The 2016 SOSORT guidelines were developed based on the current evidence on CTIS.
Three recommendations reached strength of recommendation A based on the level of evidence I (2 for bracing and one for assessment) 39 recommendations reached strength of recommendation B (20 for bracing, 13 for PSSE, and 6 for assessment).The number of paper for each level of evidence for each treatment is shown in Table 8. According to the agreed strength and level of evidence rating scale, there were 2 recommendations on bracing and 1 recommendation on PSSE that reached level of recommendation "I" and level of evidence "II". The present guidelines include a total of 68 recommendations divided into following topics: bracing ( n = 25), PSSE to prevent scoliosis progression during growth ( n = 12), PSSE during brace treatment and surgical therapy ( n = 6), other conservative treatments ( n = 2), respiratory function and exercises ( n = 3), general sport activities ( n = 6) and assessment ( n = 14). The contents of the new 2016 guidelines include the following: background on idiopathic scoliosis, description of CTIS approaches for various populations with flow-charts for clinical practice, as well as literature reviews and recommendations on assessment, bracing, PSSE and other CTIS. The process was completed with the Consensus Session held during the first combined SOSORT/IRSSD Meeting held in Banff, Canada, in May 2016. Documents, recommendations and practical approach flow charts were developed using a Delphi procedure.
Multiple literature reviews reviewing the evidence on CTIS (assessment, bracing, physiotherapy, physiotherapeutic scoliosis-specific exercises (PSSE) and other CTIS) were conducted. Physicians, researchers and allied health practitioners working in the area of CTIS were involved in the development of the 2016 guidelines. The objective was to align the guidelines with the new scientific evidence to assure faster knowledge transfer into clinical practice of conservative treatment for idiopathic scoliosis (CTIS).
#SPINE ALIGN KANSAS CITY UPDATE#
Recently published high-quality clinical trials on the effect of conservative treatment approaches (braces and exercises) for idiopathic scoliosis prompted us to update the last guidelines' version. The International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) produced its first guidelines in 2005 and renewed them in 2011.
14 Scoliosis Physiotherapy & Posture Centre, 231 McLeod Street, Ottawa, Ontario K2P0Z8 Canada.13 13Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, Poznan, Poland.12 12Rosalind Franklin University of Medicine and Science, North Chicago, IL USA.11 11Department of Orthopaedics and Traumatology, "Tzaneio" General Hospital of Piraeus, Piraeus, Greece.10 10Department of Orthopedics and Trauma Surgery, University Medical Center, Mainz, Germany.9 Orthopedic Medicine - Clinique du Parc, Lyon, France.8 8Alberta Health Services, Department of Surgery, Edmonton, Canada.7 7Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.6 Department of Physiotherapy, Józef Rusiecki University College, Olsztyn, Poland.5 Center of Body Posture, Olsztyn, Poland.
of Orthopedics and Traumatology, Children's Hospital Bambino Gesù, Institute of Scientific Research, 00165 Rome, Italy.
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