The development of a classification system for the treatment of scoliosis by the side shift

Betts, Tony

doi:10.1186/1748-7161-9-s1-o66

Cited by 3 publications

(4 citation statements)

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“…The Side Shift treatment method of scoliosis uses the King classification as a starting point for the descriptive classification of the curve types and diagnosis of the area of the curve. A classification system for Side Shift has been developed [ 48 ] which examines the mobility of the spine and its ability to correct towards the midline (schematic diagram X classification). According to this classification system, there are three types of scoliosis curves with classifications based on the flexibility of the curve and the ability of the patient to auto-correct the deformed spine during a side shift movement.…”

Section: Side Shift (United Kingdom)mentioning

confidence: 99%

Physiotherapy scoliosis-specific exercises – a comprehensive review of seven major schools

Lebel²,

et al. 2016

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In recent decades, there has been a call for change among all stakeholders involved in scoliosis management. Parents of children with scoliosis have complained about the so-called “wait and see” approach that far too many doctors use when evaluating children’s scoliosis curves between 10° and 25°. Observation, Physiotherapy Scoliosis Specific Exercises (PSSE) and bracing for idiopathic scoliosis during growth are all therapeutic interventions accepted by the 2011 International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT). The standard features of these interventions are: 1) 3-dimension self-correction; 2) Training activities of daily living (ADL); and 3) Stabilization of the corrected posture. PSSE is part of a scoliosis care model that includes scoliosis specific education, scoliosis specific physical therapy exercises, observation or surveillance, psychological support and intervention, bracing and surgery. The model is oriented to the patient. Diagnosis and patient evaluation is essential in this model looking at a patient-oriented decision according to clinical experience, scientific evidence and patient’s preference. Thus, specific exercises are not considered as an alternative to bracing or surgery but as a therapeutic intervention, which can be used alone or in combination with bracing or surgery according to individual indication. In the PSSE model it is recommended that the physical therapist work as part of a multidisciplinary team including the orthopeadic doctor, the orthotist, and the mental health care provider - all are according to the SOSORT guidelines and Scoliosis Research Society (SRS) philosophy. From clinical experiences, PSSE can temporarily stabilize progressive scoliosis curves during the secondary period of progression, more than a year after passing the peak of growth. In non-progressive scoliosis, the regular practice of PSSE could produce a temporary and significant reduction of the Cobb angle. PSSE can also produce benefits in subjects with scoliosis other than reducing the Cobb angle, like improving back asymmetry, based on 3D self-correction and stabilization of a stable 3D corrected posture, as well as the secondary muscle imbalance and related pain. In more severe cases of thoracic scoliosis, it can also improve breathing function.This paper will discuss in detail seven major scoliosis schools and their approaches to PSSE, including their bracing techniques and scientific evidence. The aim of this paper is to understand and learn about the different international treatment methods so that physical therapists can incorporate the best from each into their own practices, and in that way attempt to improve the conservative management of patients with idiopathic scoliosis. These schools are presented in the historical order in which they were developed. They include the Lyon approach from France, the Katharina Schroth Asklepios approach from Germany, the Scientific Exercise Approach to Scoliosis (SEAS) from Italy, the Barcelona Scoliosis Physical Therapy Scho...

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Section: Side Shift (United Kingdom)mentioning

confidence: 99%

Physiotherapy scoliosis-specific exercises – a comprehensive review of seven major schools

Lebel²,

et al. 2016

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“…A total of 14 common braces were summarized according to the characteristics of various braces for AIS, including origin, fabrication method, wearing time, curve type, mechanism of action, opening direction, symmetry, stiffness, and optimal angle, Lyon, ART ( 55 ), Boston, Rigo-Chêneau, Gensingen Brace, Milwaukee, Charleston, Providence, Wilmington, SpineCor ( 56 ), OMC (Osaka Medical College) ( 57 ), Sforzesco ( 58 ), PASB (Progressive Action Short Brace) ( 59 ), Pressure-adjustable ( 12 ), as shown in Table 8 . Eight main modalities were summarized based on the main subtypes of physiotherapeutic scoliosis-specific exercises, motor intervention characteristics, classification systems, breathing techniques, and recommended brace use, Lyon ( 60 ), Schroth ( 61 ), Scientific Exercise Approach to Scoliosis (SEAS) ( 62 ), Barcelona Scoliosis Physical Therapy School ( 63 ), Dobomed ( 64 ), Side-Shift ( 65 ), Functional Individual Therapy of Scoliosis ( 66 ), FED-Method ( 67 ), as shown in Table 9 . However, based on characteristics such as the volume of publications in this field of research, some trends can already be seen: In an effort to replace the most invasive braces, innovative alternative concepts have been created, with TLSO replacing Milwaukee a few years ago ( 68 ).…”

