Volume 4 Supplement 1

5th International Conference on Conservative Management of Spinal Deformities

Open Access

Why are the extension/strengthening exercises wrong in the treatment of idiopathic scoliosis? New conservative treatment plan based on types of scoliosis (new classification 2001–2007)

  • Tomasz Karski1,
  • J Karski1,
  • J Kalakucki1,
  • M Okonski1 and
  • L Matuszewski1
Scoliosis20094(Suppl 1):P7

DOI: 10.1186/1748-7161-4-S1-P7

Published: 15 January 2009

Introduction

Until the determination of etiology for "so-called" idiopathic scoliosis (Karski 1995–2006 [16]), rehabilitation treatments were mostly unsuccessful. New treatments are designed for specific "group/type of scoliosis". Utilization of the new, Lublin classification may be assist in the appropriate recommendation for new rehabilitation exercises. In addition, previous strengthening exercises have been proven harmful.

New rehabilitation exercises

  • * Exercises to remove contractures of right hip.

  • * Flexion-extension (two phases) asymmetric exercises for spine.

  • * Active sport practice in schools – stretching exercises like Karate, Aikido etc.

  • * Special sleep positions – fetus position.

  • * "At ease" – standing position only on left leg.

The lecture will give all details of new exercises.

New classification (2001 – 2007): Three groups divided by etiological and pathological features in the development of scoliosis [epg] (I-st, II/A, II/B and III-rd)

To understand rules of new treatment and of prophylaxis recommendations, this lecture will present the new Lublin classification of "so-called" idiopathic scoliosis based on biomechanical etiology. For details see lectures in: http://www.ortopedia.karski.lublin.pl

Results

Results of new treatment will be presented in tables. Most cases showed correction of axis of spine or stopping of deformity. In I-st epg we observed progression only at 13% of children and in II-nd epg only at 3%. The number of children who needed operative procedures in Poland decreased!

Conclusion

  1. 1.

    Old "strengthening exercises" are wrong. They only cause larger iatrogenic deformity.

     
  2. 2.

    New asymmetric flexion-rotation exercises are correct and effective in beginning stages of scoliosis. Subsequently, they constitute good, new prophylactics.

     
  3. 3.

    The Lublin experience confirms that we can introduce rules of "neo-prophylaxis" in our orthopedic management of "so-called" idiopathic scoliosis in all countries.

     

Authors’ Affiliations

(1)
Pediatric Orthopedic and Rehabilitation Department of Medical University in Lublin

References

  1. Karski T: Biomechanical factors in etiology of the so-called idiopathic scoliosis; two etiopathological groups of spinal deformities. Ortopedia Traumatologia Rehabilitacja. 2004, 5: 800-808. (Polish)Google Scholar
  2. Karski T, Madej J, Rehak L, Kokavec M, Karski J, Latalski M, Kałakucki J: New conservative treatment of the so-called idiopathic scoliosis; effectiveness of therapy. Ortopedia Traumatologia Rehabilitacja. 2005, 7: 28-35. (Polish)Google Scholar
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Copyright

© Karski et al; licensee BioMed Central Ltd. 2009

This article is published under license to BioMed Central Ltd.