Pain and Radiographic Outcomes in Adult Idiopathic Scoliosis Patients Using a Scoliosis Activity Suit: An 18-Month Case Controlled Chart Review
Affiliation(s)
1 Natural Wellness &Pain Relief Center, Grand Blanc, MI, USA. 2 Esprit Wellness, New York, NY, USA. 3 Lancaster Spinal Health Center, Lititz, PA, USA. 4 Posture & Spine Care Center, Green Bay, WI, USA.
1 Natural Wellness &Pain Relief Center, Grand Blanc, MI, USA. 2 Esprit Wellness, New York, NY, USA. 3 Lancaster Spinal Health Center, Lititz, PA, USA. 4 Posture & Spine Care Center, Green Bay, WI, USA.
ABSTRACT
There are few conservative treatment options for patients with adult idiopathic scoliosis. These typically include pharmacologic pain management, epidural injections, and generalized CAM treatments such as massage and chiropractic manipulation. The purpose of this study was to compare the post-treatment results in patients wearing the scoliosis activity suit versus baseline assessments as well as adult scoliosis patients who did not wear the activity suit. The pain and Cobb angle outcomes of 53 consecutive patients with adult idiopathic scoliosis following a trial of a scoliosis activity suit were reviewed. The average scores and measurements at 18 months were statistically significantly improved for both the quadruple numerical pain rating scale as well as Cobb angle. The scoliosis activity suit may be a viable supportive therapy for the treatment of chronic pain associated with adult idiopathic scoliosis. Further prospective studies should evaluate treatment effects of this suit using intent-to-treat methodology.
There are few conservative treatment options for patients with adult idiopathic scoliosis. These typically include pharmacologic pain management, epidural injections, and generalized CAM treatments such as massage and chiropractic manipulation. The purpose of this study was to compare the post-treatment results in patients wearing the scoliosis activity suit versus baseline assessments as well as adult scoliosis patients who did not wear the activity suit. The pain and Cobb angle outcomes of 53 consecutive patients with adult idiopathic scoliosis following a trial of a scoliosis activity suit were reviewed. The average scores and measurements at 18 months were statistically significantly improved for both the quadruple numerical pain rating scale as well as Cobb angle. The scoliosis activity suit may be a viable supportive therapy for the treatment of chronic pain associated with adult idiopathic scoliosis. Further prospective studies should evaluate treatment effects of this suit using intent-to-treat methodology.
Cite this paper
Morningstar, M. , Siddiqui, A. , Stitzel, C. and Dovorany, B. (2015) Pain and Radiographic Outcomes in Adult Idiopathic Scoliosis Patients Using a Scoliosis Activity Suit: An 18-Month Case Controlled Chart Review. International Journal of Clinical Medicine, 6, 597-604. doi: 10.4236/ijcm.2015.69080.
Morningstar, M. , Siddiqui, A. , Stitzel, C. and Dovorany, B. (2015) Pain and Radiographic Outcomes in Adult Idiopathic Scoliosis Patients Using a Scoliosis Activity Suit: An 18-Month Case Controlled Chart Review. International Journal of Clinical Medicine, 6, 597-604. doi: 10.4236/ijcm.2015.69080.
References
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http://dx.doi.org/10.1056/NEJMoa1307337 [2] Janicki, J.A. and Alman, B. (2007) Scoliosis: Review of Diagnosis and Treatment. Paediatrics & Child Health, 12, 771-776. [3] Collis, D.K. and Ponseti, I.V. (1969) Long-Term Follow-Up of Patients with Idiopathic Scoliosis Not Treated Surgically. The Journal of Bone & Joint Surgery (Am), 51, 425-445. [4] Weinstein, S.L., Dolan, L.A., Spratt, K.F., Peterson, K.K., Spoonamore, M.J. and Ponseti, I.V. (2003) Health and Function of Patients with Untreated Idiopathic Scoliosis: A 50-Year Natural History Study. JAMA, 289, 559-567.
http://dx.doi.org/10.1001/jama.289.5.559 [5] Weinstein, S.L. (1999) Natural history. Spine, 24, 2592-2600.
http://dx.doi.org/10.1097/00007632-199912150-00006 [6] Marty-Poumarat, C., Scattin, L., Marpeau, M., Garreau de Loubresse, C. and Aegerter, P. (2007) Natural History of Progressive Adult Scoliosis. Spine, 32, 1227-1234.
http://dx.doi.org/10.1097/01.brs.0000263328.89135.a6 [7] Yadla, S., Maltenfort, M.G., Ratliff, J.K. and Harrop, J.S. (2010) Adult Scoliosis Surgery Outcomes: A Systematic Review. Neurosurgical Focus, 28, E3.
