Abstract
The aim of this study was to evaluate the radiographic outcomes obtained in a sample of patients treated with a chiropractic scoliosis-specific exercise program for patients with adolescent idiopathic scoliosis. Patients were treated and subsequently followed through skeletal maturity, and their results were reported in accordance with the SOSORT Consensus Guidelines. A total of 60 patient charts were consecutively selected when they met inclusion criteria. Cobb angle measurements and Risser staging were collected on all images. Using SOSORT criteria, 51.7% of patients achieved curve correction and 38.3% achieved stabilization. In the curve correction group, average total correction was 12.75°. A small number of sampled patients’ curves progressed, with a 13% failure rate based upon patients who dropped out before skeletal maturity combined with those who had progressed at skeletal maturity. Future studies are needed to corroborate these observations.
Highlights
Adolescent idiopathic scoliosis is defined as a curvature of the spine with a Cobb angle of more than 10 degrees with concomitant rotational displacement.[1]Curvatures larger than 50° at skeletal maturity are at high risk of continued progression throughout the lifespan.[2]
It has been suggested that scoliosis exercises are unable to provide curve correction in adolescent cases,[6] there are studies documenting the ability of scoliosis-specific exercises to alter the course of adolescent idiopathic scoliosis
This study presents a larger data sample of patients with adolescent idiopathic scoliosis who were treated, discharged to home care, and followed up with through skeletal maturity
Summary
Curvatures larger than 50° at skeletal maturity are at high risk of continued progression throughout the lifespan.[2] While bracing and surgical intervention have been the mainstays of conventional scoliosis management for progressive curvatures, exercise-based methods have become more known, with various exercise-based methods being published mainly from Europe .3,4. It has been suggested that scoliosis exercises are unable to provide curve correction in adolescent cases,[6] there are studies documenting the ability of scoliosis-specific exercises to alter the course of adolescent idiopathic scoliosis. In a review of manual therapy by Romano and Negrini,[7] they found 3 studies that fit their criteria, all of which were low quality. None of these 3 studies followed up with patients through skeletal maturity. It is unknown how to best translate their conclusions into clinical practice
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
