Critical review on non-operative management of adolescent idiopathic scoliosis.
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.
Wong
M S
MS
Rehabilitation Engineering Centre, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China. rcmswong@polyu.edu.hk
Liu
W C
WC
D000293:Adolescent; D004599:Electric Stimulation Therapy; D005081:Exercise Therapy; D006801:Humans; D008403:Mass Screening; D009989:Orthotic Devices; D010349:Patient Compliance; D026741:Physical Therapy Modalities / Q000379:methods*; D011187:Posture; D011788:Quality of Life; D012600:Scoliosis / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome