Czaprowski Dariusz
Physiotherapy Faculty, Józef Rusiecki University College, Olsztyn, Poland.
Ortop Traumatol Rehabil. 2016 Oct 28;18(5):409-424. doi: 10.5604/15093492.1224615.
Apart from the recommended specific physiotherapy, the treatment of idiopathic scoliosis (IS) also incorporates non-specific manual therapy (NMT). The aim of this paper is to assess the efficacy of NMT (manual therapy, chiropractic, osteopathy) used in the treatment of children and adolescents with IS.
The study analysed systematic reviews (Analysis 1) and other recent scientific publications (Analysis 2). Analysis 1 encompassed papers on the use of NMT in patients with IS. Works concerning specific physiotherapy (SP) or bracing (B) and other types of scoliosis were excluded from the analysis. Inclusion criteria for Analysis 2 were: treatment with NMT; subjects aged 10-18 years with IS. The following types of papers were excluded: works analysing NMT combined with SP or B, reports concerning adult pa tients, analyses of single cases and publications included in Analysis 1.
Analysis 1: six systematic reviews contained 6 papers on the efficacy of NMT in the treatment of IS. The results of these studies are contradictory, ranging from Cobb angle reduction to no treatment effects whatsoever. The papers analysed are characterised by poor methodological quality: small group sizes, incomplete descriptions of the study groups, no follow-up and no control groups. Analysis 2: in total, 217 papers were found. None of them met the criteria set for the analysis.
除了推荐的特定物理治疗外，特发性脊柱侧弯（IS）的治疗还包括非特定手法治疗（NMT）。本文旨在评估NMT（手法治疗、整脊疗法、骨疗法）用于治疗儿童和青少年IS的疗效。
本研究分析了系统评价（分析1）和其他近期科学出版物（分析2）。分析1涵盖了关于NMT用于IS患者的论文。有关特定物理治疗（SP）或支具治疗（B）以及其他类型脊柱侧弯的研究被排除在分析之外。分析2的纳入标准为：接受NMT治疗；年龄在10 - 18岁的IS患者。以下类型的论文被排除：分析NMT与SP或B联合应用的研究、关于成年患者的报告、单病例分析以及分析1中包含的出版物。
分析1：六项系统评价包含6篇关于NMT治疗IS疗效的论文。这些研究结果相互矛盾，从Cobb角减小到无任何治疗效果不等。所分析的论文方法学质量较差：样本量小、研究组描述不完整、无随访且无对照组。分析2：总共找到217篇论文。其中没有一篇符合分析设定的标准。
