The Potential Use of Axial Spinal Unloading in the Treatment of Adolescent Idiopathic Scoliosis: A Case Series Catherine A. Chromy, DPT, Michael T. Carey,

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The Potential Use of Axial Spinal Unloading in the Treatment of Adolescent Idiopathic Scoliosis: A Case Series Catherine A. Chromy, DPT, Michael T. Carey, DPT, Kristopher G. Balgaard, DPT, Paul A. Iaizzo, PhD Archives of Physical Medicine and Rehabilitation Volume 87, Issue 11, Pages 1447-1453 (November 2006) DOI: 10.1016/j.apmr.2006.08.325 Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 LTX 3000 Lumbar Rehabilitation System. More descriptive details on this class I medical device can be found in Janke et al10 and Hales et al.13 Archives of Physical Medicine and Rehabilitation 2006 87, 1447-1453DOI: (10.1016/j.apmr.2006.08.325) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 Standing AP radiographs and Cobb angles. In the left column are standing AP radiographs of subject 5 both during the initial baseline session and immediately posttreatment. The right column shows the associated Cobb angles of subject 5 while standing during the initial session and again immediately after the 3-month treatment period. Note that the Cobb angles decreased from 26.3° (initial session) to 18.9° (immediate posttreatment). Archives of Physical Medicine and Rehabilitation 2006 87, 1447-1453DOI: (10.1016/j.apmr.2006.08.325) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 Sitting AP radiographs and Cobb angles. Shown in the left column are AP radiographs of subject 5 while seated in the LTX 3000 during both the initial baseline session and immediately posttreatment. In the right column are the associated Cobb angles of subject 5 while seated in the device during the initial session and again immediately after the 3-month treatment period. This subject’s Cobb angles decreased from 11.3° (initial session) to 8.1° (immediate posttreatment). Archives of Physical Medicine and Rehabilitation 2006 87, 1447-1453DOI: (10.1016/j.apmr.2006.08.325) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 4 Complete standing AP radiographs for the 5 subjects. The left column includes initial standing radiographs of all 5 subjects before treatment with the LTX 3000 (initial baseline). The middle column represents standing radiographs taken of the subjects immediately posttreatment, and the right column shows standing radiographs of subjects 1 month posttreatment. The relative Cobb angles are indicated in the upper left corner of each radiograph. Archives of Physical Medicine and Rehabilitation 2006 87, 1447-1453DOI: (10.1016/j.apmr.2006.08.325) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions