Letters to the Editor
Diagnosing Idiopathic Scoliosis in Adolescents
Am Fam Physician. 2002 Dec 1;66(11).
to the editor: We read with interest the article on adolescent idiopathic scoliosis by Dr. Greiner1 in American Family Physician. We share Dr. Greiner’s consternation regarding school system diagnosis of idiopathic scoliosis.
An interdisciplinary longitudinal study of the effects of distraction rehabilitation for otherwise untreated spinal curves is being conducted by the Island Coast Pain and Rehabilitation associates with Florida Gulf Coast University’s Department of Physical Therapy and a number of cooperating clinics. In the process, we have become somewhat alarmed at the absence of any meaningful pattern of referral from school screenings, although there are some noteworthy exceptions.
We agree with the observation that radiographs are critical in the diagnosis and measurement of treatment effectiveness when various forms of physical therapy are employed. Radiographs are the “gold standard” in the field. We are examining the correlated methods of back mapping with Pneumex equipment (Pneumex, Inc.; Sandpoint, Ida.), which has been studied by Richard Gajdosik, PT, Ph.D., at the University of Montana, Missoula, as a component of a graduate program in physical therapy, as well as the value of moiré topographic photography. We would urge continued comparative examination of these and other techniques as they become available.
As part of our study, we look forward to furthering the interest of family physicians in the early and accurate diagnosis of idiopathic scoliosis.
1. Greiner KA. Adolescent idiopathic scoliosis: radiologic decision-making. Am Fam Physician 2002;65:1817-22.
Send letters to firstname.lastname@example.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors.
Letters submitted for publication in AFP must not be submitted to any other publication. Possible conflicts of interest must be disclosed at time of submission. Submission of a letter will be construed as granting the AAFP permission to publish the letter in any of its publications in any form. The editors may edit letters to meet style and space requirements.
This series is coordinated by Kenny Lin, MD, MPH, Associate Deputy Editor for AFP Online.
Copyright © 2002 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact email@example.com for copyright questions and/or permission requests.
Want to use this article elsewhere? Get Permissions