Is physical activity contraindicated for individuals with scoliosis? A systematic literature review

Abstract

Objective: The purpose of this study was to perform a systematic review of the literature and other authoritative sources for recommendations regarding the appropriateness of physical and sporting activity for those with scoliosis. Methods: The literature was systematically searched in PubMed, the Cumulative Index to Nursing and Allied Health Literature, the Index to Chiropractic Literature, and the National Guidelines Clearinghouse from the earliest date of each database through July 2008. All languages and research designs were included. Web sites of respected organizations were searched for position/white papers on scoliosis and physical activity. Included articles were rated using the Oxford Centre for Evidence-Based Medicine criteria, and recommendations for physical activity were made using the Oxford Centre's criteria for grades of recommendation. Results: Of 42 articles retrieved, 11 met the inclusion criteria. The Internet review of 18 organizations yielded no previous guidelines or position papers for physical activity and scoliosis. Recommendations were made from 3 level 3b studies and 8 level 5 studies; they

Chêneau brace for adolescent idiopathic scoliosis: long-term results. Can it prevent surgery?

“…The major mechanism of this orthosis consists of a three-dimensional correction of the spine deformity by a system of multipoint pressure zones and expansion chambers [4,5]. The Chê-neau brace creates pressure on the convexity of the curve, and, on the opposite side, there are wide expansion chambers in the frontal, sagittal and horizontal planes, where the patient has to put his body mass through physiotherapy of deviation from pushes and respiratory kyphotic exercises for at least 1 h every day [6][7][8]. To correct the flat back, commonly associated with scoliosis [9], a gypsotomy on the cast at T8 is performed and a sternal kyphotic push is applied during the preparation of the brace.…”

Poor Health and Contraindications ─ the Most Common Barriers to Physical Activity in Poles Aged 50+

“…It has been shown repeatedly that, if appropriately selected, it is safe, effective and extremely important, both for the elderly with functional limitations [20], for people with chronic diseases [21] and for the disabled [22].…”

Scoliosis and Sport

“…The postural status of shooters is deteriorated, and in track and field athletes (high-class athletes competing in throwing disciplines) it is good. Several studies point out that certain sports show increased association with spinal deformities, particularly in adolescent girls (Green, Johnson, & Moreau, 2009;Kenanidis, Potoupnis, Papavasiliou, Sayegh, & Kapetanos, 2008). Nevertheless, patients with adolescent idiopathic scoliosis are still encouraged to engage in some sports activities (Wood, 2002).…”

“…Swärd (1992) reports that scoliosis is discovered in 80% of athletes with asymmetric loading of trunk and shoulders, such as javelin throwers and tennis players. On the basis of medicine founded on evidence, and in the scope of a systematic review of literature and other authoritative sources and reports, Green et al (2009) suggested guidelines to health professionals and patients with scoliosis related to participation in physical and sports activities. They report on potential association between elite-level competition in specific sports at an early age and increased prevalence of scoliosis (grade C recommendation).…”