Effects of novel corrective spinal technique on adolescent idiopathic scoliosis as assessed by radiographic imaging

Noh, Dong Koog; You, Joshua Sung-H; Koh, Jae-Hyun; HoSeong, Kim; Kim, Dong‐Hyun; Ko, Sung-Mok; jiyoun, shin

doi:10.3233/bmr-130452

Cited by 42 publications

(77 citation statements)

References 24 publications

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“…This case and others demonstrates that postural thoracic hyperkyphosis deformity is correctable with the posture- specific CBP multimodal rehabilitation program. This case is also consistent with the recent manual therapy trend that postural deformity is routinely correctable through posture-specific rehabilitation programs such as for the cervical lordosis 42 , 43 , 44 ) , lumbar lordosis 45 , 46 , 47 ) or with scoliosis 48 , 49 ) . These patient- and posture-specific rehabilitation programs are superior to non-specific, generalized programs of care 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ) .…”

Section: Discussionsupporting

confidence: 89%

Treating ‘slouchy’ (hyperkyphosis) posture with chiropractic biophysics®: a case report utilizing a multimodal mirror image® rehabilitation program

Fortner

Oakley²,

Harrison³

2017

J Phys Ther Sci

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[Purpose] To present a case of the non-surgical reduction of ‘slouchy’ hyperkyphosis posture utilizing the multimodal Chiropractic BioPhysics® rehabilitation program emphasizing the mirror image® concept. [Subject and Methods] A 27-year-old female presented suffering from neck and back pains, headaches and gait dysfunction. The patient was treated 30 times over a period of 6-months. Treatment consisted of anterior thoracic translation, thoracic extension, and head retraction exercises as well as spinal traction and spinal manipulation. [Results] After 6-months of treatment the patient displayed a total correction of the posterior thoracic translation with a significant reduction in thoracic hyperkyphosis. The dramatic correction of her overall posture and spine alignment corresponded to the significant relief of neck and back pains, headaches and improvement of various other health issues as demonstrated by self-report and SF-36. [Conclusion] Poor postures corresponding to poor health can be changed for the better with multimodal rehabilitation programs that are now showing consistent postural improvements corresponding with improvements in various health conditions. We suggest that the postural correction of those with various pain symptoms be considered as a first line non-pharmalogical, non-surgical rehabilitation approach for those presenting with poor posture.

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Section: Discussionsupporting

confidence: 89%

Treating ‘slouchy’ (hyperkyphosis) posture with chiropractic biophysics®: a case report utilizing a multimodal mirror image® rehabilitation program

Fortner

Oakley²,

Harrison³

2017

J Phys Ther Sci

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“…[50] Treatment dose (60-minute sessions, 2–3 times a week, for 30 sessions over four months) was lower than in the present study. Authors reported improvement in Cobb angle of 8.1°±4.5° in the experimental and 4.3°±2.1° in the control group, which were larger than in our study.…”

Section: Discussioncontrasting

confidence: 66%

Schroth Physiotherapeutic Scoliosis-Specific Exercises Added to the Standard of Care Lead to Better Cobb Angle Outcomes in Adolescents with Idiopathic Scoliosis – an Assessor and Statistician Blinded Randomized Controlled Trial

et al. 2016

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BackgroundThe North American non-surgical standard of care for adolescent idiopathic scoliosis (AIS) includes observation and bracing, but not exercises. Schroth physiotherapeutic scoliosis-specific exercises (PSSE) showed promise in several studies of suboptimal methodology. The Scoliosis Research Society calls for rigorous studies supporting the role of exercises before including it as a treatment recommendation for scoliosis.ObjectivesTo determine the effect of a six-month Schroth PSSE intervention added to standard of care (Experimental group) on the Cobb angle compared to standard of care alone (Control group) in patients with AIS.MethodsFifty patients with AIS aged 10–18 years, with curves of 10°-45° and Risser grade 0–5 were recruited from a single pediatric scoliosis clinic and randomized to the Experimental or Control group. Outcomes included the change in the Cobb angles of the Largest Curve and Sum of Curves from baseline to six months. The intervention consisted of a 30–45 minute daily home program and weekly supervised sessions. Intention-to-treat and per protocol linear mixed effects model analyses are reported.ResultsIn the intention-to-treat analysis, after six months, the Schroth group had significantly smaller Largest Curve than controls (-3.5°, 95% CI -1.1° to -5.9°, p = 0.006). Likewise, the between-group difference in the square root of the Sum of Curves was -0.40°, (95% CI -0.03° to -0.8°, p = 0.046), suggesting that an average patient with 51.2° at baseline, will have a 49.3° Sum of Curves at six months in the Schroth group, and 55.1° in the control group with the difference between groups increasing with severity. Per protocol analyses produced similar, but larger differences: Largest Curve = -4.1° (95% CI -1.7° to -6.5°, p = 0.002) and (95% CI -0.8 to 0.2, p = 0.006).ConclusionSchroth PSSE added to the standard of care were superior compared to standard of care alone for reducing the curve severity in patients with AIS.Trial RegistrationNCT01610908

