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Patient-specific exercise programs in the conservative management of the so-called idiopathic scoliosis


To describe the application of a new classification system for early identification of patients that will benefit from specific exercise programs designed to prevent deformity development and progression

Study design

A group of 629 children, aged four to eight years, were identified in school scoliosis screening programs. Children judged to be at risk were assigned to three groups based on diagnostic protocols to identify asymmetry in posture and movement correlated with curvature patterns.


Exercise programs designed to improve flexion and stretching, and not strengthening, were used.


Among treated patients, curvatures in seventy-one percent either improved or remained stable. Sixteen percent progressed significantly, with thirteen percent progressing to the point of requiring operative intervention.


Successful exercise-based rehabilitation requires early detection combined with programs designed for specific signs and symptoms in children at risk for progression.

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Correspondence to T Karski.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Karski, T. Patient-specific exercise programs in the conservative management of the so-called idiopathic scoliosis. Scoliosis 2 (Suppl 1), P5 (2007).

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  • Early Detection
  • Classification System
  • Screening Program
  • Exercise Program
  • Conservative Management