Romano Michele, Negrini Stefano
ISICO (Italian Scientific Spine Institute), Milan, Italy.
Scoliosis. 2008 Jan 22;3:2. doi: 10.1186/1748-7161-3-2.
The treatment of adolescent idiopathic scoliosis is contingent upon many variables. Simple observation is enough for less serious curvatures, but for very serious cases surgical intervention could be proposed. Between these there is a wide range of different treatments. Manual therapy is commonly used: the aim of this paper is to verify the data existing in the literature on the efficacy of this approach.
A systematic review of the scientific literature published internationally has been performed. We have included in the term manual therapy all the manipulative and generally passive techniques performed by an external operator. In a more specific meaning, osteopathic, chiropractic and massage techniques have been considered as manipulative therapeutic methods. We performed our systematic research in Medline, Embase, Cinhal, Cochrane Library, Pedro with the following terms: idiopathic scoliosis combined with chiropractic; manipulation; mobilization; manual therapy; massage; osteopathy; and therapeutic manipulation. The criteria for inclusion were as follows: Any kind of research; diagnosis of adolescent idiopathic scoliosis; patients treated exclusively by one of the procedures established as a standard for this review (chiropractic manipulation, osteopathic techniques, massage); and outcome in Cobb degrees.
We founded 145 texts, but only three papers were relevant to our study. However, no one of the three satisfied all the required inclusion criteria because they were characterized by a combination of manual techniques and other therapeutic approaches.
The lack of any kind of serious scientific data does not allow us to draw any conclusion on the efficacy of manual therapy as an efficacious technique for the treatment of Adolescent idiopathic scoliosis.
青少年特发性脊柱侧弯的治疗取决于许多变量。对于不太严重的侧弯，简单观察即可，但对于非常严重的病例，可能会建议进行手术干预。在这两者之间存在广泛的不同治疗方法。手法治疗常用：本文的目的是核实文献中关于这种方法疗效的现有数据。
对国际上发表的科学文献进行了系统综述。我们将手法治疗一词纳入了外部操作者进行的所有手法及一般被动技术。更具体地说，整骨疗法、脊椎按摩疗法和按摩技术被视为手法治疗方法。我们在Medline、Embase、Cinhalt、Cochrane图书馆、Pedro中使用以下术语进行了系统研究：特发性脊柱侧弯与脊椎按摩疗法；手法治疗；松动术；手法治疗；按摩；整骨疗法；以及治疗性手法。纳入标准如下：任何类型的研究；青少年特发性脊柱侧弯的诊断；仅通过本综述确定为标准的一种程序（脊椎按摩手法、整骨技术、按摩）治疗的患者；以及以Cobb角表示的结果。
我们找到了145篇文献，但只有三篇论文与我们的研究相关。然而，这三篇论文中没有一篇满足所有要求的纳入标准，因为它们的特点是手法技术与其他治疗方法相结合。
缺乏任何严肃的科学数据使我们无法就手法治疗作为治疗青少年特发性脊柱侧弯的有效技术的疗效得出任何结论。
