Application of three-dimensional balance spinal manipulation combined with spinal stability training in adolescents with idiopathic scoliosis

Zhang Yi; Xiao Lei; Zhu Fan; Zhao Huan; Gu Yuanyuan; He Zhaozhao; Xing Jun

doi:10.11986/j.issn.1673-873X.2025.08.16

Abstract：Objective To explore the clinical effect of three-dimensional balance spinal manipulation combined with spinal sta-bility training in adolescents with idiopathic scoliosis,with the aim of providing a reference for clinical treatment.Methods This study selected 102 adolescents with idiopathic scoliosis treated between January 2023 and December 2024.The control group received conventional treatment and spinal stability training guidance.The study group received three-dimensional bal-ance spinal manipulation in addition to the treatment in the control group.Both groups underwent 4 weeks of intervention.The Cobb angle,pelvic tilt angle,lumbar flexion and extension muscle strength,and lumbar flexion and extension range of motion before and after treatment were compared between the two groups.The clinical effectiveness of both groups was also compared.Results The overall response rate of treatment in the study group was significantly higher than in the control group(P＜0.05).Before treatment,no significant differences were found between the two groups in Cobb angle and pelvic tilt angle(P＞0.05).After treatment,both groups showed a reduction in Cobb angle and pelvic tilt angle,and the study group had a smaller angle compared to the control group,with statistically significant differences(P＜0.05).Before treat-ment,no significant differences were noted between the two groups in flexion and extension muscle strength or range of mo-tion(P＞0.05).After treatment,both groups showed improvements in flexion and extension muscle strength and range of motion,with the study group outperforming the control group,and the differences were statistically significant(P＜0.05).Before treatment,no significant differences were observed in the Scoliosis Research Society-22(SRS-22)scores for function-al activities,pain,self-image,and mental health between the two groups(P＞0.05).After treatment,the SRS-22 for functional activities,pain,self-image,and mental health subscales were all higher than before treatment,with the study group scoring higher than the control group,and the differences were statistically significant(P＜0.05).Conclusion The combination of three-dimensional balance spinal manipulation and spinal stability training significantly improves the spinal morphology,lumbar function,and quality of life in adolescents with idiopathic scoliosis through the synergistic effect of structural correction and functional remodeling,warranting clinical promotion and application.