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REVIEW  SCOLIOSIS 

Minerva Orthopedics 2021 June;72(3):258-69

DOI: 10.23736/S2784-8469.21.04043-1

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Rehabilitation treatment for idiopathic scoliosis: theoretical basis, major schools and literature evidence of efficacy

Monica SGOLASTRA 1 , Alice CHIARICI 2, Giorgio CARAFFA 1

1 Unit of Physical Medicine and Rehabilitation, Asur Marche, AV3, Ancona, Italy; 2 Clinic of Neurorehabilitation, Ospedali Riuniti Ancona, Ancona, Italy



The idiopathic scoliosis, if not treated, could lead to disability coming from back pain, cardiopulmonary dysfunction, exercise intolerance and psychosocial disturbances. Physical exercise is a crucial component of the conservative treatment of adolescent idiopathic scoliosis (AIS). Rehabilitation program should be always personalized, multidimensional and comprehensive, looking not only at the curvature pattern, but also at patients’ global functioning under a biopsychosocial model, with the aim to prevent or limit curve progression, prevent the possible long-term sequelae and future disability and improve patient’s quality of life and wellbeing. In this review we described the main rehabilitation approaches or “schools” and we analyzed the current literature evidence concerning the effect of physical exercises on AIS. Growing evidence attests the central role of physiotherapeutic scoliosis-specific exercises (PSSE) in improving different outcome measures of adolescent with idiopathic scoliosis, ranging from Cobb angle, angle of trunk rotation and back muscle strength to respiratory function and quality of life.


KEY WORDS: Scoliosis; Rehabilitation; Review

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