Why do we treat adolescent idiopathic scoliosis? What we want to obtain and to avoid for our patients. SOSORT 2005 Consensus paper

Abstract

We treat our patients for what they need for their future (Breathing function, Needs of further treatments in adulthood, Progression in adulthood), and their present too (Aesthetics, Disability, Quality of life). Technical matters, such as rib hump or radiographic lateral alignment and rotation, but not lateral flexion, are secondary outcomes and only instrumental to previously reported primary outcomes. We advocate a multidimensional, comprehensive evaluation of scoliosis patients, to gather all necessary data for a complete therapeutic approach, that goes beyond x-rays to reach the person and the family.

Correlation between pain and muscle strength in patients with adult scoliosis

“…Data obtained by us is comparable and better than those described by other authors (21,22) six months after administration of chiropractic rehabilitation and automatic reflex 3D correction in 28 patients aged over 18 years (17-60 years) with a minimum scoliosis of 30° (average 44°±6°) by Cobb. Scoliosis in adults is associated with a lower quality of life (5,23), low results from health questionnaire SF-36 (11,24) and prone to development of chronic pain, more often compared to the general population (13). That is why each treatment method that improves the quality of life, applied to our contingent of patients, expands and enriches the kinesitherapeutic practice.…”

“…Attention is drawn to the need of further research and quality of life improvement in women with idiopathic scoliosis (5). A number of authors (6)(7)(8)(9)(10)(11)(12)(13)(14)(15) Kinesitherapy. The aim of kinesitherapy in both groups of patients was prevention of the scoliosis progress, pain reduction in the spinal area and improvement of functional abilities.…”

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

“…Jej leczenie obejmuje leczenie zachowawcze oraz operacyjne. Podstawowym celem leczenia zachowawczego jest zatrzymanie progresji skrzywienia [1,2,4]. Istotnymi celami terapii są również zapobieganie lub leczenie dysfunkcji oddechowych i dolegliwości bólowych kręgosłupa oraz poprawa estetyki poprzez korekcję postawy ciała [1,2,4].…”

“…It is managed conservatively and by surgery. The conservative treatment is aimed mostly at halting curve progression [1,2,4]. Other important goals of idiopathic scoliosis management include preventing or treating respiratory dysfunctions and spinal pain as well as improving aesthetics via postural correction [1,2,4].…”

“…Currently, the above criteria are fulfilled by the following methods (listed in alphabetical order): (1) Barcelona Scoliosis Physical Therapy School by Rigo, (2) DoboMed, (3) Functional Individual Therapy of Scolioses (FITS), (4) Schroth, (5) Scientific Exercises Approach to Scoliosis (SEAS) and (6) Side Shift [1,2,4,[7][8][9].…”