ArticleFrontiers in pediatrics2026
Radiographic outcomes of stick-assisted manipulation in adolescent idiopathic scoliosis: a retrospective study of 57 patients.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The conservative management of adolescent idiopathic scoliosis (AIS) typically involves protracted treatment cycles; however, conventional modalities articularly exercise therapies often suffer from poor patient compliance due to the heavy burden of prolonged parental supervision. To address these clinical challenges, we propose Stick-assisted manipulation (SAM), a novel physical intervention based on manual therapy. This study aims to evaluate the clinical efficacy and safety of this novel SAM approach in the treatment of AIS, offering a potential solution to overcome barriers in treatment adherence. Methods: A retrospective analysis was conducted of patients with scoliosis who were treated exclusively with SAM, a manual therapy based physical intervention at our institution between January 2023 and August 2024. Treatment efficacy was assessed by comparing pre- and post-treatment radiographic and clinical parameters, including the Cobb angle, vertebral body rotation (VBR) grade, shoulder height difference (SHD), and coronal balance index (CBI). Results: After a 1-month treatment course consisting of four SAM sessions, the mean Cobb angle decreased significantly from 18.24° ± 10.16° to 13.10° ± 11.39° ( Conclusion: SAM demonstrates favorable clinical and radiographic outcomes in patients with AIS, with a good safety profile. These findings suggest that SAM may represent a broadly applicable and safe conservative treatment option for adolescent idiopathic scoliosis.
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