Scoliosis Treatment Using a Combination of Manipulative and Rehabilitative Therapy: A Retrospective Case Series - Research Overview

This article discusses the misnomers around the level of effectiveness when treating AIS. Majority of conservative care is largely based around spinal manipulation and various physiotherapeutic procedures. Typically these techniques are to strengthen, relax or stretch various soft tissue structures. This particular study investigated the benefits of combining spinal manipulation, positional traction, and neuromuscular reeducation. 

One of the major limitations of this study was the small study group size of only being 22. The age range for the group was 15-65 years. Each patient was examined radiographically for location and severity. Cobb angles were drawn to measure severity. The specific spinal manipulative procedures in this study are designed to reduce curvature and “theoretically retrain the involuntary neuromuscular, reflexive control of posture and balance.”

Spinal manipulations included upper cervical adjusting, thoracic mobilisations, side posture lumbopelvic adjustments, certain tractions and positional body weighting. Patients were treated 3 times per week for 4-6 weeks. Physician treatments were individualized for each patient however rehabilitative routines were consistent across the study.
 
A re-examination of radiographs were repeated after the 4-6 week period. 3 subjects were non compliant and excluded. The other 19 subjects showed improved Cobb angles, with an average improvement of 17 degrees.
 
Being a retrospective study, this paper does ot account for practitioner blinding, has no control group, comparative data and does not reflect a very widespread random population, however this can be a foundation for further study in research into this area of treatment. Chiropractic care can play a part in neurologically impacting a patient with scoliosis. 

Morningstar, M., Woggon, D., & Lawrence, G. (204). Scoliosis Treatment Using a Combination of Manipulative and Rehabilitative Therapy: A Retrospective Case Series. BMC Musculoskeletal Disorders. 5(32). doi:  10.1186/1471-2474-5-32.