Analysis of kinematic and kinetic changes in scoliosis following spinal manipulation

Abstract Scoliosis is a prevalent condition among adolescents, and the spinal manipulation is one of the conservative treatment methods for scoliosis patients. Impairment in movement function stands out as a typical characteristic in cases of scoliosis. This study utilized a single-arm clinical tria...

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Main Authors: Yanyun Gou, Lin Meng, Shaoqing Chen, Zheng Jiang, Huangwei Lei
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-87812-z
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author Yanyun Gou
Lin Meng
Shaoqing Chen
Zheng Jiang
Huangwei Lei
author_facet Yanyun Gou
Lin Meng
Shaoqing Chen
Zheng Jiang
Huangwei Lei
author_sort Yanyun Gou
collection DOAJ
description Abstract Scoliosis is a prevalent condition among adolescents, and the spinal manipulation is one of the conservative treatment methods for scoliosis patients. Impairment in movement function stands out as a typical characteristic in cases of scoliosis. This study utilized a single-arm clinical trial design involving 35 patients aged 18 to 20 with idiopathic scoliosis (IS) and Cobb angles ranging from 10° to 30°. The treatment protocol consisted of spinal manipulation sessions three times a week, each lasting 40 min, administered over a span of six weeks. Pre- and post-intervention assessments focused on the Cobb angle and lower limb kinematics and kinetics during functional movements such as level walking, stair ascent, and descent. Patients with IS showed improvements in the Cobb angle, as well as changes in lower limb kinematics and kinetics during functional activities, such as walking and stair navigation, following six weeks of spinal manipulation intervention. The study further demonstrated that spinal manipulation reduced lower limb’s sagittal joint mobility, increased stability in individuals with IS. Patients with IS exhibited significant changes in lower limb kinematics and kinetic following spinal manipulation, which may serve as a potential mechanism underlying the alteration of the Cobb angle. Future studies, particularly RCTs, are needed to further validate the effectiveness of spinal manipulation in treating IS.
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spelling doaj-art-8af7493a88c04779b78f66e8fee77f7c2025-02-02T12:24:07ZengNature PortfolioScientific Reports2045-23222025-01-0115111210.1038/s41598-025-87812-zAnalysis of kinematic and kinetic changes in scoliosis following spinal manipulationYanyun Gou0Lin Meng1Shaoqing Chen2Zheng Jiang3Huangwei Lei4Fujian University of Traditional Chinese MedicineHangzhou First Peoples’ Hospital Xiasha Campus, Hangzhou Rehabilitation HospitalFujian University of Traditional Chinese MedicineFujian University of Traditional Chinese MedicineFujian University of Traditional Chinese MedicineAbstract Scoliosis is a prevalent condition among adolescents, and the spinal manipulation is one of the conservative treatment methods for scoliosis patients. Impairment in movement function stands out as a typical characteristic in cases of scoliosis. This study utilized a single-arm clinical trial design involving 35 patients aged 18 to 20 with idiopathic scoliosis (IS) and Cobb angles ranging from 10° to 30°. The treatment protocol consisted of spinal manipulation sessions three times a week, each lasting 40 min, administered over a span of six weeks. Pre- and post-intervention assessments focused on the Cobb angle and lower limb kinematics and kinetics during functional movements such as level walking, stair ascent, and descent. Patients with IS showed improvements in the Cobb angle, as well as changes in lower limb kinematics and kinetics during functional activities, such as walking and stair navigation, following six weeks of spinal manipulation intervention. The study further demonstrated that spinal manipulation reduced lower limb’s sagittal joint mobility, increased stability in individuals with IS. Patients with IS exhibited significant changes in lower limb kinematics and kinetic following spinal manipulation, which may serve as a potential mechanism underlying the alteration of the Cobb angle. Future studies, particularly RCTs, are needed to further validate the effectiveness of spinal manipulation in treating IS.https://doi.org/10.1038/s41598-025-87812-zIdiopathic scoliosisKinematics and kineticsStair activitiesSpinal manipulation
spellingShingle Yanyun Gou
Lin Meng
Shaoqing Chen
Zheng Jiang
Huangwei Lei
Analysis of kinematic and kinetic changes in scoliosis following spinal manipulation
Scientific Reports
Idiopathic scoliosis
Kinematics and kinetics
Stair activities
Spinal manipulation
title Analysis of kinematic and kinetic changes in scoliosis following spinal manipulation
title_full Analysis of kinematic and kinetic changes in scoliosis following spinal manipulation
title_fullStr Analysis of kinematic and kinetic changes in scoliosis following spinal manipulation
title_full_unstemmed Analysis of kinematic and kinetic changes in scoliosis following spinal manipulation
title_short Analysis of kinematic and kinetic changes in scoliosis following spinal manipulation
title_sort analysis of kinematic and kinetic changes in scoliosis following spinal manipulation
topic Idiopathic scoliosis
Kinematics and kinetics
Stair activities
Spinal manipulation
url https://doi.org/10.1038/s41598-025-87812-z
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AT linmeng analysisofkinematicandkineticchangesinscoliosisfollowingspinalmanipulation
AT shaoqingchen analysisofkinematicandkineticchangesinscoliosisfollowingspinalmanipulation
AT zhengjiang analysisofkinematicandkineticchangesinscoliosisfollowingspinalmanipulation
AT huangweilei analysisofkinematicandkineticchangesinscoliosisfollowingspinalmanipulation