Manual therapy treatment for adolescent idiopathic scoliosis

Lotan, Shir; Kalichman, Leonid

doi:10.1016/j.jbmt.2018.01.005

Cited by 33 publications

(38 citation statements)

References 27 publications

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“…Patients’ perceived improvement could arise in response to other effects of the conservative interventions even when the Cobb angles showed little to no change. 17 Recent literature reviews 8 , 18 found that a multidisciplinary approach is the best for AIS. Spinal manipulative therapy and soft-tissue mobilization in conjunction with other conservative regimens such as bracing and corrective exercises may potentially be effective in treating AIS.…”

Section: Discussionmentioning

confidence: 99%

“…Spinal manipulative therapy and soft-tissue mobilization in conjunction with other conservative regimens such as bracing and corrective exercises may potentially be effective in treating AIS. 4 , 8 These techniques can translate to correct muscular imbalances, mobilize stiff tissues, restore postural alignment, stabilize curve(s) and improve proprioceptive input. 8 , 18 , 19 …”

Section: Discussionmentioning

confidence: 99%

“…case reports, case series or pilot clinical trials with a small sample size and weak methodology did not allow drawing a clear conclusion about the effectiveness of manual therapy in the treatment of AIS. 8 The present study reports the radiological changes observed following a treatment plan consisting of chiropractic treatment for AIS.…”

Section: Introductionmentioning

confidence: 98%

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Changes in Radiographic Parameters Following Chiropractic Treatment in 10 Patients with Adolescent Idiopathic Scoliosis: A Retrospective Chart Review

Chu

Chakkaravarthy

Huang

et al. 2020

Clinics and Practice

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This retrospective chart review was undertaken to investigate the role of chiropractic intervention for patients with adolescent idiopathic scoliosis (AIS). Ten cases of patients with AIS, mean age 13.3 years, undergoing chiropractic adjustment were retrospectively evaluated. Chart review was performed to extract age, medical history and treatment intervention. The magnitude of scoliosis was quantified using the Cobb method on standing radiographs. A comparison of the measurements from pre- and post-treatment radiographs revealed that Cobb angle reduced from average 29.7° down to average 23.4° (average 21.2% correction). Improvements in spinal morphologies were observed in most curves (64%, n=9/14) and curve stabilization in the rest (36%, n=5/14). A better correction was obtained in cases of mild and moderate AIS. In terms of stabilizing progression (≤5o curve progression) or correcting curvatures (≥6° reduction), radiological changes were observed in all patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Changes in Radiographic Parameters Following Chiropractic Treatment in 10 Patients with Adolescent Idiopathic Scoliosis: A Retrospective Chart Review

Chu

Chakkaravarthy

Huang

et al. 2020

Clinics and Practice

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“…Previous systematic reviews have summarized manipulative therapies used to treat AIS. Lotan et al [56] reported that most case studies in this area of research have limitations due to poor methodological quality, and only reported on 1 RCT. Romano et al [11] also reviewed manual therapy for AIS studies, and due to the lack of high quality studies, it was concluded that it was difficult to assume that manual therapy techniques were effective at curing AIS, highlighting the need for control groups in these studies.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Chuna Manual Therapy for Adolescent Idiopathic Scoliosis

et al. 2019

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This study analyzed randomized controlled trials (RCTs) and case studies investigating Chuna manual therapy and variations of this term, for adolescent idiopathic scoliosis. On June 15 th , 2019, 6 online databases were used to retrieve studies. A total of 527 articles were retrieved, and 14 RCTs and 20 case studies were selected for review. Typically, the frequency of Chuna therapy was 1-2 times/week. The most common period of treatment was 12 months in RCTs and 3-6 months in case studies. Cobb's angle was the most frequent evaluation index used (11 RCTs and 20 case studies). In control groups, brace treatment was used in 8 RCTs. In 6 RCTs and 20 case studies, Cobb's angle significantly decreased after Chuna therapy, and in 4 RCTs, Chuna therapy was as effective as brace treatment, with no significant difference between groups. Adverse events were not reported except for minor reactions in only 3 case studies. This review suggested that Chuna therapy for adolescent idiopathic scoliosis was more advantageous than and as effective as brace treatment in most cases, although the risk of bias in 13 RCTs was unclear.

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“…Most relevant studies were observational case studies or small-scale clinical trials with poor methodology. [ 18 ] With more patients and physicians using manual therapy for IS, however, several randomized controlled trials (RCT) were published that assessed the effects of manual therapy in the management of IS, especially in China. [ 20 – 23 ] Tuina, a traditional Chinese manual therapy, is comprised of soft-tissue manipulations (similar to massage) and adjusting manipulations (similar to chiropractic), that is widely used by practitioners to prevent and treat IS.…”

Section: Introductionmentioning

confidence: 99%

Manual therapy for idiopathic scoliosis

Huang

Zhang

et al. 2020

Medicine

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Introduction: More patients with idiopathic scoliosis (IS) preferred to choose manual therapy as a complementary conservative treatment, but the effects of manual therapy for IS remains controversial. The previous reviews could not draw reliable conclusion due to few eligible studies to perform a meta-analysis. In the last decade, however, several new studies were published that assessed the effects of manual therapy in the management of IS, especially in China. Therefore, the present systematic review and meta-analysis will be performed to examine whether manual therapy is effective for IS primarily in improving patient-centerd symptoms and secondarily in radiographic outcomes. Methods and analysis: A computerized literature search will be performed in the following electronic databases from their inceptions to June 2020 to identify randomized controlled trials of manual therapy in the management of IS: PubMed, EMBASE, MEDLINE, Cochrane Central Register of Controlled Clinical Trials, China Knowledge Resource Integrated Database, Wanfang Data Information, and Weipu Database for Chinese Technical Periodicals. The quality of included studies will be assessed independently by 2 reviewers using the Physiotherapy Evidence Database scale. The meta-analysis will be performed with the Review Manager Version 5.3 software to assess the effects on patient-centred outcomes and radiographic outcomes of manual therapy for IS. The heterogeneity will be assessed using I 2 statistic and Cochran Q statistic. The subgroup analysis will be conducted based on different control interventions and subpopulations. Quality of evidence will be assessed using the Grades of Recommendation, Assessment, Development and Evaluation. Ethics and dissemination: No ethical statement will be required for the performance of this review and meta-analysis. The results of this review will be published in an international peer-reviewed journal. INPLASY registration number: INPLASY202070058

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Manual therapy treatment for adolescent idiopathic scoliosis

Cited by 33 publications

References 27 publications

Changes in Radiographic Parameters Following Chiropractic Treatment in 10 Patients with Adolescent Idiopathic Scoliosis: A Retrospective Chart Review

Changes in Radiographic Parameters Following Chiropractic Treatment in 10 Patients with Adolescent Idiopathic Scoliosis: A Retrospective Chart Review

A Systematic Review of Chuna Manual Therapy for Adolescent Idiopathic Scoliosis

Manual therapy for idiopathic scoliosis

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