Chiropractic Manipulation in Adolescent Idiopathic Scoliosis: a pilot study

Abstract

Background: Adolescent idiopathic scoliosis (AIS) remains the most common deforming orthopedic condition in children. Increasingly, both adults and children are seeking complementary and alternative therapy, including chiropractic treatment, for a wide variety of health concerns. The scientific evidence supporting the use chiropractic intervention is inadequate. The purpose of this study was to conduct a pilot study and explore issues of safety, patient recruitment and compliance, treatment standardization, sham treatment refinement, interprofessional cooperation, quality assurance, and outcome measure selection.

Chiropractic Treatments for Idiopathic Scoliosis: A Narrative Review Based on SOSORT Outcome Criteria

“…Among all of the studies reviewed here, only one had a randomized clinical trial design 20 ; another was a times series cohort. 14 The remaining studies were case series or case reports.…”

“…One of the studies, by Rowe et al, was a randomized controlled clinical trial involving 6 patients. 20 This study was methodologically the strongest of any study we retrieved. The patients were randomized into different groups receiving different combinations of therapy.…”

Manual Therapy in the Treatment of Idiopathic Scoliosis. Analysis of Current Knowledge

“…The only study on idiopathic scoliosis was conducted by Rowe et al (2006). It was a pilot study to verify the possibility of conducting a larger randomised controlled trial (RCT).…”

“…Randomisation costs amounted to 2,176 US dollars (360 dollars per one randomised patient). The authors concluded that appropriate pilot studies are crucial in the process of planning good quality research and their pilot study showed that it is possible and feasible to conduct an RCT assessing the efficacy of chiropractic manipulation in the treatment of idiopathic scoliosis in a large group of patients [21]. tów -współczynnik rekrutacji 17% (6 z 36).…”

“…Koszty randomizacji wyniosły 2176 dolarów (360 dolarów na zrandomizowanego pacjenta). We wnioskach autorzy podkreślili, że przeprowadzenie odpowiednich badań pilotażowych jest kluczowe w planowaniu badań o odpowiedniej jakości, a przeprowadzony przez nich pilotaż wykazał możliwość i rentowność przeprowadzenia RCT oceniającego skuteczność manipulacji chiropraktycznych w leczeniu osób ze skoliozą idiopatyczną na dużej grupie pacjentów [21].…”