title: Manipulative and rehabilitative therapy as a treatment of idiopathic scoliosis without psychological sequelae: a case report.
abstract: OBJECTIVE
  The purpose of this case report is to describe management and outcomes of a patient with scoliosis.
  
  
  METHODS
  A 9-year-old female patient with a double curve pattern with Cobb angles of 18° and 24° (thoracic/thoracolumbar) compatible with scoliosis presented for physical therapy treatment.
  
  
  RESULTS
  Physiotherapy treatment with a combination of manipulative and rehabilitation techniques was used. After finishing the treatment, the patient had Cobb angles of 7° and 11°, an improvement of 55% and 54%, respectively. After 6 months, these effects were maintained, as the patient had Cobb angles of 11° and 11°. The clinical appearance of the patient improved after the course of care. The patient was evaluated for psychological outcomes by applying the following tests: Scoliosis Research Society 22, Bad Sobernheim Stress, and the Brace Questionnaire The patient had the maximum score in all tests at the conclusion of therapy.
  
  
  CONCLUSIONS
  The patient responded favorably to manipulative and rehabilitation techniques. At the end of care, the patient did not show psychological sequelae with selected outcome measures.
authors.affiliation: Physical Therapist, Department of Physical Therapy, Residenze Sanitarie Assistenziali "A. Maritano," Sangano, Italy.
authors.forename: Jorge H
authors.initials: JH
authors.lastname: Villafañe
authors.forename: Guillermo B
authors.initials: GB
authors.lastname: Silva
authors.forename: Andrea
authors.initials: A
authors.lastname: Dughera