Adolescent Idiopathic Scoliosis: Etiological concepts and implication for treatment

Weiss, Hans‐Rudolf; Seibel, Sarah; Moramarco, Marc

doi:10.13172/2052-9287-1-3-870

Cited by 3 publications

(6 citation statements)

References 17 publications

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“…Neurosurgical release of the filum terminale has been found to reduce curvature in scoliosis patients with TCS, syringomyelia, and Chiari malformation [ 130 ], though retethering post-surgery has also been documented [ 131 ]. Systematic extracorporeal therapy and external spinal manipulation have also been suggested as potential treatments for patients who have functional tethering of the spinal cord, however, additional research is needed in this area [ 132 , 133 ].…”

Section: Neurological Theoriesmentioning

confidence: 99%

Etiological Theories of Adolescent Idiopathic Scoliosis: Past and Present

Fadzan¹,

Bettany‐Saltikov²

2017

TOORTHJ

112

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Adolescent idiopathic scoliosis is one of the most common spinal deformities, yet its cause is unknown. Various theories look to biomechanical, neuromuscular, genetic, and environmental origins, yet our understanding of scoliosis etiology is still limited. Determining the cause of a disease is crucial to developing the most effective treatment. Associations made with scoliosis do not necessarily point to causality, and it is difficult to determine whether said associations are primary (playing a role in development) or secondary (develop as a result of scoliosis). Scoliosis is a complex condition with highly variable expression, even among family members, and likely has many causes. These causes could be similar among homogenous groups of AIS patients, or they could be individual. Here, we review the most prevalent theories of scoliosis etiology and recent trends in research.

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Section: Neurological Theoriesmentioning

confidence: 99%

Etiological Theories of Adolescent Idiopathic Scoliosis: Past and Present

Fadzan¹,

Bettany‐Saltikov²

2017

TOORTHJ

112

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“…The first use of ESWT for the treatment of scoliosis was described by Weiss et al in 2013 through a pilot study of 15 adolescent patients [ 12 ]. The rationale of ESWT treatment in this study was directed towards improving impairment of forward flexion (IFF), which is believed to occur over time due to functional tethering of the spinal cord [ 32 , 33 ].…”

Section: Reviewmentioning

confidence: 99%

Enhanced Spinal Therapy: Extracorporeal Shock Wave Therapy for the Spine

Davati

Griepp

Lee

et al. 2020

Cureus

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Extracorporeal shock wave therapy (ESWT) is a non-invasive therapeutic method used for pain management and muscle strength improvement through the use of shock waves. In vitro studies have demonstrated that shockwave therapy induces fluctuation in redox reaction regulation and increases in Mitogen-Activated Protein Kinase (MAPK) signal transduction pathways, stimulating increased gene expression in the nucleus. ESWT has also been shown to upregulate angiogenesis and growth factors through activation of endothelial nitric oxide synthase (eNOS) and vascular endothelial growth factor (VEGF). The use of ESWT in the treatment of various musculoskeletal disorders was widely adopted throughout Europe, South America, and Asia before being introduced in the United States in 2000. Within the past 20 years, the clinical application of ESWT in the treatment of musculoskeletal and bone disorders has grown. This paper provides a comprehensive narrative review of applications and outcomes of ESWT in clinical spinal pathology and assesses reported efficacy as it relates to the pathology. A review of the literature yielded studies describing the use of ESWT in degenerative osteoporotic neuro-spinal pathology, heterotopic ossification due to spinal cord injury, cervical spondylosis, scoliosis, sacroiliitis, and coccydynia. The efficacy of ESWT as an adjunct treatment in patients with spinal cord pathologies varied with the specific pathology, however, all pathologies discussed in this review provided evidence of potential benefits with minimal adverse effects. While the use of ESWT for pain management has widely been established, further literature should aim to identify the long-term benefits of ESWT.

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“…With this apparatus high amplitude pulses of mechanical energy generated by an electromagnetic coil are applied9 ) .…”

Section: Case Reportmentioning

confidence: 99%

“…Extracorporeal shock wave therapy frequently is used for the treatment of myofascial pain syndromes. With this apparatus high amplitude pulses of mechanical energy generated by an electromagnetic coil are applied 9 ) .…”

Section: Case Reportmentioning

confidence: 99%

“…Following the rationale of Tomaschewski 7 ) , external manipulation may influence IFF, the ‘flatback’ contracture found in the lower thoracic area in patients with beginning AIS, and have a beneficial effect on the 3D deformity of the spine and trunk. In a pilot investigation 9 ) , chiropractic intervention was replaced by extracorporeal shockwave therapy (ECSWT). The beneficial effects of ECSWT on deformity were revealed, and patients reported subjective feelings of relaxed back after the application.…”

Section: Introductionmentioning

confidence: 99%

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Application of extracorporeal shockwaves in the treatment of scoliosis: a case report

Weiss¹

2017

J Phys Ther Sci

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[Purpose] In a pilot investigation, extracorporeal shockwave therapy was applied to patients with idiopathic scoliosis. This case report aimed to describe the effects of repeated extracorporeal shockwave therapy on the clinical signs of a patient with scoliosis due to a functional tethered cord syndrome. [Subject and Methods] In June 2016, a 13-year-old girl presented with a left thoracic curvature. Radiograph showed a left thoracic curve of 24°. An angle of trunk rotation of 21° was measured using a scoliometer. Extracorporeal shockwave therapy was proposed to support conservative treatment. Five sessions of extracorporeal shockwave therapy were applied. Finger-floor distance and the angle of trunk rotation before and after each application of extracorporeal shockwave therapy were measured. [Results] The average finger-floor distances before and after extracorporeal shockwave therapy were 22.6 cm and 15.6 cm, respectively. The average angles of trunk rotation before and after the therapy were 13° and 10.2°, respectively. [Conclusion] The short-term effect of extracorporeal shockwave therapy was revealed in this study. The neural structures that inhibited free mobility of the spine were mobilized. Furthermore, deformity was reduced by applying extracorporeal shockwave therapy.

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Adolescent Idiopathic Scoliosis: Etiological concepts and implication for treatment

Cited by 3 publications

References 17 publications

Etiological Theories of Adolescent Idiopathic Scoliosis: Past and Present

Etiological Theories of Adolescent Idiopathic Scoliosis: Past and Present

Enhanced Spinal Therapy: Extracorporeal Shock Wave Therapy for the Spine

Application of extracorporeal shockwaves in the treatment of scoliosis: a case report

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