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

Stefano Negrini, Angelo G. Aulisa, Lorenzo Aulisa, Alin B. Circo, Jean C. de Mauroy, Jacek Durmala, Theodoros B. Grivas, Patrick Knott, Tomasz Kotwicki, Toru Maruyama, Silvia Minozzi, Joseph P. O'Brien, Dimitris Papadopoulos, Manuel Rigo, Charles H. Rivard, Michele Romano, James H. Wynne, Monica Villagrasa, Hans Rudolf Weiss, Fabio Zaina

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Article number3
JournalScoliosis
Volume7
Issue number1
DOIs
Publication statusPublished - Jan 20 2012

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Scoliosis
Orthopedics
Rehabilitation
Guidelines
Growth
Therapeutics
Exercise
Patient Advocacy
Allied Health Personnel
Braces
Paint
Conservative Treatment
Research
Sports
Research Personnel
Physicians

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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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 C.; 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.

In: Scoliosis, Vol. 7, No. 1, 3, 20.01.2012.

Research output: Contribution to journalArticle

Negrini, S, Aulisa, AG, Aulisa, L, Circo, AB, de Mauroy, JC, Durmala, J, Grivas, TB, Knott, P, Kotwicki, T, Maruyama, T, Minozzi, S, O'Brien, JP, Papadopoulos, D, Rigo, M, Rivard, CH, Romano, M, Wynne, JH, Villagrasa, M, Weiss, HR & Zaina, F 2012, '2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth', Scoliosis, vol. 7, no. 1, 3. https://doi.org/10.1186/1748-7161-7-3
Negrini, Stefano ; Aulisa, Angelo G. ; Aulisa, Lorenzo ; Circo, Alin B. ; de Mauroy, Jean C. ; 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. In: Scoliosis. 2012 ; Vol. 7, No. 1.
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AU - Negrini, Stefano

AU - Aulisa, Angelo G.

AU - Aulisa, Lorenzo

AU - Circo, Alin B.

AU - de Mauroy, Jean C.

AU - Durmala, Jacek

AU - Grivas, Theodoros B.

AU - Knott, Patrick

AU - Kotwicki, Tomasz

AU - Maruyama, Toru

AU - Minozzi, Silvia

AU - O'Brien, Joseph P.

AU - Papadopoulos, Dimitris

AU - Rigo, Manuel

AU - Rivard, Charles H.

AU - Romano, Michele

AU - Wynne, James H.

AU - Villagrasa, Monica

AU - Weiss, Hans Rudolf

AU - Zaina, Fabio

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N2 - 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.

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