Integrative Treatment Using Chiropractic and Conventional Techniques for Adolescent Idiopathic Scoliosis: Outcomes in Four Patients

Background: Bracing treatment for adolescent idiopathic scoliosis is a commonly prescribed treatment for curvatures up to roughly 35°. Little data in the United States has been published concerning bracing treatment for larger curves, as surgical intervention is typically reserved for such cases. This study reports on the combined use of Boston bracing and a conservative manual therapy system for larger magnitude scoliosis. Methods: A total of 4 patients presented to a private spine clinic for treatment consisting of bracing, a patented weighting system, vibration therapy, and manual traction procedures. The evaluation process consisted of multiple outcomes, including radiographic, functional, respiratory, and postural assessments. Patients were evaluated at the onset of treatment and after 90 days. Results: All 4 patients saw their major curvatures reduced an average of 13.5°. Peak expiratory flow, computerized postural assessment, chest expansion, rib hump measurements, and functional rating index scores also improved for all patients. Two of the patients also reported an improvement in specific symptoms. Conclusion: Using this combined treatment for 90 days, the patients outlined here were able to achieve positive benefits in radiographic, functional, and physiological outcome measures. Limited conclusions can be made due to the study design, however. All patients will be monitored for moderate and longterm assessments. ____________________________________________________________________________________________________________