Morningstar Mark W, Stitzel Clayton J, Siddiqui Aatif, Dovorany Brian
Natural Wellness & Pain Relief Center, Grand Blanc, MI.
Lancaster Spinal Health Center, Lititz, PA.
J Chiropr Med. 2017 Mar;16(1):64-71. doi: 10.1016/j.jcm.2016.10.004. Epub 2016 Dec 13.
The purpose of this review was to evaluate the current body of literature on chiropractic treatment of idiopathic scoliosis against the 2014 consensus paper of the Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) and the Scoliosis Research Society (SRS) Non-Operative Management Committee for outcome reporting in nonoperative treatments.
A search of the PubMed and Index to Chiropractic Literature databases for studies published from January 2000 through February 2016 detailing specific treatments and outcomes for idiopathic scoliosis was conducted.
A total of 27 studies that discussed chiropractic scoliosis treatments were identified. Of these, there were 15 case reports, 10 case series, 1 prospective cohort, and 1 randomized clinical trial. Of the 27 studies, only 2 described their outcomes as recommended in the 2014 SOSORT and SRS Non-Operative Management Committee consensus paper.
The 2014 SOSORT and SRS Non-Operative Committee consensus paper details the format and types of outcomes they collectively believe are the most important and relevant to the patient. Among the chiropractic studies located in this review, 2 described outcomes consistent with how SOSORT recommends they be reported. Given that these consensus papers form the basis for nonoperative treatment recommendations and outcome reporting, future chiropractic studies should seek to report their outcomes as recommended by these papers. This will allow for better interprofessional collaboration and methodologic comparison.
本综述的目的是对照脊柱侧弯矫形与康复治疗协会(SOSORT)以及脊柱侧弯研究协会(SRS)非手术治疗管理委员会2014年的共识文件,评估目前关于整脊疗法治疗特发性脊柱侧弯的文献,以了解非手术治疗中的结果报告情况。
检索了PubMed和整脊文献索引数据库,查找2000年1月至2016年2月发表的详细阐述特发性脊柱侧弯具体治疗方法和结果的研究。
共识别出27项讨论整脊疗法治疗脊柱侧弯的研究。其中,有15项病例报告、10项病例系列研究、1项前瞻性队列研究和1项随机临床试验。在这27项研究中,只有2项按照2014年SOSORT和SRS非手术治疗管理委员会共识文件的建议描述了其结果。
2014年SOSORT和SRS非手术治疗委员会的共识文件详细说明了他们共同认为对患者最重要且最相关的结果的形式和类型。在本综述中找到的整脊疗法研究中,有2项描述的结果与SOSORT建议的报告方式一致。鉴于这些共识文件构成了非手术治疗建议和结果报告的基础,未来的整脊疗法研究应按照这些文件的建议报告其结果。这将有助于更好地开展跨专业协作和方法学比较。