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2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth
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-bas...
Autores principales: | , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3292965/ https://www.ncbi.nlm.nih.gov/pubmed/22264320 http://dx.doi.org/10.1186/1748-7161-7-3 |
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author | Negrini, Stefano Aulisa, Angelo G Aulisa, Lorenzo Circo, Alin B de Mauroy, Jean Claude Durmala, Jacek Grivas, Theodoros B Knott, Patrick Kotwicki, Tomasz Maruyama, Toru Minozzi, Silvia O'Brien, Joseph P Papadopoulos, Dimitris Rigo, Manuel Rivard, Charles H Romano, Michele Wynne, James H Villagrasa, Monica Weiss, Hans-Rudolf Zaina, Fabio |
author_facet | Negrini, Stefano Aulisa, Angelo G Aulisa, Lorenzo Circo, Alin B de Mauroy, Jean Claude Durmala, Jacek Grivas, Theodoros B Knott, Patrick Kotwicki, Tomasz Maruyama, Toru Minozzi, Silvia O'Brien, Joseph P Papadopoulos, Dimitris Rigo, Manuel Rivard, Charles H Romano, Michele Wynne, James H Villagrasa, Monica Weiss, Hans-Rudolf Zaina, Fabio |
author_sort | Negrini, Stefano |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3292965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32929652012-03-05 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth Negrini, Stefano Aulisa, Angelo G Aulisa, Lorenzo Circo, Alin B de Mauroy, Jean Claude Durmala, Jacek Grivas, Theodoros B Knott, Patrick Kotwicki, Tomasz Maruyama, Toru Minozzi, Silvia O'Brien, Joseph P Papadopoulos, Dimitris Rigo, Manuel Rivard, Charles H Romano, Michele Wynne, James H Villagrasa, Monica Weiss, Hans-Rudolf Zaina, Fabio Scoliosis Methodology 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. BioMed Central 2012-01-20 /pmc/articles/PMC3292965/ /pubmed/22264320 http://dx.doi.org/10.1186/1748-7161-7-3 Text en Copyright ©2012 Negrini et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Methodology Negrini, Stefano Aulisa, Angelo G Aulisa, Lorenzo Circo, Alin B de Mauroy, Jean Claude Durmala, Jacek Grivas, Theodoros B Knott, Patrick Kotwicki, Tomasz Maruyama, Toru Minozzi, Silvia O'Brien, Joseph P Papadopoulos, Dimitris Rigo, Manuel Rivard, Charles H Romano, Michele Wynne, James H Villagrasa, Monica Weiss, Hans-Rudolf Zaina, Fabio 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth |
title | 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth |
title_full | 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth |
title_fullStr | 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth |
title_full_unstemmed | 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth |
title_short | 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth |
title_sort | 2011 sosort guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth |
topic | Methodology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3292965/ https://www.ncbi.nlm.nih.gov/pubmed/22264320 http://dx.doi.org/10.1186/1748-7161-7-3 |
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