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“…The present study showed that SBP exercises did not impact the thoracic kyphosis and lumbar lordosis significantly. The findings concurred with previous findings [41,42] in AIS patients. Weiss and Klein found that the Physio-logic® program did not improve the thoracic kyphosis [42] and Noh et al found that Schroth exercises did not improve the thoracic kyphosis and lumbar lordosis [41].…”

Section: Sagittal Balance and Alignmentsupporting

confidence: 93%

“…The findings concurred with previous findings [41,42] in AIS patients. Weiss and Klein found that the Physio-logic® program did not improve the thoracic kyphosis [42] and Noh et al found that Schroth exercises did not improve the thoracic kyphosis and lumbar lordosis [41]. The findings are not unexpected, in view of the fact that the spine of adult scoliosis patients is generally more rigid than that of AIS patients and improvement of curves is less likely.…”

Section: Sagittal Balance and Alignmentsupporting

confidence: 93%

A Pilot Study on the Effect of Outpatient Schroth Exercises on Thoracolumbar and Lumbar Curves in Adult Scoliosis Patients

Ng¹,

Chan²,

Ho³

et al. 2017

Innovations in Spinal Deformities and Postural Disorders

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Study design: This is a pilot prospective cohort study.Objectives: To investigate if outpatient Schroth exercises (SBP) affect thoracolumbar or lumbar curves in adult scoliosis patients.Background: Adult scoliosis tends to progress and is associated with an increased prevalence of low back pain. The outcome of conservative treatment is not satisfactory, as treatment is not directed towards spinal deformity. This study investigates if SBP influences the thoracolumbar and lumbar curves in patients with adult scoliosis. Materials and methods:Adult patients with thoracolumbar and lumbar curves ≥ 20 o were taught SBP exercises once weekly for 4 weeks. They then performed the exercises at home three times a week, for 9 months. Baseline measurements included Cobb angles, coronal offset, sagittal vertical axis (SVA), T4-12 kyphosis, L1-S1 lordosis, sacral slope, pelvic incidence and pelvic tilt. They were compared to post-intervention measurements, using paired t tests.Results: SBP exercises statistically significantly decreased the Cobb angle (p = 0.0032), improved the ATR (p = 0.012), increased the sacral slope (p = 0.03), decreased the pelvic tilt (p = 0.0032) and the SVA (p = 0.032). Conclusion:The SBP exercises improved the Cobb angles and SVA in adult scoliosis patients with thoracolumbar and lumbar curves.

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Effects of novel corrective spinal technique on adolescent idiopathic scoliosis as assessed by radiographic imaging

Abstract: This is the first clinical trial to investigate the effects of the 3-dimensional CST on spinal curvatures and health related quality-of-life in AIS, providing the important clinical rationale and compelling evidence for the effective management of AIS.

Cited by 42 publications

References 24 publications

Treating ‘slouchy’ (hyperkyphosis) posture with chiropractic biophysics<sup>®</sup>: a case report utilizing a multimodal mirror image<sup>®</sup> rehabilitation program

Treating ‘slouchy’ (hyperkyphosis) posture with chiropractic biophysics<sup>®</sup>: a case report utilizing a multimodal mirror image<sup>®</sup> rehabilitation program

Schroth Physiotherapeutic Scoliosis-Specific Exercises Added to the Standard of Care Lead to Better Cobb Angle Outcomes in Adolescents with Idiopathic Scoliosis – an Assessor and Statistician Blinded Randomized Controlled Trial

A Pilot Study on the Effect of Outpatient Schroth Exercises on Thoracolumbar and Lumbar Curves in Adult Scoliosis Patients

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