Table 1. Opinions regarding non-surgical interventions for adolescents with idiopathic scoliosis.
negative comments: |
“time and common sense prevent me from discussing any other treatment modality than bracing”[9] |
“treatment options for patients with scoliosis range from the unproven or harmful to the beneficial” [10] |
“physical therapy, chiropractic care, biofeedback and electric stimulation have not been shown to alter the natural history of scoliosis” [11] |
“patients should be aware of the absence of evidence for these [physiotherapy] treatments” [12] |
positive statements: |
“bracing and spinal surgery have been proven to alter the natural history of curve progression” [13] |
“exercise-based therapies, alone or in combination with orthopaedic approaches, are a logical approach to improve and maintain flexibility and function in patients at risk for pain, pulmonary dysfunction, and progression” [14] |
“the triad of out-patient physiotherapy, intensive in-patient rehabilitation and bracing has proven effective in conservative scoliosis treatment in central Europe” [15] |