Feely RA, Kapraun HE. Progressive Infantile Scoliosis Managed With Osteopathic Manipulative Treatment. J Am Osteopath Assoc 2017;117(9):595–599. doi: 10.7556/jaoa.2017.114.
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Infantile idiopathic scoliosis is a compensatory result of cranial and sacral intraosseous dysfunction associated with asymmetric developmental deformation of the occiput, leading to dysfunction of the sphenobasilar synchondrosis. A female infant with progressive infantile idiopathic scoliosis diagnosed at age 12 months (46.9° left scoliotic curve) initially received standard orthopedic care, including casting. The patient presented for osteopathic evaluation at age 14 months, at which time her scoliotic curve was 52°. The patient wore a Risser cast extending from T1-L5 at her first osteopathic manipulative treatment (OMT) visit, which included osteopathic cranial manipulative medicine. Her parents chose to have the cast removed at age 17 months, with a 23° curve remaining. For approximately 12 months, OMT was the only continued, consistent treatment, which occurred once per month. By 28 months of age, radiographs measured 0° of scoliosis. This case demonstrates that OMT can dramatically improve infantile idiopathic scoliosis and prevent its progression.
Abbreviations: BLT, balanced ligamentous tension; BMT, balanced membranous tension; CRI, cranial rhythmic impulse; ER, external rotation; IR, internal rotation; MFR, myofascial release; OMT, osteopathic manipulative treatment; OSE, osteopathic structural examination; Rl, rotated left; Rr, rotated right; Sl, sidebent left; Sr, sidebent right.
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