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. 2024 Jan 4;25(1):32.
doi: 10.1186/s12891-023-07152-9.

Efficacy and safety of the orthopaedic manipulation techniques of the Lin School of Lingnan Region in the treatment of adolescent idiopathic scoliosis: protocol of a participant-and-assessor-blinded randomized controlled study

Hing Yu Hung  1 , Wan Ching Kong  1 , Tsz Hei Tam  1 , Ping Chung Leung  2 , Yongping Zheng  3 , Arnold Yu Lok Wong  4 , Zhixiu Lin  1 , Fei Yao  5 , Qiang Tian  6 , Tik Lun Mok  1 , Lyncam Edviano Loo  1 , Kiu Lam Chung  7
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Efficacy and safety of the orthopaedic manipulation techniques of the Lin School of Lingnan Region in the treatment of adolescent idiopathic scoliosis: protocol of a participant-and-assessor-blinded randomized controlled study

Hing Yu Hung et al. BMC Musculoskelet Disord. .

Abstract

Background: Adolescent idiopathic scoliosis (AIS) is the most common developmental spine disorder among children. It is characterized by a lateral deviation of the spine that gives rise to the distinctive "S" or "C" shaped bending of the spine. The Lin School of Lingnan Region (LSLR), one of the prominent schools for bare-handed orthopaedic manipulation in southern China, provides preliminary evidences that the orthopaedic manipulation techniques help to correct deviations of the spine. Previous research found that Orthopaedic Manipulation Techniques of LSLR (OMT-LSLR) could reduce the Cobb's angles in patients with AIS. Therefore, the current study aims to investigate the effectiveness and safety of the OMT-LSLR in treating teenagers with AIS.

Methods: In this participant-and-assessor-blinded randomized controlled clinical trial, 50 participants identified AIS without surgical indications will be recruited and randomized into two groups to receive physiotherapy scoliosis-specific exercises training with either orthopaedic manipulation or sham manipulation treatment for 16 weeks, followed by post-treatment visits at week 24. Primary outcome measure is the change of Scoliosis Research Society-22 (SRS-22) questionnaire score. Secondary outcome measures include Traditional Chinese version of Spinal Appearance Questionnaire (TC-SAQ) score, Italian Spine Youth Quality of Life (ISYQOL) score, the change of Cobb's angle measured by Xray, and the change of Cobb's angle, spinal rotation and muscle volume measured by three-dimensional (3D) ultrasound. The trial will be conducted at the Chinese University of Hong Kong Chinese Medicine Specialty Clinic cum Clinical Teaching and Research Centre in Hong Kong (CUHK-CMSCTRC).

Discussion: The results of this study will establish comprehensive clinical evidence about the efficacy and safety of the Orthopaedic Manipulation Techniques of the Lin School of Lingnan Region in the Treatment of Adolescent Idiopathic Scoliosis. One of the characteristics of this trial is that it is a participant-and-assessor-blinded randomized controlled clinical trial with sham manipulation. The study would also apply three-dimensional (3D) ultrasound technology to investigate the relationship between the change of the muscle volume and the spinal curve.

Trial registration: The trial is registered on ClinicalTrials.gov (Identifier: NCT05639023 ) on December 6, 2022.

Keywords: Bone diseases; Manipulation; Musculoskeletal diseases; Scoliosis; Spinal curvature; Spinal diseases.

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Conflict of interest statement

The authors declare no competing interests.

Figures

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Fig. 1
Study flowchart
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References

    1. Haefeli M, Min K. Spinal Disorders: Fundamentals of Diagnosis and Treatment. Berlin, Heidelberg: Springer; 2008.
    1. Weinstein S, Dolan L, Cheng J, Danielsson A, Morcuende J. Adolescent idiopathic scoliosis. The lancet. 2008;371(9623):1527–1537. doi: 10.1016/S0140-6736(08)60658-3. - DOI - PubMed
    1. WHO Scientific Group on the Burden of Musculoskeletal Conditions at the Start of the New Millennium, World Health Organization. The burden of musculoskeletal conditions at the start of the new millennium: report of a WHO Scientific Group. Geneve: World Health Organization; 2003.
    1. Zheng Y, Dang Y, Wu X, Yang Y, Reinhardt J, Wong M. Epidemiological study of adolescent idiopathic scoliosis in Eastern China. J Rehabil Med. 2017;49(6):512–519. doi: 10.2340/16501977-2240. - DOI - PubMed
    1. Fong D, Cheung K, Wong Y, Wan Y, Lee C, Lam T, et al. A population-based cohort study of 394,401 children followed for 10 years exhibits sustained effectiveness of scoliosis screening. Spine J. 2015;15(5):825–833. doi: 10.1016/j.spinee.2015.01.019. - DOI - PubMed

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