title: Scoliosis treatment using a combination of manipulative and rehabilitative therapy: a retrospective case series.
abstract: BACKGROUND
  The combination of spinal manipulation and various physiotherapeutic procedures used to correct the curvatures associated with scoliosis have been largely unsuccessful. Typically, the goals of these procedures are often to relax, strengthen, or stretch musculotendinous and/or ligamentous structures. In this study, we investigate the possible benefits of combining spinal manipulation, positional traction, and neuromuscular reeducation in the treatment of idiopathic scoliosis.
  
  
  METHODS
  A total of 22 patient files were selected to participate in the protocol. Of these, 19 met the study criterion required for analysis of treatment benefits. Anteroposterior radiographs were taken of each subject prior to treatment intervention and 4-6 weeks following the intervention. A Cobb angle was drawn and analyzed on each radiograph, so pre and post comparisons could be made.
  
  
  RESULTS
  After 4-6 weeks of treatment, the treatment group averaged a 17 degrees reduction in their Cobb angle measurements. None of the patients' Cobb angles increased. A total of 3 subjects were dismissed from the study for noncompliance relating to home care instructions, leaving 19 subjects to be evaluated post-intervention.
  
  
  CONCLUSIONS
  The combined use of spinal manipulation and postural therapy appeared to significantly reduce the severity of the Cobb angle in all 19 subjects. These results warrant further testing of this protocol.
authors.affiliation: Pettibon Biomechanics Institute 3416-A 57th St Ct. NW; Gig Harbor, WA 98335, USA. drmark2star@yahoo.com
authors.forename: Mark W
authors.initials: MW
authors.lastname: Morningstar
authors.forename: Dennis
authors.initials: D
authors.lastname: Woggon
authors.forename: Gary
authors.initials: G
authors.lastname: Lawrence
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005081:Exercise Therapy; D006801:Humans; D026882:Manipulation, Chiropractic; D008875:Middle Aged; D026201:Musculoskeletal Manipulations / Q000379:methods*; D011859:Radiography; D012189:Retrospective Studies; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000628:therapy*; D014143:Traction