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    Prosthet Orthot Int. 2003 Dec;27(3):242-53.

    Critical review on non-operative management of adolescent idiopathic scoliosis.

    Source

    Rehabilitation Engineering Centre, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China. rcmswong@polyu.edu.hk

    Abstract

    There are a number of different non-operative interventions which aim to control moderate adolescent idiopathic scoliosis (AIS) from progression. Clinicians may find difficulties in the selection of appropriate interventions for AIS. A comprehensive literature review was carried out to study all contemporary non-operative interventions, it was noted that rigid spinal orthoses apparently give more curve control; however, it would compromise the patient's quality of life via those inevitable factors--physical constraint, poor acceptance and psychological disturbance. There is a trend to develop more effective, acceptable and user-friendly interventions. Under such an aspiration, the theories and clinical evidence of different interventions should be developed along the clinical pathway of early intervention with reliable indicators/predictors, patient's active participation, dynamic control mechanism, holistic psychological and psychosocial considerations, and effective and long-lasting outcome.

    PMID:
    14727706
    [PubMed - indexed for MEDLINE]

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