TY - JOUR
T1 - The Potential Use of Axial Spinal Unloading in the Treatment of Adolescent Idiopathic Scoliosis
T2 - A Case Series
AU - Chromy, Catherine A.
AU - Carey, Michael T.
AU - Balgaard, Kristopher G.
AU - Iaizzo, Paul A.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2006/11
Y1 - 2006/11
N2 - Chromy CA, Carey MT, Balgaard KG, Iaizzo PA. The potential use of axial spinal unloading in the treatment of adolescent idiopathic scoliosis: a case series. Objective: To assess potential benefits of axial spinal unloading (LTX 3000 Lumbar Rehabilitation System) over a brief 3-month period. Design: Before-after pilot study. Setting: University research laboratory. Participants: Five adolescent girls with scoliosis. Interventions: Three laboratory sessions: (1) initial baseline, (2) immediately after 3-month treatment period (axial unloading by using LTX 3000 for two 10-minute treatments daily), and (3) 1 month posttreatment. Main Outcome Measures: Initial baseline postural data were obtained from 2 sets of radiographs (standing anteroposterior [AP] and lateral, sitting AP and lateral), back range of motion measurements, and numeric pain scales. The following were assessed: static postural changes; potential functional benefits; and therapeutic compliance. Results: All subjects elicited reductions in lumbar Cobb angles immediately after 3 months of treatment; initial average scoliotic curves of 13.7° were reduced 42% to 8° (α=.05, P=.004). Additionally, such reductions were evident 1 month posttreatment; average original curves were reduced by 27%. Subjects' range of motion and lumbar lengthening were not significantly altered by this therapeutic protocol. Reported subject compliance was high (95%). Conclusions: The LTX 3000 is a potential adjunct therapy for the treatment of adolescent scoliosis. This therapy resulted in curvature reductions and was widely accepted by subjects that were compliant with self-administration.
AB - Chromy CA, Carey MT, Balgaard KG, Iaizzo PA. The potential use of axial spinal unloading in the treatment of adolescent idiopathic scoliosis: a case series. Objective: To assess potential benefits of axial spinal unloading (LTX 3000 Lumbar Rehabilitation System) over a brief 3-month period. Design: Before-after pilot study. Setting: University research laboratory. Participants: Five adolescent girls with scoliosis. Interventions: Three laboratory sessions: (1) initial baseline, (2) immediately after 3-month treatment period (axial unloading by using LTX 3000 for two 10-minute treatments daily), and (3) 1 month posttreatment. Main Outcome Measures: Initial baseline postural data were obtained from 2 sets of radiographs (standing anteroposterior [AP] and lateral, sitting AP and lateral), back range of motion measurements, and numeric pain scales. The following were assessed: static postural changes; potential functional benefits; and therapeutic compliance. Results: All subjects elicited reductions in lumbar Cobb angles immediately after 3 months of treatment; initial average scoliotic curves of 13.7° were reduced 42% to 8° (α=.05, P=.004). Additionally, such reductions were evident 1 month posttreatment; average original curves were reduced by 27%. Subjects' range of motion and lumbar lengthening were not significantly altered by this therapeutic protocol. Reported subject compliance was high (95%). Conclusions: The LTX 3000 is a potential adjunct therapy for the treatment of adolescent scoliosis. This therapy resulted in curvature reductions and was widely accepted by subjects that were compliant with self-administration.
KW - Rehabilitation
KW - Scoliosis
KW - Traction
KW - Treatment effectiveness
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U2 - 10.1016/j.apmr.2006.08.325
DO - 10.1016/j.apmr.2006.08.325
M3 - Article
C2 - 17084118
AN - SCOPUS:33750454120
SN - 0003-9993
VL - 87
SP - 1447
EP - 1453
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 11
ER -