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CASE REPORT article

Front. Pediatr.
Sec. Pediatric Orthopedics
Volume 12 - 2024 | doi: 10.3389/fped.2024.1500373
This article is part of the Research Topic Rehabilitation and Alternative Medicine in the Healthcare for Chronic Rheumatic Pain Disorders View all 12 articles

Traditional Chinese Medicine manual therapy for adolescent idiopathic scoliosis: a case report

Provisionally accepted
Bowen Zhu Bowen Zhu 1Miaoxiu Li Miaoxiu Li 1Jun Ren Jun Ren 1He Tianxiang He Tianxiang 1Xin Zhou Xin Zhou 1shoujian wang shoujian wang 1,2Lingjun Kong Lingjun Kong 1*Min Fang Min Fang 1*
  • 1 Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, Beijing Municipality, China
  • 2 Shanghai University of Traditional Chinese Medicine, Shanghai, China

The final, formatted version of the article will be published soon.

    Objectives: This case demonstrates the efficacy and safety of Traditional Chinese Medicine manual therapy (TCMMT) for the treatment of mild to moderate AIS.Methods: An 11-year-old girl who suffered from low back pain (LBP) with marked shoulder inequality and razorback postural abnormalities, with a clinical diagnosis of idiopathic scoliosis, and the Cobb angle of 20° and axial trunk rotation (ATR) of the thoracic vertebral segment at 7°, and ATR of the lumbar vertebral segment at 8°, was treated with TCMMT. The patient initially recovered from centralized LBP with repeated TCMMT twice per week for 1 month. Subsequently, the frequency of TCMMT treatment was changed to 1-2 sessions weekly for 6 months. Before treatment, after the first TCMMT, 1 month and 7 months of treatment, and 18 months of follow-up, we used ATR or Cobb angle and health-related quality of life (HRQOL) for assessment.Results: a. The patient's VAS score was 40/100 before treatment, 25/100 after the first treatment, 15/100 after 1 month of treatment, 12/100 after 7 months of treatment, and 15/100 at follow-up to 18 months. b. The patient's SRS-22 score was 54/110 before treatment, 61/110 after the first treatment, 79/110 after 1 month of treatment, 106/110 after 7 months of treatment, and 104/110 at follow-up to 18 months. c. Before treatment, the patient's thoracic ATR angle was 7° and the lumbar ATR angle was 8°, there was no change in the ATR angles of the thoracic and lumbar spine after the first treatment. The thoracic ATR angle was 6° and the lumbar ATR angle was 5° after 1 month of treatment. The thoracic ATR angle was 1.5° and the lumbar ATR angle was 3.5° after 7 months of treatment. The thoracic ATR angle was 2°and the lumbar ATR angle was 4° at the follow up till 18 months. d. The patient's Cobb angle was 20° before treatment, 7° after the 7 month of treatment, and 8° at follow-up to 18 months. No adverse events during treatment.TCMMT is a conservative treatment option worthy of consideration when considering a conservative treatment strategy for AIS.

    Keywords: Adolescent idiopathic scoliosis, manual therapy, Traditional Chinese Medicine, Low Back Pain, case report

    Received: 23 Sep 2024; Accepted: 27 Dec 2024.

    Copyright: © 2024 Zhu, Li, Ren, Tianxiang, Zhou, wang, Kong and Fang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Lingjun Kong, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, Beijing Municipality, China
    Min Fang, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, Beijing Municipality, China

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