OBJECTIVE: To investigate the possible benefits of using Pettibon corrective procedures to reduce the curvature associated with idiopathic scoliosis. These procedures were tested to determine potential effectiveness in a single patient. CLINICAL FEATURES: A patient with a 35 degrees left convex thoracolumbar scoliosis was treated using Pettibon corrective procedures. Initial and follow-up outcome measures included a Borg pain scale, a Functional Rating Index, a balance test, and radiographic analysis. INTERVENTION AND OUTCOME: The patient was treated using a combination of manipulative and rehabilitative procedures designed to restore normal sagittal curves and reduce the severity of the coronal curvatures. After six weeks of treatment, the post treatment radiograph revealed a 20 degrees left convex thoracolumbar scoliosis, as well as decreases in the Borg pain scale from six to two, and Functional Rating Index score from 18/40 to 7/40 after the trial period. Her balance time increased from 18 seconds to 56 seconds. CONCLUSION: Pettibon corrective procedures seemed to be effective at reducing the thoracolumbar scoliosis 15 degrees (43%) after six weeks. The subjective and objective results of this case study warrant further such investigations.
OBJECTIVE: To investigate the possible benefits of using Pettibon corrective procedures to reduce the curvature associated with idiopathic scoliosis. These procedures were tested to determine potential effectiveness in a single patient. CLINICAL FEATURES: A patient with a 35 degrees left convex thoracolumbar scoliosis was treated using Pettibon corrective procedures. Initial and follow-up outcome measures included a Borg pain scale, a Functional Rating Index, a balance test, and radiographic analysis. INTERVENTION AND OUTCOME: The patient was treated using a combination of manipulative and rehabilitative procedures designed to restore normal sagittal curves and reduce the severity of the coronal curvatures. After six weeks of treatment, the post treatment radiograph revealed a 20 degrees left convex thoracolumbar scoliosis, as well as decreases in the Borg pain scale from six to two, and Functional Rating Index score from 18/40 to 7/40 after the trial period. Her balance time increased from 18 seconds to 56 seconds. CONCLUSION: Pettibon corrective procedures seemed to be effective at reducing the thoracolumbar scoliosis 15 degrees (43%) after six weeks. The subjective and objective results of this case study warrant further such investigations.
Authors: Deed E Harrison; Donald D Harrison; Christopher J Colloca; Joseph Betz; Tadeusz J Janik; Burt Holland Journal: J Manipulative Physiol Ther Date: 2003-02 Impact factor: 1.437
Authors: John M Rhee; Keith H Bridwell; Douglas S Won; Lawrence G Lenke; Chatupon Chotigavanichaya; Darrell S Hanson Journal: Spine (Phila Pa 1976) Date: 2002-11-01 Impact factor: 3.468
Authors: D E Harrison; D D Harrison; T J Janik; E William Jones; R Cailliet; M Normand Journal: Clin Biomech (Bristol, Avon) Date: 2001-05 Impact factor: 2.063