2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth

被引：285

作者：

Negrini, Stefano ^{[1
,2
,3
]}

Aulisa, Angelo G. ^{[4
]}

Aulisa, Lorenzo ^{[5
]}

Circo, Alin B. ^{[6
]}

de Mauroy, Jean Claude ^{[7
]}

Durmala, Jacek ^{[8
,9
]}

Grivas, Theodoros B. ^{[10
]}

Knott, Patrick ^{[11
]}

Kotwicki, Tomasz ^{[12
]}

Maruyama, Toru ^{[13
]}

Minozzi, Silvia ^{[14
]}

O'Brien, Joseph P. ^{[15
]}

Papadopoulos, Dimitris ^{[16
]}

Rigo, Manuel ^{[17
]}

Rivard, Charles H. ^{[6
]}

Romano, Michele ^{[3
]}

Wynne, James H. ^{[18
]}

Villagrasa, Monica ^{[17
]}

Weiss, Hans-Rudolf ^{[19
]}

Zaina, Fabio ^{[3
]}

机构：

[1] Univ Brescia, Phys & Rehabil Med, Brescia, Italy

[2] Fdn Don C Gnocchi, Milan, Italy

[3] Italian Sci Spine Inst, ISICO, Milan, Italy

[4] Bambino Gen Childrens Hosp, Inst Sci Res, Orthopaed & Traumatol Div, Piazza San Onofrio 4, Rome 00165, Italy

[5] Univ Cattolica Sacro Cuore, Univ Hosp ` Agostino Gemelli, Dept Orthopaed, Go Vito, I-00168 Rome, Italy

[6] Univ Montreal, Sainte Justine Hosp, Montreal, PQ, Canada

[7] Clin Parc, Lyon, France

[8] Med Univ Silesia, Dept Rehabil, Katowice, Poland

[9] Univ Hosp, Katowice, Poland

[10] Tzanio Gen Hosp, Dept Trauma & Orthopaed, Piraeus 18536, Greece

[11] Rosalind Franklin Univ Med & Sci, N Chicago, IL 60064 USA

[12] Univ Med Sci, Dept Pediat Orthoped & Traumatol, Spine Disorders Unit, Poznan, Poland

[13] Saitama Med Univ, Saitama Med Ctr, Dept Orthopaed Surg, Saitama, Japan

[14] Dept Epidemiology Lazio Region, Cochrane Review Grp Drugs & Alcohol, Via Santa Costanza,53, I-00198 Rome, Italy

[15] Natl Scoliosis Fdn, Boston, MA USA

[16] Orthopaed Facil & Rehabil Ctr, Spondylos Laser Spine Lab, Athens 11527, Greece

[17] Inst Elena Salva, Barcelona 08021, Spain

[18] Boston Brace Co, Boston, MA USA

[19] Gesundheitsforum Nahetal, D-55457 Gensingen, Germany

来源：

SCOLIOSIS AND SPINAL DISORDERS | 2012年 / 7卷

关键词：

D O I：

10.1186/1748-7161-7-3

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: The International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT), that produced its first Guidelines in 2005, felt the need to revise them and increase their scientific quality. The aim is to offer to all professionals and their patients an evidence-based updated review of the actual evidence on conservative treatment of idiopathic scoliosis (CTIS). Methods: All types of professionals (specialty physicians, and allied health professionals) engaged in CTIS have been involved together with a methodologist and a patient representative. A review of all the relevant literature and of the existing Guidelines have been performed. Documents, recommendations, and practical approach flow charts have been developed according to a Delphi procedure. A methodological and practical review has been made, and a final Consensus Session was held during the 2011 Barcelona SOSORT Meeting. Results: The contents of the document are: methodology; generalities on idiopathic scoliosis; approach to CTIS in different patients, with practical flow-charts; literature review and recommendations on assessment, bracing, physiotherapy, Physiotherapeutic Specific Exercises (PSE) and other CTIS. Sixty-five recommendations have been given, divided in the following topics: Bracing (20 recommendations), PSE to prevent scoliosis progression during growth (8), PSE during brace treatment and surgical therapy (5), Other conservative treatments (3), Respiratory function and exercises (3), Sports activities (6), Assessment (20). No recommendations reached a Strength of Evidence level I; 2 were level II; 7 level III; and 20 level IV; through the Consensus procedure 26 reached level V and 10 level VI. The Strength of Recommendations was Grade A for 13, B for 49 and C for 3; none had grade D. Conclusion: These Guidelines have been a big effort of SOSORT to paint the actual situation of CTIS, starting from the evidence, and filling all the gray areas using a scientific method. According to results, it is possible to understand the lack of research in general on CTIS. SOSORT invites researchers to join, and clinicians to develop good research strategies to allow in the future to support or refute these recommendations according to new and stronger evidence.

引用

页数：35

共 373 条

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