Spinal Flexibility Assessment on the Patients With Adolescent Idiopathic Scoliosis

Spinal Flexibility Assessment on the Patients With Adolescent Idiopathic Scoliosis Study Design.A literature review.Objective.The aim of this study was to review the contemporary methods for spinal flexibility assessment on the patients with adolescent idiopathic scoliosis (AIS).Summary of Background Data.Spinal flexibility is one of the essential parameters for clinical decisions on the patients with AIS. Various methods of spinal flexibility assessment are proposed, but which method(s) could better reveal spinal flexibility or predict treatment effect is unclear.Methods.The databases of AbleData, IBSS, Academic Search Premier, MEDLINE/PubMed, CINAHL, Recal Legacy, REHABDATA, Embase, and Web of Science were searched. The study inclusive criteria were (1) prospective cohort study; (2) investigated spinal flexibility on AIS patients; (3) published in English 1996 to 2016.Results.Totally 15 articles were included and 11 methods of spinal flexibility assessment were introduced in this review. Traction methods revealed higher spinal flexibility on the patients with severe curves (>65°) but lower spinal flexibility on the patients with moderate curves (40°–65°), comparing with lateral bending methods. Among lateral bending methods, fulcrum bending flexibility is higher on thoracic (T) curves, whereas supine with lateral bending flexibility is higher on thoracolumbar or lumbar (TL/L) curves. For predicting postoperative correction, fulcrum bending flexibility showed higher correlation with postoperative correction on moderate curves and traction flexibility showed higher correlation on severe curves, compared with supine with lateral bending method.Conclusion.Curve magnitude and location are two important parameters in selecting appropriate method for spinal flexibility assessment and treatment effect prediction. The traction method should be considered for the patients with severe curves, while the lateral bending method is suggested for the patients with moderate curves. The fulcrum bending method is recommended to assess T curve flexibility, whereas the supine with lateral bending method is for the assessment of TL/L curve flexibility. A comprehensive guideline for selecting spinal flexibility assessment method(s) should be established via future studies.Level of Evidence: 4 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Spine Wolters Kluwer Health

Spinal Flexibility Assessment on the Patients With Adolescent Idiopathic Scoliosis

Spine , Volume 43 (4) – Feb 15, 2018

Loading next page...
 
/lp/wolters_kluwer/spinal-flexibility-assessment-on-the-patients-with-adolescent-N4do0dISMb
Publisher
Wolters Kluwer
Copyright
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
0362-2436
eISSN
1528-1159
D.O.I.
10.1097/BRS.0000000000002276
Publisher site
See Article on Publisher Site

Abstract

Study Design.A literature review.Objective.The aim of this study was to review the contemporary methods for spinal flexibility assessment on the patients with adolescent idiopathic scoliosis (AIS).Summary of Background Data.Spinal flexibility is one of the essential parameters for clinical decisions on the patients with AIS. Various methods of spinal flexibility assessment are proposed, but which method(s) could better reveal spinal flexibility or predict treatment effect is unclear.Methods.The databases of AbleData, IBSS, Academic Search Premier, MEDLINE/PubMed, CINAHL, Recal Legacy, REHABDATA, Embase, and Web of Science were searched. The study inclusive criteria were (1) prospective cohort study; (2) investigated spinal flexibility on AIS patients; (3) published in English 1996 to 2016.Results.Totally 15 articles were included and 11 methods of spinal flexibility assessment were introduced in this review. Traction methods revealed higher spinal flexibility on the patients with severe curves (>65°) but lower spinal flexibility on the patients with moderate curves (40°–65°), comparing with lateral bending methods. Among lateral bending methods, fulcrum bending flexibility is higher on thoracic (T) curves, whereas supine with lateral bending flexibility is higher on thoracolumbar or lumbar (TL/L) curves. For predicting postoperative correction, fulcrum bending flexibility showed higher correlation with postoperative correction on moderate curves and traction flexibility showed higher correlation on severe curves, compared with supine with lateral bending method.Conclusion.Curve magnitude and location are two important parameters in selecting appropriate method for spinal flexibility assessment and treatment effect prediction. The traction method should be considered for the patients with severe curves, while the lateral bending method is suggested for the patients with moderate curves. The fulcrum bending method is recommended to assess T curve flexibility, whereas the supine with lateral bending method is for the assessment of TL/L curve flexibility. A comprehensive guideline for selecting spinal flexibility assessment method(s) should be established via future studies.Level of Evidence: 4

Journal

SpineWolters Kluwer Health

Published: Feb 15, 2018

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off