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
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...
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-07152-9 |
| _version_ | 1797363718708789248 |
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| author | Hing Yu Hung Wan Ching Kong Tsz Hei Tam Ping Chung Leung Yongping Zheng Arnold Yu Lok Wong Zhixiu Lin Fei Yao Qiang Tian Tik Lun Mok Lyncam Edviano Loo Kiu Lam Chung |
| author_facet | Hing Yu Hung Wan Ching Kong Tsz Hei Tam Ping Chung Leung Yongping Zheng Arnold Yu Lok Wong Zhixiu Lin Fei Yao Qiang Tian Tik Lun Mok Lyncam Edviano Loo Kiu Lam Chung |
| author_sort | Hing Yu Hung |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-08T16:25:10Z |
| format | Article |
| id | doaj.art-273800f65b9a4198be4311fb49939839 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-08T16:25:10Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-273800f65b9a4198be4311fb499398392024-01-07T12:04:08ZengBMCBMC Musculoskeletal Disorders1471-24742024-01-0125111110.1186/s12891-023-07152-9Efficacy 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 studyHing Yu Hung0Wan Ching Kong1Tsz Hei Tam2Ping Chung Leung3Yongping Zheng4Arnold Yu Lok Wong5Zhixiu Lin6Fei Yao7Qiang Tian8Tik Lun Mok9Lyncam Edviano Loo10Kiu Lam Chung11School of Chinese Medicine, Faculty of Medicine, The Chinese University of Hong Kong, ShatinSchool of Chinese Medicine, Faculty of Medicine, The Chinese University of Hong Kong, ShatinSchool of Chinese Medicine, Faculty of Medicine, The Chinese University of Hong Kong, ShatinInstitute of Chinese Medicine, The Chinese University of Hong Kong, ShatinDepartment of Biomedical Engineering, The Hong Kong Polytechnic UniversityDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic UniversitySchool of Chinese Medicine, Faculty of Medicine, The Chinese University of Hong Kong, ShatinSchool of Acupuncture-Moxibustion and Tuina, Shanghai University of Traditional Chinese MedicineThe Second Affiliated Hospital, Guangzhou University of Chinese MedicineSchool of Chinese Medicine, Faculty of Medicine, The Chinese University of Hong Kong, ShatinSchool of Chinese Medicine, Faculty of Medicine, The Chinese University of Hong Kong, ShatinSchool of Chinese Medicine, Faculty of Medicine, The Chinese University of Hong Kong, ShatinAbstract 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.https://doi.org/10.1186/s12891-023-07152-9ScoliosisSpinal curvatureSpinal diseasesBone diseasesMusculoskeletal diseasesManipulation |
| spellingShingle | Hing Yu Hung Wan Ching Kong Tsz Hei Tam Ping Chung Leung Yongping Zheng Arnold Yu Lok Wong Zhixiu Lin Fei Yao Qiang Tian Tik Lun Mok Lyncam Edviano Loo Kiu Lam Chung 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 BMC Musculoskeletal Disorders Scoliosis Spinal curvature Spinal diseases Bone diseases Musculoskeletal diseases Manipulation |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Scoliosis Spinal curvature Spinal diseases Bone diseases Musculoskeletal diseases Manipulation |
| url | https://doi.org/10.1186/s12891-023-07152-9 |
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