title: Effects of novel corrective spinal technique on adolescent idiopathic scoliosis as assessed by radiographic imaging.
abstract: OBJECTIVE
  To compare the therapeutic effects of a 3-dimensional corrective spinal technique (CST) and a conventional exercise program (CE) on altered spinal curvature and health related quality-of-life in patients with adolescent idiopathic scoliosis (AIS).
  
  
  METHODS
  Adolescents with idiopathic scoliosis (N=32, 6 males and 26 females) between 10 and 19 years of age (14.34 ± 2.60 years) were recruited and underwent the CST or CE for 60 minutes/day, 2-3 times a week, and an average of total 30 sessions. Diagnostic X-ray imaging technique was used to determine intervention-related changes in the Cobb angle, thoracic kyphosis angle, lumbar lordosis angle, sacral slope, pelvic tilt, pelvic incidence, and vertebral rotation (Nash-Moe method). The Scoliosis Research Society-22 (SRS-22) health related quality-of-life questionnaire was used. Data were analysed using independent t-test, paired t-test, and non-parametric Mann-Whitney U-test at p < 0.05.
  
  
  RESULTS
  CST showed greater improvements in Cobb angle (p=0.003), vertebral rotation (p=0.000), and SRS-22 scores (self-image and treatment satisfaction subscale scores and total score, p=0.026, p=0.039, and p=0.041, respectively) as compared to the controls. There were no significant changes in the other measures between the two groups.
  
  
  CONCLUSIONS
  This is the first clinical trial to investigate the effects of the 3-dimensional CST on spinal curvatures and health related quality-of-life in AIS, providing the important clinical rationale and compelling evidence for the effective management of AIS.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Seoul Hyu Clinic, Gyeonggi-do, Korea Department of Physical Therapy, College of Health Science, Yonsei University, Kangwon-do, Korea.
authors.forename: Dong Koog
authors.initials: DK
authors.lastname: Noh
authors.affiliation: Department of Physical Therapy, College of Health Science, Yonsei University, Kangwon-do, Korea.
authors.forename: Joshua Sung-H
authors.initials: JS
authors.lastname: You
authors.affiliation: Department of Physical Medicine and Rehabilitation, Seoul Hyu Clinic, Gyeonggi-do, Korea.
authors.forename: Jae-Hyun
authors.initials: JH
authors.lastname: Koh
authors.affiliation: Department of Physical Medicine and Rehabilitation, Seoul Hyu Clinic, Gyeonggi-do, Korea.
authors.forename: Hoseong
authors.initials: H
authors.lastname: Kim
authors.affiliation: Department of Physical Medicine and Rehabilitation, Seoul Hyu Clinic, Gyeonggi-do, Korea.
authors.forename: Donghyun
authors.initials: D
authors.lastname: Kim
authors.affiliation: Department of Physical Medicine and Rehabilitation, Seoul Hyu Clinic, Gyeonggi-do, Korea.
authors.forename: Sung-Mok
authors.initials: SM
authors.lastname: Ko
authors.affiliation: Department of Physical Medicine and Rehabilitation, Seoul Hyu Clinic, Gyeonggi-do, Korea.
authors.forename: Ji-Youn
authors.initials: JY
authors.lastname: Shin
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D026741:Physical Therapy Modalities; D011788:Quality of Life; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000628:therapy*; D013131:Spine / Q000000981:diagnostic imaging*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Adolescent idiopathic scoliosis; X-ray imaging; corrective spinal exercise