Table 6 |
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|
Practical Approach Scheme (PAS) for an Evidence Based Clinical Practice approach to Idiopathic Scoliosis (Strength of Evidence VI-Strength of Recommendation B). |
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|
Cobb degrees |
0-10 + hump |
11-15 |
16-20 |
21-25 |
26-30 |
31-35 |
36-40 |
41-45 |
46-50 |
Over 50 |
||
|
|
||||||||||||
|
Infantile |
Min |
Ob6 |
Ob6 |
Ob3 |
SSB |
SSB |
SSB |
SSB |
SSB |
PTRB |
FTRB |
|
|
|
||||||||||||
|
Max |
Ob3 |
Ob3 |
PTRB |
FTRB |
FTRB |
FTRB |
FTRB |
FTRB |
Su |
Su |
||
|
|
||||||||||||
|
Juvenile |
Min |
Ob3 |
Ob3 |
Ob3 |
SSB |
SSB |
SSB |
PTRB |
PTRB |
PTRB |
FTRB |
|
|
|
||||||||||||
|
Max |
PSE |
PSE |
PTRB |
FTRB |
FTRB |
FTRB |
FTRB |
FTRB |
Su |
Su |
||
|
|
||||||||||||
|
Adolescent |
Risser 0 |
Min |
Ob6 |
Ob6 |
Ob3 |
PSE |
PSE |
SSB |
PTRB |
PTRB |
PTRB |
FTRB |
|
|
||||||||||||
|
Max |
Ob3 |
PSE |
PTRB |
FTRB |
FTRB |
FTRB |
FTRB |
FTRB |
Su |
Su |
||
|
|
||||||||||||
|
Risser 1 |
Min |
Ob6 |
Ob6 |
Ob3 |
PSE |
PSE |
SSB |
PTRB |
PTRB |
PTRB |
FTRB |
|
|
|
||||||||||||
|
Max |
Ob3 |
PSE |
PTRB |
FTRB |
FTRB |
FTRB |
FTRB |
FTRB |
Su |
Su |
||
|
|
||||||||||||
|
Risser 2 |
Min |
Ob8 |
Ob6 |
Ob3 |
PSE |
PSE |
SSB |
SSB |
SSB |
SSB |
FTRB |
|
|
|
||||||||||||
|
Max |
Ob6 |
PSE |
PTRB |
FTRB |
FTRB |
FTRB |
FTRB |
FTRB |
Su |
Su |
||
|
|
||||||||||||
|
Risser 3 |
Min |
Ob12 |
Ob6 |
Ob6 |
Ob6 |
PSE |
SSB |
SSB |
SSB |
SSB |
FTRB |
|
|
|
||||||||||||
|
Max |
Ob6 |
PSE |
PTRB |
FTRB |
FTRB |
FTRB |
FTRB |
FTRB |
Su |
Su |
||
|
|
||||||||||||
|
Risser 4 |
Min |
No |
Ob6 |
Ob6 |
Ob6 |
Ob6 |
Ob6 |
Ob6 |
Ob6 |
SSB |
FTRB |
|
|
|
||||||||||||
|
Max |
Ob12 |
PSE |
PTRB |
FTRB |
FTRB |
FTRB |
FTRB |
FTRB |
Su |
Su |
||
|
|
||||||||||||
|
Risser 4-5 |
Min |
No |
Ob6 |
Ob6 |
Ob6 |
Ob6 |
Ob6 |
Ob6 |
Ob6 |
SSB |
FTRB |
|
|
|
||||||||||||
|
Max |
Ob12 |
PSE |
PTRB |
FTRB |
FTRB |
FTRB |
FTRB |
FTRB |
Su |
Su |
||
|
|
||||||||||||
|
Adult |
No pain |
Min |
No |
No |
No |
No |
No |
No |
No |
No |
Ob12 |
Ob12 |
|
|
||||||||||||
|
Max |
Ob12 |
Ob12 |
Ob12 |
Ob12 |
Ob12 |
Ob12 |
Ob12 |
Ob12 |
Ob6 |
Ob6 |
||
|
|
||||||||||||
|
Chronic Pain |
Min |
No |
PSE |
PSE |
PSE |
PSE |
PSE |
PSE |
PSE |
PSE |
PSE |
|
|
|
||||||||||||
|
Max |
PTRB |
PTRB |
PTRB |
PTRB |
PTRB |
Su |
Su |
Su |
Su |
Su |
||
|
|
||||||||||||
|
Elderly |
No pain |
Min |
No |
No |
No |
No |
No |
No |
No |
No |
Ob12 |
Ob12 |
|
|
||||||||||||
|
Max |
Ob12 |
Ob12 |
Ob12 |
Ob12 |
Ob12 |
Ob12 |
Ob12 |
Ob12 |
Ob6 |
Ob6 |
||
|
|
||||||||||||
|
Chronic Pain |
Min |
No |
PSE |
PSE |
PSE |
PSE |
PSE |
PSE |
PSE |
PSE |
PSE |
|
|
|
||||||||||||
|
Max |
PTRB |
PTRB |
PTRB |
PTRB |
PTRB |
PTRB |
PTRB |
PTRB |
Su |
Su |
||
|
|
||||||||||||
|
Decompensation |
Min |
No |
No |
PSE |
PSE |
PSE |
PSE |
PSE |
PSE |
PSE |
PSE |
|
|
|
||||||||||||
|
Max |
PTRB |
PTRB |
PTRB |
PTRB |
PTRB |
PTRB |
PTRB |
PTRB |
Su |
Su |
||
|
|
||||||||||||
|
For each single clinical situation reported in any single cell, a minimum and a maximum strength of treatment is listed. The graduation of strength of treatments have been reported in the Strength of Treatments Scheme in Table 8. Consequently, all treatments included between the minimum and maximum can be considered for that specific clinical situation. Obs 36/12/8/6/4: Observation every 36/12/8/6/4 months; PSE: Physiotherapeutic Specific Exercises; NTRB: Night-time Rigid Bracing (8-12 hours); SIR: Inpatient rehabilitation; SB: Soft bracing; PTRB: Part-Time Rigid Bracing (12-20 hours); FTRB: Full-time Rigid bracing (20-24 hours) or cast; Su: Surgery. |
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|
Negrini et al. Scoliosis 2012 7:3 doi:10.1186/1748-7161-7-3 |
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