Adolescent idiopathic scoliosis treatment using pettibon corrective procedures: a case report.
OBJECTIVE
To investigate the possible benefits of using Pettibon corrective procedures to reduce the curvature associated with idiopathic scoliosis. These procedures were tested to determine potential effectiveness in a single patient.


METHODS
A patient with a 35 degrees left convex thoracolumbar scoliosis was treated using Pettibon corrective procedures. Initial and follow-up outcome measures included a Borg pain scale, a Functional Rating Index, a balance test, and radiographic analysis.


RESULTS
The patient was treated using a combination of manipulative and rehabilitative procedures designed to restore normal sagittal curves and reduce the severity of the coronal curvatures. After six weeks of treatment, the post treatment radiograph revealed a 20 degrees left convex thoracolumbar scoliosis, as well as decreases in the Borg pain scale from six to two, and Functional Rating Index score from 18/40 to 7/40 after the trial period. Her balance time increased from 18 seconds to 56 seconds.


CONCLUSIONS
Pettibon corrective procedures seemed to be effective at reducing the thoracolumbar scoliosis 15 degrees (43%) after six weeks. The subjective and objective results of this case study warrant further such investigations.
Morningstar
Mark W
MW
Private practice of chiropractic, Grand Blanc, MI.
Strauchman
Megan N
MN
Gilmour
Greg
G
J Manipulative Physiol Ther. 2000 Nov-Dec;23(9):623-44
11145804
J Manipulative Physiol Ther. 1998 May;21(4):267-80
9608382
J Manipulative Physiol Ther. 1999 Oct;22(8):540-4
10543585
J Manipulative Physiol Ther. 1994 May;17(4):253-7
7519232
J Bone Joint Surg Am. 2002 Dec;84(12):2230-4
12473713
Paediatr Anaesth. 1999;9(4):352-5
10411775
Gait Posture. 2000 Sep;12(1):14-24
10996293
Eur Spine J. 2001 Feb;10(1):2-9
11276831
J Manipulative Physiol Ther. 2003 Feb;26(2):87-98
12584507
J Spinal Disord Tech. 2002 Jun;15(3):213-20
12131422
J Chiropr Med. 2003 Summer;2(3):111-5
19674605
J Spinal Disord Tech. 2002 Jun;15(3):261-4
12131431
J Manipulative Physiol Ther. 2002 May;25(4):E3
12021749
Gait Posture. 2001 Apr;13(2):95-101
11240357
J Neurophysiol. 1985 Jul;54(1):90-109
3162006
J Chiropr Med. 2003 Spring;2(2):51-4
19674595
South Med J. 2002 Jul;95(7):753-5
12144083
J Manipulative Physiol Ther. 2002 Jul-Aug;25(6):391-401
12183697
Spine (Phila Pa 1976). 2001 Jul 1;26(13):1449-56
11458150
J Chiropr Med. 2003 Autumn;2(4):137-41
19674610
Eur J Appl Physiol Occup Physiol. 1988;57(3):327-35
3371342
Semin Pediatr Neurol. 1998 Jun;5(2):78-91
9661242
J Manipulative Physiol Ther. 1999 Jul-Aug;22(6):399-410
10478773
Gait Posture. 2000 Oct;12(2):87-93
10998604
J Manipulative Physiol Ther. 1999 Jun;22(5):309-15
10395433
Clin Biomech (Bristol, Avon). 2001 May;16(4):276-84
11358614
J Manipulative Physiol Ther. 2001 Mar-Apr;24(3):177-82
11313613
J Bone Joint Surg Br. 1984 Aug;66(4):509-12
6746683
Orthopedics. 2001 Mar;24(3):265-8
11300291
Arch Phys Med Rehabil. 2002 Mar;83(3):412-5
11887124
J Manipulative Physiol Ther. 2001 Jul-Aug;24(6):385-93
11514815
J Manipulative Physiol Ther. 1997 May;20(4):246-56
9168409
Spine (Phila Pa 1976). 2002 May 15;27(10):1116-23
12004182
Spine (Phila Pa 1976). 1999 Dec 15;24(24):2592-600
10635522
Spine (Phila Pa 1976). 2000 Sep 15;25(18):2326-32
10984784
J Pediatr Orthop. 2002 Nov-Dec;22(6):807-12
12409912
J Spinal Disord. 1997 Oct;10(5):380-6
9355053
Gait Posture. 1999 Jul;9(3):207-31
10575082
J Spinal Disord. 1998 Oct;11(5):430-9
9811104
J Vestib Res. 1995 May-Jun;5(3):147-70
7627376
Spine (Phila Pa 1976). 2001 May 1;26(9):1052-8
11337624
J Adv Nurs. 2001 Sep;35(5):683-90
11529970
Orthop Clin North Am. 1999 Jul;30(3):435-49, viii
10393765
Eur Spine J. 2001 Oct;10(5):458-60
11718203
Spine (Phila Pa 1976). 1999 Dec 15;24(24):2576-83
10635520
Gait Posture. 2002 Feb;15(1):75-82
11809583
Am J Orthop (Belle Mead NJ). 2002 Jul;31(7):387-95
12180624
Spine (Phila Pa 1976). 2002 Nov 1;27(21):2350-6
12438983
Brain. 2002 Dec;125(Pt 12):2626-34
12429590
Spine (Phila Pa 1976). 2001 Jan 1;26(1):78-86; discussion 87
11148650
Spine (Phila Pa 1976). 2002 Sep 1;27(17):1911-7
12221357
J Orthop Res. 1998 Nov;16(6):766-70
9877403
Spine (Phila Pa 1976). 2003 Nov 15;28(22):2505-9
14624085