Traditional Chinese medicine manual therapy for adolescent idiopathic scoliosis: a case report
ObjectivesThis case demonstrates the efficacy and safety of Traditional Chinese Medicine manual therapy (TCMMT) for the treatment of mild to moderate AIS.MethodsAn 10-year-old girl who suffered from low back pain (LBP) with marked shoulder inequality and razorback postural abnormalities, with a clin...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1500373/full |
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| author | Bowen Zhu Miaoxiu Li Jun Ren Tianxiang He Xin Zhou Shoujian Wang Lingjun Kong Min Fang Min Fang |
| author_facet | Bowen Zhu Miaoxiu Li Jun Ren Tianxiang He Xin Zhou Shoujian Wang Lingjun Kong Min Fang Min Fang |
| author_sort | Bowen Zhu |
| collection | DOAJ |
| description | ObjectivesThis case demonstrates the efficacy and safety of Traditional Chinese Medicine manual therapy (TCMMT) for the treatment of mild to moderate AIS.MethodsAn 10-year-old girl who suffered from low back pain (LBP) with marked shoulder inequality and razorback postural abnormalities, with a clinical diagnosis of idiopathic scoliosis, and the Cobb angle of 20° and angle of trunk rotation (ATR) of the thoracic vertebral segment at 7°, and ATR of the lumbar vertebral segment at 8°, was treated with TCMMT. The patient initially recovered from centralized LBP with repeated TCMMT twice per week for 1 month. Subsequently, the frequency of TCMMT treatment was changed to 1–2 sessions weekly for 6 months. Before treatment, after the first TCMMT, 1 month and 7 months of treatment, and 18 months of follow-up, we used ATR or Cobb angle and health-related quality of life (HRQOL) for assessment. The HRQOL was assessed using the visual analog scale (VAS) scores and the Scoliosis Research Society-22 (SRS-22) patient questionnaire. The minimum clinically important difference (MCID) was used to assess the effectiveness of clinical measures based on a “responder analysis”.Results(a) The patient's VAS score was 40/100 before treatment, 25/100 after the first treatment, 15/100 after 1 month of treatment, 12/100 after 7 months of treatment, and 15/100 at follow-up to 18 months. (b) The patient's SRS-22 score was 54/110 before treatment, 61/110 after the first treatment, 79/110 after 1 month of treatment, 106/110 after 7 months of treatment, and 104/110 at follow-up to 18 months. (c) Before treatment, the patient's thoracic ATR angle was 7° and the lumbar ATR angle was 8°, there was no change in the ATR angles of the thoracic and lumbar spine after the first treatment. The thoracic ATR angle was 6° and the lumbar ATR angle was 5° after 1 month of treatment. The thoracic ATR angle was 1.5° and the lumbar ATR angle was 3.5° after 7 months of treatment. The thoracic ATR angle was 2° and the lumbar ATR angle was 4° at the follow up till 18 months. (d) The patient's Cobb angle was 20° before treatment, 7° after the 7 month of treatment, and 8° at follow-up to 18 months. No adverse events during treatment.ConclusionsTCMMT is a conservative treatment option worthy of consideration when considering a conservative treatment strategy for AIS. |
| format | Article |
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| institution | Kabale University |
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| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| spelling | doaj-art-abc61f4f9a7d4010be9d689a4e0926232025-01-21T08:36:59ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011210.3389/fped.2024.15003731500373Traditional Chinese medicine manual therapy for adolescent idiopathic scoliosis: a case reportBowen Zhu0Miaoxiu Li1Jun Ren2Tianxiang He3Xin Zhou4Shoujian Wang5Lingjun Kong6Min Fang7Min Fang8Department of Tuina, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Tuina, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Tuina, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Tuina, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Tuina, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Tuina, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Tuina, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Tuina, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Traditional Chinese Medicine and Tuina, Shanghai Research Institute of Traditional Chinese Medicine, Shanghai, ChinaObjectivesThis case demonstrates the efficacy and safety of Traditional Chinese Medicine manual therapy (TCMMT) for the treatment of mild to moderate AIS.MethodsAn 10-year-old girl who suffered from low back pain (LBP) with marked shoulder inequality and razorback postural abnormalities, with a clinical diagnosis of idiopathic scoliosis, and the Cobb angle of 20° and angle of trunk rotation (ATR) of the thoracic vertebral segment at 7°, and ATR of the lumbar vertebral segment at 8°, was treated with TCMMT. The patient initially recovered from centralized LBP with repeated TCMMT twice per week for 1 month. Subsequently, the frequency of TCMMT treatment was changed to 1–2 sessions weekly for 6 months. Before treatment, after the first TCMMT, 1 month and 7 months of treatment, and 18 months of follow-up, we used ATR or Cobb angle and health-related quality of life (HRQOL) for assessment. The HRQOL was assessed using the visual analog scale (VAS) scores and the Scoliosis Research Society-22 (SRS-22) patient questionnaire. The minimum clinically important difference (MCID) was used to assess the effectiveness of clinical measures based on a “responder analysis”.Results(a) The patient's VAS score was 40/100 before treatment, 25/100 after the first treatment, 15/100 after 1 month of treatment, 12/100 after 7 months of treatment, and 15/100 at follow-up to 18 months. (b) The patient's SRS-22 score was 54/110 before treatment, 61/110 after the first treatment, 79/110 after 1 month of treatment, 106/110 after 7 months of treatment, and 104/110 at follow-up to 18 months. (c) Before treatment, the patient's thoracic ATR angle was 7° and the lumbar ATR angle was 8°, there was no change in the ATR angles of the thoracic and lumbar spine after the first treatment. The thoracic ATR angle was 6° and the lumbar ATR angle was 5° after 1 month of treatment. The thoracic ATR angle was 1.5° and the lumbar ATR angle was 3.5° after 7 months of treatment. The thoracic ATR angle was 2° and the lumbar ATR angle was 4° at the follow up till 18 months. (d) The patient's Cobb angle was 20° before treatment, 7° after the 7 month of treatment, and 8° at follow-up to 18 months. No adverse events during treatment.ConclusionsTCMMT is a conservative treatment option worthy of consideration when considering a conservative treatment strategy for AIS.https://www.frontiersin.org/articles/10.3389/fped.2024.1500373/fulladolescent idiopathic scoliosismanual therapytraditional Chinese medicinelow back paincase report |
| spellingShingle | Bowen Zhu Miaoxiu Li Jun Ren Tianxiang He Xin Zhou Shoujian Wang Lingjun Kong Min Fang Min Fang Traditional Chinese medicine manual therapy for adolescent idiopathic scoliosis: a case report Frontiers in Pediatrics adolescent idiopathic scoliosis manual therapy traditional Chinese medicine low back pain case report |
| title | Traditional Chinese medicine manual therapy for adolescent idiopathic scoliosis: a case report |
| title_full | Traditional Chinese medicine manual therapy for adolescent idiopathic scoliosis: a case report |
| title_fullStr | Traditional Chinese medicine manual therapy for adolescent idiopathic scoliosis: a case report |
| title_full_unstemmed | Traditional Chinese medicine manual therapy for adolescent idiopathic scoliosis: a case report |
| title_short | Traditional Chinese medicine manual therapy for adolescent idiopathic scoliosis: a case report |
| title_sort | traditional chinese medicine manual therapy for adolescent idiopathic scoliosis a case report |
| topic | adolescent idiopathic scoliosis manual therapy traditional Chinese medicine low back pain case report |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1500373/full |
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