Spinal Manipulative Therapy for Adolescent Idiopathic Scoliosis: A Systematic Review

Théroux, Jean; Stomski, Norman J.; Losco, C. Dominique; Khadra, Christelle; May, Sylvie Le

doi:10.1016/j.jmpt.2017.03.009

Cited by 18 publications

(10 citation statements)

References 28 publications

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“…Of the 35 included reviews, 24 investigated the effectiveness of spinal manipulation in paediatric clients and produced quantifiable results which could be utilised in the descriptive synthesis (Supplementary File 5 ). Three were focused on treatment for AIS [ 104 , 106 , 107 ], seven on asthma [ 1 , 21 , 45 , 91 , 96 , 98 , 104 ], two for ASD [ 51 , 102 ], two on spinal pain [ 104 , 109 ], four on breastfeeding difficulties for infants [ 28 , 30 , 99 , 104 ], two on CP [ 25 , 104 ], 15 on infantile colic—excessive crying / behaviours [ 1 , 21 , 25 , 26 , 42 , 43 , 66 , 91 , 96 , 98 , 103 , 104 ], four on infantile colic – sleep issues [ 42 , 66 , 91 , 104 ], five on nocturnal enuresis [ 26 , 44 , 46 , 96 , 98 ], three on otitis media [ 98 , 104 , 105 ] and one on torticollis [ 62 ] (see Supplementary File 5 ). Additionally, there were four systematic reviews on adverse events from spinal manipulation [ 73 , 100 , 108 , 110 ] and nine reported on multiple conditions including those mentioned above as well as neck and back pain, and upper cervical dysfunction [ 1 , 21 , 25 , 26 , ...…”

Section: Resultsmentioning

confidence: 99%

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Spinal manipulation and mobilisation in the treatment of infants, children, and adolescents: a systematic scoping review

et al. 2022

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Purpose To i) identify and map the available evidence regarding effectiveness and harms of spinal manipulation and mobilisation for infants, children and adolescents with a broad range of conditions; ii) identify and synthesise policies, regulations, position statements and practice guidelines informing their clinical use. Design Systematic scoping review, utilising four electronic databases (PubMed, Embase, CINHAL and Cochrane) and grey literature from root to 4th February 2021. Participants Infants, children and adolescents (birth to < 18 years) with any childhood disorder/condition. Intervention Spinal manipulation and mobilisation Outcome measures Outcomes relating to common childhood conditions were explored. Method Two reviewers (A.P., L.L.) independently screened and selected studies, extracted key findings and assessed methodological quality of included papers using Joanna Briggs Institute Checklist for Systematic Reviews and Research Synthesis, Joanna Briggs Institute Critical Appraisal Checklist for Text and Opinion Papers, Mixed Methods Appraisal Tool and International Centre for Allied Health Evidence Guideline Quality Checklist. A descriptive synthesis of reported findings was undertaken using a levels of evidence approach. Results Eighty-seven articles were included. Methodological quality of articles varied. Spinal manipulation and mobilisation are being utilised clinically by a variety of health professionals to manage paediatric populations with adolescent idiopathic scoliosis (AIS), asthma, attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), back/neck pain, breastfeeding difficulties, cerebral palsy (CP), dysfunctional voiding, excessive crying, headaches, infantile colic, kinetic imbalances due to suboccipital strain (KISS), nocturnal enuresis, otitis media, torticollis and plagiocephaly. The descriptive synthesis revealed: no evidence to explicitly support the effectiveness of spinal manipulation or mobilisation for any condition in paediatric populations. Mild transient symptoms were commonly described in randomised controlled trials and on occasion, moderate-to-severe adverse events were reported in systematic reviews of randomised controlled trials and other lower quality studies. There was strong to very strong evidence for ‘no significant effect’ of spinal manipulation for managing asthma (pulmonary function), headache and nocturnal enuresis, and inconclusive or insufficient evidence for all other conditions explored. There is insufficient evidence to draw conclusions regarding spinal mobilisation to treat paediatric populations with any condition. Conclusion Whilst some individual high-quality studies demonstrate positive results for some conditions, our descriptive synthesis of the collective findings does not provide support for spinal manipulation or mobilisation in paediatric populations for any condition. Increased reporting of adverse events is required to determine true risks. Randomised controlled trials examining effectiveness of spinal manipulation and mobilisation in paediatric populations are warranted.

