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Spinal Manipulative Therapy for Adolescent Idiopathic Scoliosis: A Systematic Review

Théroux, J., Stomski, N.J., Losco, C.D., Khadra, C., Labelle, H. and Le May, S. (2017) Spinal Manipulative Therapy for Adolescent Idiopathic Scoliosis: A Systematic Review. Journal of Manipulative and Physiological Therapeutics, 40 (6). pp. 452-458.

Link to Published Version: https://doi.org/10.1016/j.jmpt.2017.03.009
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Abstract

Objective
The purpose of this study was to perform a systematic review of clinical trials of spinal manipulative therapy for adolescent idiopathic scoliosis.

Methods
Search strategies were developed for PubMed, CINHAL, and CENTRAL databases. Studies were included through June 2016 if they were prospective trials that evaluated spinal manipulative therapy (eg, chiropractic, osteopathic, physical therapy) for adolescent idiopathic scoliosis. Data were extracted and assessed by 2 independent reviewers. Cochrane risk of bias tools were used to assess the quality of the included studies. Data were reported qualitatively because heterogeneity prevented statistical pooling.

Results
Four studies satisfied the inclusion criteria and were critically appraised. The findings of the included studies indicated that spinal manipulative therapy might be effective for preventing curve progression or reducing Cobb angle. However, the lack of controls and small sample sizes precluded robust estimation of the interventions’ effect sizes.

Conclusion
There is currently insufficient evidence to establish whether spinal manipulative therapy may be beneficial for adolescent idiopathic scoliosis. The results of the included studies suggest that spinal manipulative therapy may be a promising treatment, but these studies were all at substantial risk of bias. Further high-quality studies are warranted to conclusively determine if spinal manipulative therapy may be effective in the management of adolescent idiopathic scoliosis.

Publication Type: Journal Article
Murdoch Affiliation: School of Health Professions
Publisher: Mosby Inc.
Copyright: © 2017
URI: http://researchrepository.murdoch.edu.au/id/eprint/38286
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