- Poster presentation
- 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)
© Karski et al; licensee BioMed Central Ltd. 2009
- Published: 15 January 2009
- Treatment Plan
- Conservative Treatment
- Pathological Feature
- Active Sport
- Idiopathic Scoliosis
Until the determination of etiology for "so-called" idiopathic scoliosis (Karski 1995–2006 [1–6]), 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.
* 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 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!
Old "strengthening exercises" are wrong. They only cause larger iatrogenic deformity.
New asymmetric flexion-rotation exercises are correct and effective in beginning stages of scoliosis. Subsequently, they constitute good, new prophylactics.
The Lublin experience confirms that we can introduce rules of "neo-prophylaxis" in our orthopedic management of "so-called" idiopathic scoliosis in all countries.
- 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
- 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
- Karski J, Karski J, Kandzierski G, Tarczyńska M, Kałakucki J, Latalski M: "Contracture syndrome" in newborns and infants according to Prof. H. Mau as explanation of "geography" and certain clinical features of idiopathic scoliosis. Ortopedia Traumatologia Rehabilitacja. 2005, 7: 23-27. (Polish)Google Scholar
- Karski T: Recent observations in the biomechanical etiology of so-called idiopathic scoliosis. New classification of spinal deformity – I-st, II-nd and III-rd etiopathological groups. Technology and informatics, Research into spinal deformities. Edited by: Uyttendaele D, Dangerfield PH. 2006, Washington, IOS Press, 123: 473-482. 5Google Scholar
- Karski T, Kalakucki J, Karski J: "Syndrome of contractures" (according to Mau) with the abduction contracture of the right hip as causative factor for development of the so-called idiopathic scoliosis". Technology and informatics, Research into spinal deformities. Edited by: Uyttendaele D, Dangerfield PH. 2006, Washington, IOS Press, 123: 34-39. 5Google Scholar
- Kalakucki J, Karski J, Karski T, Kandzierski G, Madej J, Dlugosz M: Informace o drivejsim (nespravnem) rehabilitacnim leceni idiopaticke skoliozy patere. Vysledky nove rehabilitacni terapie. Pravidla neo-profylaxe in "Pohybove Ustroji" rocnik 13/cislo 1–2, Czech Republic, October 2006. 2006, 9-16.Google Scholar
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