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Section: Resultsmentioning

confidence: 99%

“…From three reviews [ 104 , 106 , 107 ] and one observational study [ 59 ] exploring spinal manipulative therapy for treating scoliosis, our descriptive synthesis revealed ‘inconclusive’ results for using spinal manipulation to manage impairments and symptoms of AIS (Table 5 ) .…”

Section: Resultsmentioning

confidence: 99%

Spinal manipulation and mobilisation in the treatment of infants, children, and adolescents: a systematic scoping review

et al. 2022

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“…To date there is little evidence that CAM therapies are beneficial in the treatment of pediatric scoliosis. One systematic review of spinal manipulative therapy for Adolescent Idiopathic Scoliosis found only four studies with small sample sizes and concluded there was insufficient evidence to determine efficacy ( Théroux et al, 2017 ). The Scoliosis Research Society (2020) states, “Alternative treatments to prevent curve progression or prevent further curve progression such as chiropractic medicine, physical therapy, and yoga have not demonstrated any scientific value in the treatment of scoliosis.” A recent systematic review concluded that although some scoliosis-specific exercise (SSE) trials have demonstrated improvements in radiographic as well as patient-reported outcomes, overall, there is insufficient evidence to prove that SSE can reduce Cobb angle or improve trunk balance and Quality of Life ( Fan et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Section: Information On Medical and Complementary/ Alternative Therapiesmentioning

confidence: 99%

Meeting the Needs of Parents of Children With Scoliosis: A Qualitative Descriptive Study

Willson

Rogers

Gingrich

et al. 2021

Global Qualitative Nursing Research

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Needs of parents with children with scoliosis are complex and depend on their child’s treatments. The purpose of this study was to identify needs of parents with children with scoliosis. This qualitative description involved interviews with parents of children at various stages of treatment. A convenience, then purposeful sample of 16 parents (12 mothers, two fathers, and two stepfathers) was interviewed; interviews were transcribed and analyzed using thematic analysis. Parents’ needs included: Needing reliable medical information; Desiring information on complementary treatments; Wanting help in supporting and advocating for their child; Needing to protect the child and family; and Seeking connection and support. Although many parents’ needs are being met, this study recommends a nursing role aimed at providing parents with reliable medical information, discussing alternative treatments, assisting parents in their role of supporting their child, helping parents in their advocacy efforts, and referring parents to appropriate connections.

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“…Physical conservative treatments of scoliosis are based on manual therapy techniques (Lotan and Kalichman, 2018;Théroux et al, 2017), exercise-based physical therapy (Kalichman et al, 2016) or physical activity (Green et al, 2009). Generally, physical treatments aimed to improve either posture (Penha et al, 2017) or proprioception 16 (Pialasse et al, 2016;Hazime et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Frequency coherence analysis of postural balance in able-bodied and in non-treated adolescent idiopathic scoliotic girls

Leteneur

Crémoux

Allard

et al. 2019

Clinical Biomechanics

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Spinal Manipulative Therapy for Adolescent Idiopathic Scoliosis: A Systematic Review

Cited by 18 publications

References 28 publications

Spinal manipulation and mobilisation in the treatment of infants, children, and adolescents: a systematic scoping review

Spinal manipulation and mobilisation in the treatment of infants, children, and adolescents: a systematic scoping review

Meeting the Needs of Parents of Children With Scoliosis: A Qualitative Descriptive Study

Frequency coherence analysis of postural balance in able-bodied and in non-treated adolescent idiopathic scoliotic girls

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