Efficacy of conservative treatment on exacerbation of adolescent idiopathic scoliosis

Abstract

Scoliosis is defined as a deviation from the normal vertical line of the spine and consists of a lateral curvature in which the spine rotates within the curvature. Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis and the cause is unknown. In this study, it was investigated whether conservative treatment for adolescent idiopathic scoliosis (CONTRAIS) reduced the patient’s Cobb angle, and the effect of CONTRAIS according to the severity of idiopathic scoliosis and the efficacy of CONTRAIS by spinal region were also verified. Idiopathic scoliosis patients with a Cobb angle of 10° or more were recruited and classified into mild, moderate, and severe groups according to the Cobb angle (°). Cobb angle was measured radiographically before and after 10 weeks of treatment. A combination of CONTRAIS, including physical therapy, exercise therapy, manual therapy, and home exercise was prescribed for all patients. The patients visited the hospital 3 times a week for 10 weeks for treatment, and exercised at home for 20 min every day. In this study, the effect of reducing Cobb angle of CONTRAIS did not differ according to the spinal region. Also, the Cobb angle reduction effect of CONTRAIS was more effective in severe group. This study may suggest that early detection and treatment through CONTRAIS enables successful correction of AIS.

Development and validation of a digital twin for the analog scoliometer

“…Scoliosis progression can be effectively controlled when diagnosed early, consistently monitored by a spine specialist (in person clinic visits are essential for this) and treated in a timely manner 10,36 . However, this convenience is not easily afforded to those living in remote or rural areas [37][38][39][40] .…”

Conservative Treatments of Adolescent Idiopathic Scoliosis: Physical Therapists’ Perspectives

“…1 Current conservative treatments for AIS include bracing, observation, and a combination of bracing with physical therapy. [3][4][5] The American Physical Therapy Association (APTA) has yet to publish a clinical practice guideline for the treatment of scoliosis; however, recommended interventions include range of motion exercises, strength training, manual therapy for joints and soft tissues, modalities, functional training, and education. 6 In Europe, there are 7 predominant scoliosis-specific treatment protocols that have gradually been introduced to the United States.…”