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Exercised-based methods to treat adult scoliosis: adult case report

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Objective

Severe scoliosis (Cobb angle >50 degrees) in adult populations is associated with increased pain, reduced vital capacity, and mean progression of ten degrees per decade [1, 2]. Few nonsurgical approaches to prevent progression and maintain health related quality of life (HRQL) have been documented [3].

Study design

This study is a self-described case report of a sixty five-year-old female with severe scoliosis (Cobb angle 60–65 degrees), who was diagnosed at age 28 years, and was not treated surgically. A multimodal approach using low-impact and high-impact exercises offered through the YMCA, yoga and Tae Kwon Do Centers was used. These included aerobics, step aerobics, boot camps, pilates, yoga, nia, body conditioning, kickboxing and martial arts.

Results

Flexibility and mobility have been maintained, and subjectively the deformity is not obvious to observers. Back pain severity has been reduced, but a lumbar support belt is still needed to perform house chores such as vacuuming and gardening. Heavy lifting is avoided.

Conclusion

Self-chosen and non-prescribed exercises were used to maintain function in a patient at high risk for reduced HRQL.

References

  1. 1.

    Collis DK, Ponseti IV: Long-term follow-up of patients with IS scoliosis not treated surgically. J Bone Jt Surg. 1969, 51-A: 425-445.

  2. 2.

    Mayo NE, Goldberg MS, Poitras B, Scott S, Hanley J: The Ste-Justine AIS cohort study. Part III: Back pain. Spine. 1994, 14: 1573-1581.

  3. 3.

    Blum CL: Chiropractic and pilates therapy for the treatment of adult scoliosis. J Manip Physiol Therapeutics. 2002, 25: E3-10.1067/mmt.2002.123336.

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Author information

Correspondence to Marjorie T Nieh.

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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 (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Keywords

  • Health Related Quality
  • Pain Severity
  • Vital Capacity
  • Related Quality
  • Cobb Angle