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Table 11 Recommendation on physiotherapeutic scoliosis-specific exercises to prevent scoliosis progression during growth

From: 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth

Recommendation Strength LoE References
1. Physiotherapeutic scoliosis-specific exercises are recommended as the first step to treat idiopathic scoliosis to prevent/limit progression of the deformity and bracing C I [88, 256, 257, 259, 260, 273, 286, 291, 487]
2. It is recommended that physiotherapeutic scoliosis-specific exercises follow SOSORT Consensus and are based on auto-correction in 3D, training in ADL, stabilizing the corrected posture, and patient education B II [88]
3. It is recommended that physiotherapeutic scoliosis-specific exercises follow one of the Schools that have shown the effectiveness of their approach with scientific studies C III [236,237,238, 241, 267, 269, 272, 275, 277,278,279,280,281,282,283, 489]
4. It is recommended that physiotherapeutic-scoliosis specific exercise programmes are designed by therapists specifically trained in the approach they use B V  
5. It is recommended that physiotherapeutic scoliosis-specific exercises are proposed by therapists included in scoliosis treatment teams, with close cooperation between all members C V [88]
6. It is recommended that physiotherapeutic scoliosis-specific exercises are individualized according to patient needs, curve pattern, and treatment phase B V [267, 269, 272, 275, 277,278,279,280,281,282,283, 489]
7. It is recommended that physiotherapeutic scoliosis-specific exercises are always individualized even if performed in small groups B VI  
8. It is recommended that physiotherapeutic scoliosis-specific exercises are performed regularly throughout treatment to achieve best results B V  
9. It is recommended that therapists implement a compliance system for exercise tracking C V  
10. It is recommended that therapists regularly assess patients’ quality of physiotherapeutic scoliosis-specific exercises performed by the patients. B V  
11. It is recommended that physiotherapeutic scoliosis-specific exercises difficulty is progressively increased according to patient ability. B V  
12. It is recommended that physiotherapeutic scoliosis-specific exercises are taught individually in a 1 to 1 relationship to assure individualized care, while regular performance could also be at home or in little groups C V