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Europa Medicophysica 2001 September;37(3):181-90

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: English

Role of physical exercise in the treatment of mild idiopathic adolescent scoliosis. Review of the literature

Negrini A., Verzini N., Parzini S., Negrini A., Negrini S.

Centro Scoliosi, Vigevano (PV), Italy *Unità di Riabilitazione e Recupero Funzionale Fondazione Don Carlo Gnocchi ONLUS, IRCCS, Milano, Italy


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Phys­ical exer­cise ­therapy (or kin­e­si­therapy) is a pro­gram of phys­ical exer­cises, spe­cif­i­cally devel­oped by a ­well ­trained phys­io­ther­a­pist, ­with the ­main aim of: pre­venting the aggra­va­tion of the defor­mity, in ­mild sco­li­osis; ­helping the ­brace and coun­ter­acting its ­side ­effects, in mod­erate sco­li­osis. The aim of ­this ­paper is to ­review the lit­er­a­ture to ascer­tain ­which of the impair­ments and dis­abil­ities ­caused by sco­li­osis ­could be pre­vented or ­reduced by phys­ical exer­cise. An up-to-­date knowl­edge of ­these ­aspects is ­needed in ­order to ­decide: ­whether ­there is an ade­quate theo­ret­ical ­basis for or ­against the use of kin­e­si­therapy; ­whether or not the prac­tice of lei­sure ­time ­sporting activ­ities ­should be ­allowed. It is essen­tial to iden­tify ­which cat­e­go­ries of phys­ical exer­cises (i.e. mobil­iza­tion or sta­bil­iza­tion; strength­ening or ­stretching; etc.) ­should be ­avoided ­because ­they ­could be det­ri­mental and ­which ­should be inten­si­fied ­because ­they ­could be ­useful. Knowl­edge ­emerging ­from sci­en­tific ­research ­data, ­according to the ­review of the lit­er­a­ture pro­posed in ­this ­paper, con­firms ­that phys­ical exer­cise: pre­vents or ­reduces dis­abil­ities of scol­i­otic ­patients; facil­i­tates the neu­tral­iza­tion of pos­tural def­i­cits to pro­duce, as a con­se­quence, a sta­tionary or regres­sive ­curve. The use of appro­priate kin­e­si­therapy to ­increase pos­tural ­stability is theo­ret­i­cally cor­rect, ­although a ­more accu­rate and ­detailed ­risk/ben­e­fits anal­ysis is ­needed

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