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Sports, in association with specific exercises, can help to achieve better results in controlling the evolution of scoliosis

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Background

SOSORT Guidelines recommend that patients, who follow a conservative treatment program for scoliosis, practice sport activities in association with Specific Physiotherapy Exercises (PSE). From a theoretical point of view, the sport activity combines well with the goals of treatment of a disease characterized by a postural dysfunction.

Aim

The purpose of this study is to compare the results at the end of rapid growth spurt (Risser 3), between a group of patients treated with a conservative protocol (exercise and/or brace), and a group of patients who have added some sport activity to the same protocol.

Methods

We evaluated 543 patients (497 females/45 males) treated for idiopathic scoliosis with either PSE only (144 patients, 15.5°±9.3°Cobb), or brace and PSE (399 patients, 33.3°±12.1°). Patients started treatment at Risser 0-1, with a minimum age of 10 years, and were followed up to Risser 3. A comparison was then made between the following subgroups:

PSE + Sport (PSESP: 88 patients, 14.8°±5.7°) vs PSE only (PSE: 56 patients, 16.6°±13.1°)

Brace + PSE + sport (BPSESP: 182 patients, 32.2°±10.7°) vs Brace + PSE (BPSE: 217 patients, 34.2°±13.2°) Outcome: Variation of °Cobb at Risser 3 Statistical analysis: ANOVA, T-Test- -

Results

At the onset we did not find statistically significant differences between the groups. The comparison of °Cobb at Risser 1, and 3, shows better results in PSESP (improvement of 0.53 °) compared to PSE (progression of 1.75 °), but the difference is not statistically significant. Analysis of the results of braced patients at Risser 3 showed improvement of both groups (BPSESP 3.87°, BPSE 3.01°). The difference for the final result was statistically significant (P=0.04).

Conclusions

In the context of conservative treatment, sport activity, in association with a specific exercise program, seems to be useful to contrast the evolution of scoliosis, especially for braced patients.

References

  1. 1.

    Kenanidis E, Potoupnis ME, Papavasiliou KA, Sayegh FE, Kapetanos GA: Adolescent idiopathic scoliosis and exercising: is there truly a liaison?. Spine. 2008, 33 (20): 2160-2165. 10.1097/BRS.0b013e31817d6db3.

  2. 2.

    Meyer C, Haumont T, Gauchard GC, Leheup B, Lascombes P, Perrin PP: The practice of physical and sporting activity in teenagers with idiopathic scoliosis is related to the curve type. Scand J Med Sci Sports. 2008, 18 (6): 751-755. 10.1111/j.1600-0838.2007.00750.x.

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Author information

Correspondence to M Romano.

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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://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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Romano, M., Negrini, S. Sports, in association with specific exercises, can help to achieve better results in controlling the evolution of scoliosis. Scoliosis 8, O19 (2013). https://doi.org/10.1186/1748-7161-8-S1-O19

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Keywords

  • Treatment Program
  • Rapid Growth
  • Conservative Treatment
  • Exercise Program
  • Sport Activity