Critical review on non-operative management of adolescent idiopathic scoliosis

Prosthet Orthot Int. 2003 Dec;27(3):242-53. doi: 10.1080/03093640308726688.

Abstract

There are a number of different non-operative interventions which aim to control moderate adolescent idiopathic scoliosis (AIS) from progression. Clinicians may find difficulties in the selection of appropriate interventions for AIS. A comprehensive literature review was carried out to study all contemporary non-operative interventions, it was noted that rigid spinal orthoses apparently give more curve control; however, it would compromise the patient's quality of life via those inevitable factors--physical constraint, poor acceptance and psychological disturbance. There is a trend to develop more effective, acceptable and user-friendly interventions. Under such an aspiration, the theories and clinical evidence of different interventions should be developed along the clinical pathway of early intervention with reliable indicators/predictors, patient's active participation, dynamic control mechanism, holistic psychological and psychosocial considerations, and effective and long-lasting outcome.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Adolescent
  • Electric Stimulation Therapy
  • Exercise Therapy
  • Humans
  • Mass Screening
  • Orthotic Devices*
  • Patient Compliance
  • Physical Therapy Modalities / methods*
  • Posture
  • Quality of Life
  • Scoliosis / diagnosis
  • Scoliosis / therapy*
  • Treatment Outcome