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http://dx.doi.org/10.1097/BRS.0b013e3181b3ff0c [9] Brodano, B.G., Terzi, S., Gasbarrini, A., Bandiera, S., Simoes, C. and Boriani, S. (2013) Do Benefits Overcome the Risks Related to Surgery for Adult Scoliosis? A Detailed Analysis of a Consecutive Case Series. European Spine Journal, 22, S795-S802.
http://dx.doi.org/10.1007/s00586-013-3031-y [10] Charosky, S., Guigui, P., Blamoutier, A., Roussouly, P. and Chopin, D. (2012) Study Group on Scoliosis. Complications and Risk Factors of Primary Adult Scoliosis Surgery. A Multicenter Study of 306 Patients. Spine, 37, 693-700.
http://dx.doi.org/10.1097/BRS.0b013e31822ff5c1 [11] Scoliosis Research Society.
https://www.srs.org/patient_and_family/scoliosis/idiopathic/adolescents/bracing.htm [12] Negrini, S., Aulisa, A.G., Aulisa, L., Circo, A.B., de Mauroy, J.C., Durmala, J., et al. (2012) 2011 SOSORT Guidelines: Orthopaedic and Rehabilitation Treatment of Idiopathic Scoliosis during Growth. Scoliosis, 7, 3.
http://dx.doi.org/10.1186/1748-7161-7-3 [13] Morningstar, M. (2013) Outcome Observations in Patients Using a Scoliosis Activity Suit: A Retrospective Chart Review after One-Year Follow-Up. Journal of Scoliosis Rehabilitation, 10, 1-10.
[1] Weinstein, S.L., Dolan, L.A., Wright, J.G. and Dobbs, M.B. (2013) Effects of Bracing in Adolescents with Idiopathic Scoliosis. The New England Journal of Medicine, 369, 1512-1521.
http://dx.doi.org/10.1056/NEJMoa1307337 [2] Janicki, J.A. and Alman, B. (2007) Scoliosis: Review of Diagnosis and Treatment. Paediatrics & Child Health, 12, 771-776. [3] Collis, D.K. and Ponseti, I.V. (1969) Long-Term Follow-Up of Patients with Idiopathic Scoliosis Not Treated Surgically. The Journal of Bone & Joint Surgery (Am), 51, 425-445. [4] Weinstein, S.L., Dolan, L.A., Spratt, K.F., Peterson, K.K., Spoonamore, M.J. and Ponseti, I.V. (2003) Health and Function of Patients with Untreated Idiopathic Scoliosis: A 50-Year Natural History Study. JAMA, 289, 559-567.
http://dx.doi.org/10.1001/jama.289.5.559 [5] Weinstein, S.L. (1999) Natural history. Spine, 24, 2592-2600.
http://dx.doi.org/10.1097/00007632-199912150-00006 [6] Marty-Poumarat, C., Scattin, L., Marpeau, M., Garreau de Loubresse, C. and Aegerter, P. (2007) Natural History of Progressive Adult Scoliosis. Spine, 32, 1227-1234.
http://dx.doi.org/10.1097/01.brs.0000263328.89135.a6 [7] Yadla, S., Maltenfort, M.G., Ratliff, J.K. and Harrop, J.S. (2010) Adult Scoliosis Surgery Outcomes: A Systematic Review. Neurosurgical Focus, 28, E3.
http://dx.doi.org/10.3171/2009.12.FOCUS09254 [8] Li, G., Passias, P., Kozanek, M., Fu, E., Wang, S., Xia, Q., et al. (2009) Adult Scoliosis in Patients over Sixty-Five Years of Age. Outcomes of Operative versus Nonoperative Treatment at a Minimum Two-Year Follow-Up. Spine, 34, 2165-2170.
http://dx.doi.org/10.1097/BRS.0b013e3181b3ff0c [9] Brodano, B.G., Terzi, S., Gasbarrini, A., Bandiera, S., Simoes, C. and Boriani, S. (2013) Do Benefits Overcome the Risks Related to Surgery for Adult Scoliosis? A Detailed Analysis of a Consecutive Case Series. European Spine Journal, 22, S795-S802.
http://dx.doi.org/10.1007/s00586-013-3031-y [10] Charosky, S., Guigui, P., Blamoutier, A., Roussouly, P. and Chopin, D. (2012) Study Group on Scoliosis. Complications and Risk Factors of Primary Adult Scoliosis Surgery. A Multicenter Study of 306 Patients. Spine, 37, 693-700.
http://dx.doi.org/10.1097/BRS.0b013e31822ff5c1 [11] Scoliosis Research Society.
https://www.srs.org/patient_and_family/scoliosis/idiopathic/adolescents/bracing.htm [12] Negrini, S., Aulisa, A.G., Aulisa, L., Circo, A.B., de Mauroy, J.C., Durmala, J., et al. (2012) 2011 SOSORT Guidelines: Orthopaedic and Rehabilitation Treatment of Idiopathic Scoliosis during Growth. Scoliosis, 7, 3.
http://dx.doi.org/10.1186/1748-7161-7-3 [13] Morningstar, M. (2013) Outcome Observations in Patients Using a Scoliosis Activity Suit: A Retrospective Chart Review after One-Year Follow-Up. Journal of Scoliosis Rehabilitation, 10, 1-10.