Section: Discussionmentioning

confidence: 99%

“…Side-Shift (United Kingdom) (65) Type I is any curve pattern that can be corrected by moving the trunk beyond the coronal midline to the opposite side of the scoliosis curve (a very flexible curve). 2.…”

Section: D Cheneau Bracementioning

confidence: 99%

Global research hotspots and trends in non-surgical treatment of adolescent idiopathic scoliosis over the past three decades: a bibliometric and visualization study

Xu,

Chen,

Wang

et al. 2024

Front. Pediatr.

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BackgroundIn recent years, research on the non-surgical treatment of AIS has been increasingly conducted. To the best of our knowledge, this field doesn't yet have a comprehensive and structured pulse combing analysis. In order to provide inspiration and resources for subsequent researchers, we thus reviewed the literature studies on the non-surgical treatment of AIS from the previous thirty years and highlighted the hotspots and frontiers of research in this field.MethodsMain using Citespace 6.1 software, the data from the core dataset of the WOS database pertaining to the non-surgical management of AIS from 1990 to 2022 was gathered, displayed, and analyzed.Results839 papers in all were included in the literature. With 215 papers, the USA came in first place. Chinese Univ Hong Kong ranked first with 32 papers. Research hotspots are adolescent idiopathic spondylitis, Schroth-based physiotherapy-specific exercise efficacy, curve development, Cobb angle, TLSO brace-based clinical efficacy, quality of life, reliability, health-related quality of life questionnaires, finite element biomechanical models, follow-up, and clinical guidelines.ConclusionThere aren't many studies that compare the clinical effectiveness of various non-surgical treatments, and because of variations in inclusion eligibility standards and outcome measures, these studies cannot be directly compared. In addition, the inconsistency of existing growth potential and progression risk assessment systems further affects comparative studies of clinical efficacy; it is recommended to establish primary assessment indicators centered on patient treatment outcomes (including appearance, disability, pain, and quality of life), as well as standardized scoliosis progression risk assessment criteria.

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“…This approach was developed by Mrs Min Mehta 14 . This is simplest form of categorisation of spinal side shift.…”

Section: Figure 4 Side Shift Classificationmentioning

confidence: 99%

Classifications of Adolescent Idiopathic Scoliosis in Relation to Physiotherapy

Balne¹,

Jabeen²,

Mathukumalli³

2020

IJPOT

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Idiopathic scoliosis is a complex abnormal lateral curvature of the spine more than 10°, with no evidence of underlying physical or radiographic pathology. A normally aligned spine is stable platform for performing static and dynamic activities of life with appropriate recruitment of spinal muscles. Stability and alignment of vertebrae in spatial planes will influence selection of biomechanical strategies for functional movements and activities of daily living. There are different classifications and schools of scoliosis specific physiotherapy like Side shift, Dobomed and BSPTS, SEAS. There is a need to understand different classifications used in different approaches. This review article is intended to provide overview of different classification systems to physiotherapists so that they can integrate with the views of surgeon in relation to spinal surgery, interact and work with orthotists in brace design and to plan corrective program for prevention of further progression or maintenance or correction of scoliosis.

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The development of a classification system for the treatment of scoliosis by the side shift

Cited by 3 publications

References 3 publications

Physiotherapy scoliosis-specific exercises – a comprehensive review of seven major schools

Physiotherapy scoliosis-specific exercises – a comprehensive review of seven major schools

Global research hotspots and trends in non-surgical treatment of adolescent idiopathic scoliosis over the past three decades: a bibliometric and visualization study

Classifications of Adolescent Idiopathic Scoliosis in Relation to Physiotherapy

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