{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:22:57Z","timestamp":1792628577486,"version":"4.5.0"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T00:00:00Z","timestamp":1655683200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Rehabilit. Sci."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study presents findings on improvements of both the X-axis and Z-axis posture in a young female with adolescent idiopathic, scoliosis suffering from pain complaints who was treated with a multidisciplinary approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>The 15-year-old patient reported low back pain for several months. Full spine radiographic assessment revealed a cervical kyphosis, forward head translation, a right ribcage translation, a left higher shoulder, and a dextroconvex lumbar scoliosis with a Cobb angle of 23\u00b0. The patient was treated with novel ASPINE Systems treatment protocols incorporating posture exercises, muscle balancing exercises, spinal 3D traction, and spinal manipulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Assessment after 50 treatment sessions over 32 weeks revealed a dramatic improvement in postural distortions. The cervical kyphosis was reduced by 9\u00b0 and was accompanied by a reduction in forward head posture, centering of the thoracic spine, leveling off her shoulders, and a reduction in the dextroconvex scoliosis by 10\u00b0. The lower back pain was relieved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A reduction of postural distortions including idiopathic adolescent scoliosis resulted from a multidisciplinary approach utilizing ASPINE Systems.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fresc.2022.917519","type":"journal-article","created":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T05:16:34Z","timestamp":1655702194000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Reduction of Adolescent Idiopathic Scoliosis and Improved Z-Axis Alignment of the Entire Spine When Treating a Symptomatic Patient Using a Multidisciplinary Approach: A Case Report"],"prefix":"10.3389","volume":"3","author":[{"given":"Juan Jesus","family":"Villa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiyang","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weicheng","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongfei","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,6,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1093\/pch\/12.9.771","article-title":"Scoliosis: review of diagnosis and treatment","volume":"12","author":"Janicki","year":"2007","journal-title":"Paediatr Child Health."},{"key":"B2","doi-asserted-by":"publisher","first-page":"878","DOI":"10.3238\/arztebl.2010.0875","article-title":"Idiopathic scoliosis","volume":"49","author":"Trobisch","year":"2010","journal-title":"Deutsches \u00c4rzteblatt Int"},{"key":"B3","doi-asserted-by":"publisher","first-page":"233","DOI":"10.3109\/17453678208992208","article-title":"A prospective prevalence study of scoliosis in southern Sweden","volume":"53","author":"Willner","year":"1982","journal-title":"Acta Orthop Scand."},{"key":"B4","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/S0014-4800(03)80008-4","article-title":"Pathogenesis of idiopathic scoliosis revisited","volume":"74","author":"Stehbens","year":"2003","journal-title":"Exp Mol Pathol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1016\/S0014-4800(02)00014-X","article-title":"Regression of juvenile idiopathic scoliosis","volume":"74","author":"Stehbens","year":"2003","journal-title":"Exp Mol Pathol."},{"key":"B6","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1097\/00007632-199101000-00016","article-title":"The effect of an exercise program on vital capacity and rib mobility in patients with idiopathic scoliosis","volume":"16","author":"Weiss","year":"1991","journal-title":"Spine."},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1186\/1748-7161-4-S1-O61","article-title":"Medical and psychosocial outcome of scoliosis in-patient rehabilitation (sir)","author":"Freidel","year":"2009","journal-title":"Scoliosis"},{"key":"B8","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/BF01682483","article-title":"A complementary thoracic implant for the surgical correction of the scoliotic curve. 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