Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 19176
Title Chiropractic manipulation in adolescent idiopathic scoliosis: A pilot study
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560145/
Journal Chiropr & Osteopat. 2005 ;13(1):Online access only 37 p
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes BACKGROUND: Adolescent idiopathic scoliosis (AIS) remains the most common deforming orthopedic condition in children. Increasingly, both adults and children are seeking complementary and alternative therapy, including chiropractic treatment, for a wide variety of health concerns. The scientific evidence supporting the use chiropractic intervention is inadequate. The purpose of this study was to conduct a pilot study and explore issues of safety, patient recruitment and compliance, treatment standardization, sham treatment refinement, inter-professional cooperation, quality assurance, and outcome measure selection.

METHODS: Six patients participated in this 6-month study, 5 of whom were female. One female was braced. The mean age of these patients was 14 years, and the mean Cobb angle was 22.2 degrees. The study design was a randomized controlled clinical trial with two independent and blinded observers. Three patients were treated by standard medical care (observation or brace treatment), two were treated with standard medical care plus chiropractic manipulation, and one was treated with standard medical care plus sham manipulation. The primary outcome measure was Cobb, and the psychosocial measure was Scoliosis Quality of Life Index.

RESULTS: Orthopedic surgeons and chiropractors were easily recruited and worked cooperatively throughout the trial. Patient recruitment and compliance was good. Chiropractic treatments were safely employed, and research protocols were successful.

CONCLUSIONS: Overall, our pilot study showed the viability for a larger randomized trial. This pilot confirms the strength of existing protocols with amendments for use in a full randomized controlled trial.

Trial Registration This trial has been assigned an international standard randomized controlled trial number by Current Controlled Trials, Ltd. (http://www.controlled-trials.com/isrctn/). The number is ISRCTN41221647.

This abstract is reproduced with the permission of the publisher; click on the above link for free full text.

PubMed Record


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