rehabilitation training. By addressing pelvic issues first, a solid foundation can be provided for subsequent respiratory reconstruction, biomechanical stretching, and core strength training, allowing these exercises to be implemented more effectively and achieve the desired goals.

[0318] Logical Training Sequence: The entire training process adheres to strict biomechanical principles, with pelvic stabilization as a key prerequisite. This suggests that when developing a personalized rehabilitation plan, pelvic stability should be considered and addressed first, followed by targeted spinal correction exercises to ensure safety and effectiveness.

[0319] “Pelvic stabilization engineering has the highest priority” emphasizes that pelvic stabilization is a critical first step in achieving effective treatment and long-term health maintenance during scoliosis rehabilitation.

[0320] 2. Personalized generation and output of rehabilitation training programs

[0321] After completing the patient's spinal imaging examination and determining the Rigo classification, the relevant information will be recorded;

[0322] Taking into account the individual differences of patients (such as age, symptom severity, and motor skills), rehabilitation therapists further screen and combine training exercises to generate personalized rehabilitation training plans.

[0323] The plan includes daily training plan, weekly training cycle arrangement, time allocation ratio of each module, training intensity gradient, etc.

[0324] The system sets up follow-up evaluation nodes (e.g., every 4 weeks) to collect efficacy data through patient feedback, functional assessment forms, imaging review, etc.

[0325] Based on the evaluation results, the system automatically determines whether the training plan needs to be adjusted (such as increasing the training difficulty or increasing the training time of a certain module);

[0326] If the patient experiences discomfort or reaches a training plateau, the system can provide alternative training movements or auxiliary treatment suggestions (such as combined physical factor therapy, psychological intervention, etc.).

[0327] 3. Guidance and supervision of rehabilitation training execution

[0328] Patient education and training guidance

[0329] Before the first training session, a rehabilitation therapist will provide one-on-one explanations to help patients understand the training objectives, movement essentials, and precautions.

[0330] Provide training manuals and demonstration videos to ensure that patients master the correct posture;

[0331] Emphasize the importance of breathing coordination during training to avoid injuries caused by incorrect force patterns.

[0332] Training quality monitoring

[0333] Set up a check-in mechanism and training log to encourage patients to persist in training and provide timely feedback on problems;

[0334] For patients undergoing remote training, stage-by-stage movement correction and question-answering can be performed via video link.

[0335] Rehabilitation effect evaluation and feedback loop

[0336] After each training cycle, the rehabilitation therapist completes a comprehensive rehabilitation progress report based on the training data and evaluation results recorded by the system and the review of X-rays. The report includes the completion rate of the training plan and the score of the standardization of movement execution.

[0337] If the effect is significant, the training intensity can be gradually reduced; if the effect is not good, the training strategy can be readjusted or other intervention measures can be considered.

[0338] This step, S4, establishes a scientific and systematic rehabilitation training database and intelligently matches personalized training plans based on the patient's actual Rigo classification, achieving standardized, precise, and intelligent scoliosis rehabilitation training. This not only improves training efficiency and compliance, but also effectively ensures training safety and effectiveness, becoming a crucial support for achieving long-term spinal morphological improvement and functional recovery.

[0339] Throughout this specification, terms such as "one embodiment" and "a preferred embodiment" mean that the specific features, structures, materials, or characteristics described in conjunction with that embodiment or example are included in at least one embodiment or example of the present invention. In this specification, schematic representations of these terms do not necessarily refer to the same embodiment or example. Furthermore, the specific features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.

[0340] The above is merely a preferred embodiment of the present invention and is not intended to limit the present invention. Those skilled in the art will readily appreciate that various modifications and variations are possible in the present invention. Any modifications, equivalent substitutions, or improvements made within the spirit and principles of the present invention are intended to be within the scope of protection of the present invention.

Claims

1. The scoliosis rehabilitation training method based on Rigo classification is characterized by: The following steps are involved: Obtaining medical images of the patient's spinal region; Based on an image processing algorithm, the three-dimensional coordinates of each vertebra in the medical image are identified and the abnormal scoliosis points and scoliosis offsets are marked; Determining the actual classification corresponding to the medical image according to the Rigo classification standard, the abnormal scoliosis point and the scoliosis offset; A pre-stored rehabilitation training database is called, which contains standardized training movements corresponding to different Rigo classifications, and a corresponding training plan is matched based on the actual classification.

2. The scoliosis rehabilitation training method based on Rigo classification according to claim 1, characterized in that: Determining the actual classification corresponding to the medical image according to the Rigo classification standard, the abnormal scoliosis point, and the scoliosis offset includes the following steps: Obtaining classification parameters from the medical image, including the position of the apical vertebra, the coronal scoliosis morphology, and the sagittal imbalance state; According to the typing parameters, the actual typing is determined according to the Rigo typing matching rules.

3. The scoliosis rehabilitation training method based on Rigo classification according to claim 1, characterized in that: The standardized training movements include a combination of the following modules: three-dimensional breathing reconstruction, biomechanical stretching, core strength training, and pelvic stabilization engineering; The training program dynamically adjusts the training priority and intensity of each module according to the actual classification.

4. The scoliosis rehabilitation training method based on Rigo classification according to claim 3, characterized in that: The pelvic stabilization project is the highest priority.

5. The scoliosis rehabilitation training method based on Rigo classification according to claim 3 or 4, characterized in that: The three-dimensional breathing reconstruction module includes the following steps: Unlock the breathing pattern restricted by scoliosis, activate the core muscles by optimizing breathing methods, regulate intra-abdominal pressure, and improve chest mobility; Activate the deep transverse abdominal muscles and diaphragm muscles, combined with guided breathing exercises, to direct the breath to the concave parts of the body and correct abnormal spinal alignment; Establish a dynamic stability foundation for the spine and enhance the symmetry and stability of the spine posture through thoracic, abdominal and unilateral rib stretching breathing exercises.

6. The scoliosis rehabilitation training method based on Rigo classification according to claim 3 or 4, characterized in that: The biomechanical stretching module includes the following steps: When the pelvis is aligned, reverse traction and anti-rotation traction are performed on the offset and rotation key points of the spine in three-dimensional space; Use holistic exercises involving multiple joints and muscle groups, combined with neurophysiological principles, to improve the overall body alignment; Combine guided breathing exercises with stretching exercises to promote balanced muscle tension on both sides of the spine, reduce vertebral rotation, and improve Cobb angles.

7. The scoliosis rehabilitation training method based on Rigo classification according to claim 3 or 4, characterized in that: The core strength training module includes the following steps: Layered strengthening of the multifidus and erector spinae muscles, maintaining the neutral position of the pelvis and lumbar spine through static stability training; Conduct dynamic anti-rotation training to resist external interference, ensure trunk and pelvis stability, and avoid compensatory movements; Combined with respiratory function optimization, balanced core muscle training and personalized bilateral asymmetric strength adjustment are implemented to build a 360° spinal protection armor.

8. The scoliosis rehabilitation training method based on Rigo classification according to claim 3 or 4, characterized in that: The pelvic stabilization engineering module includes the following steps: Correct the anterior, posterior and lateral pelvic tilt through static alignment exercises to maintain the same height between the anterior superior hip spine and the posterior superior hip spine on both sides; Implement dynamic stabilization exercises to control pelvic rotation and excursion and strengthen neuromuscular control of the hip-pelvis-lumbosacral linkage; Reconstruct the force line conduction of the lower limbs, adjust the pelvic gravity distribution in the sitting or standing position, and ensure the correctness of mechanical conduction.

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