Pain and Radiographic Outcomes in Adult Idiopathic Scoliosis Patients Using a Scoliosis Activity Suit: An 18-Month Case Controlled Chart Review

Morningstar, Mark W.; Siddiqui, Aatif; Stitzel, Clayton J.; Dovorany, Brian

doi:10.4236/ijcm.2015.69080

Cited by 6 publications

(7 citation statements)

References 11 publications

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“…The 2 other studies were published by Morningstar et al 16,17 Both of these were case series studies in adult patients with a history of idiopathic scoliosis. In the first case series, Morningstar identified 62 patients who wore a scoliosis activity suit for 1 year and reviewed their pain and radiographic findings.…”

Section: Bracing Only (As Performed By Chiropractors)mentioning

confidence: 99%

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Chiropractic Treatments for Idiopathic Scoliosis: A Narrative Review Based on SOSORT Outcome Criteria

Morningstar¹,

Stitzel²,

Siddiqui

et al. 2017

Journal of Chiropractic Medicine

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Objective: The purpose of this review was to evaluate the current body of literature on chiropractic treatment of idiopathic scoliosis against the 2014 consensus paper of the Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) and the Scoliosis Research Society (SRS) Non-Operative Management Committee for outcome reporting in nonoperative treatments. Methods: A search of the PubMed and Index to Chiropractic Literature databases for studies published from January 2000 through February 2016 detailing specific treatments and outcomes for idiopathic scoliosis was conducted. Results: A total of 27 studies that discussed chiropractic scoliosis treatments were identified. Of these, there were 15 case reports, 10 case series, 1 prospective cohort, and 1 randomized clinical trial. Of the 27 studies, only 2 described their outcomes as recommended in the 2014 SOSORT and SRS Non-Operative Management Committee consensus paper. Conclusion: The 2014 SOSORT and SRS Non-Operative Committee consensus paper details the format and types of outcomes they collectively believe are the most important and relevant to the patient. Among the chiropractic studies located in this review, 2 described outcomes consistent with how SOSORT recommends they be reported. Given that these consensus papers form the basis for nonoperative treatment recommendations and outcome reporting, future chiropractic studies should seek to report their outcomes as recommended by these papers. This will allow for better interprofessional collaboration and methodologic comparison. (J Chiropr Med 2017;16:64-71)

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Section: Bracing Only (As Performed By Chiropractors)mentioning

confidence: 99%

“…15 Morningstar et al did not follow skeletally immature patients through Risser 5, nor did they follow adult patients for the recommended 5 years. 16,17 …”

Section: Bracing Only (As Performed By Chiropractors)mentioning

confidence: 99%

Chiropractic Treatments for Idiopathic Scoliosis: A Narrative Review Based on SOSORT Outcome Criteria

Morningstar¹,

Stitzel²,

Siddiqui

et al. 2017

Journal of Chiropractic Medicine

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“…Due to this rising occurrence in adult patients, investigation into scoliosis treatment for adults has been increasing [17]. Previous studies have reported pain and radiographic outcomes in patients wearing a scoliosis activity suit for various lengths of time [18] [19] [20]. The scoliosis activity suit is believed to cause a rotational stimulus which places a slow stretch on deep spinal muscles into the direction of scoliosis rotation, thus eliciting a corrective reflex that causes the same muscles to activate and result in counter-rotation of the spine out of the scoliosis pattern.…”

Section: Introductionmentioning

confidence: 99%

Resolution of Amenorrhea and Chronic Constipation in an Adult Patient with Idiopathic Scoliosis Wearing a Scoliosis Activity Suit for 6 Months: A Case Report

Morningstar¹

2018

OJTR

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Objective: To report the symptomatic and radiographic changes in an adult scoliosis patient with a history of amenorrhea and chronic constipation. Clinical Features: Patient presented for treatment with an 8-year history of amenorrhea and chronic constipation. Radiographic study showed a right thoracic/left lumbar double major scoliosis. Intervention and Outcome: Patient was fitted for a scoliosis activity suit and given instructions for continued home use, building up to 3-4 hours total daily. After 6 months of use, her amenorrhea and chronic constipation had resolved, and both scoliosis Cobb angles also improved. Scores on before and after SRS-22r questionnaires, as well as a quadruple numerical pain rating scale, also improved. Conclusion: A patient wearing a scoliosis activity suit for 6 months reported symptomatic changes as well as radiographic, pain, and quality of life improvements. The results of this case cannot be generalized. More investigation into the association of scoliosis and other organic symptoms is warranted.

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“…Given that post-fusion patients still experience pain after surgery [7], adult patients are seeking more opportunities for pain management. Recently, Morningstar et al have published preliminary reports on a scoliosis activity suit for adult scoliosis treatment [8] [9]. They report both radiographic and pain improvements in adult patients wearing this suit for up to 18 months.…”

Section: Introductionmentioning

confidence: 99%

Radiographic, Pain, and Functional Outcomes in an Adult Post-Fusion Patient Using a Scoliosis Activity Suit: Comparative Results after 8 Months

Morningstar¹,

Dovorany²,

Stitzel³

et al. 2016

IJCM

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There are few conservative treatment options for adult patients with idiopathic scoliosis who are status post-fusion surgery. These typically include pharmacologic pain management, epidural injections, and generalized CAM treatments such as massage and chiropractic manipulation in the non-fused areas of the spine. The purpose of this study was to compare the post-treatment results in an adult post-fusion patient who wore a scoliosis activity suit for 8 months. Pain was evaluated using a quadruple visual analog scale (QVAS), while function was measured using an SRS-22r questionnaire. After 8 months of wearing the scoliosis activity suit, her pain scores improved, here SRS-22r improved, and a significant correction in radiographic Cobb angle was observed. This case report is the first to document a Cobb angle change in an adult patient wearing a scoliosis activity suit who is status post-fusion. Given that pain and dysfunction are primary reasons for scoliosis treatment in the adult population, more studies need to address the disparity between available treatments for adult scoliosis and the incidence of adult scoliosis, especially in the post-menopausal population. Future prospective studies should consider evaluating treatment effects of this suit using intent-to-treat methodology.

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Pain and Radiographic Outcomes in Adult Idiopathic Scoliosis Patients Using a Scoliosis Activity Suit: An 18-Month Case Controlled Chart Review

Cited by 6 publications

References 11 publications

Chiropractic Treatments for Idiopathic Scoliosis: A Narrative Review Based on SOSORT Outcome Criteria

Chiropractic Treatments for Idiopathic Scoliosis: A Narrative Review Based on SOSORT Outcome Criteria

Resolution of Amenorrhea and Chronic Constipation in an Adult Patient with Idiopathic Scoliosis Wearing a Scoliosis Activity Suit for 6 Months: A Case Report

Radiographic, Pain, and Functional Outcomes in an Adult Post-Fusion Patient Using a Scoliosis Activity Suit: Comparative Results after 8 Months

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