Changes in clinical and radiographic parameters after a regimen of chiropractic manipulation combined with soft tissue therapy and neuromuscular rehabilitation in 7 patients with adolescent idiopathic scoliosis

Method Primary outcome measures reported include Cobb angle, disc index, apical vertebral deviation, vertebral rotation, digital spirometry, scoliometry, timed onelegged stability with eyes closed (TOLSWEC), and computerized dual inclinometry, as well as pain drawings and health-related quality of life questionnaires (RAND SF-36 and SRS-22). Data was recorded post-treatment and at follow-up ranging from four to seven months. A paired t-test and Wilcoxon test was performed to assess the statistical significance of the pre and post treatment radiographic parameters. Each patient underwent twenty treatment sessions over a two week period (2x day/five days) for an average length of 180 minutes/session. Treatment sessions were divided into three phases. The first phase of treatment addressed soft tissue deformations and improving spinal flexibility, the second phase influenced spinal biomechanics, and the third impacted neuromuscular function.