Journal of Chiropractic Medicine
Volume 8, Issue 1 , Pages 25-37 , March 2009

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

  • Bart N. Green, DC, MSEd

      Affiliations

    • Chiropractor, Chiropractic Division, Department of Physical and Occupational Therapy, Naval Medical Center San Diego, San Diego, CA
    • Associate Editor, National University of Health Sciences, Lombard, IL
    • Corresponding Author InformationCorresponding author. Bart Green, MCAS Miramar Branch Medical Clinic, PO Box 452002, San Diego, CA 92145-2002. Tel.: +1 858 577 9948.
    • ,
  • Claire Johnson, DC, MSEd

      Affiliations

    • Professor, National University of Health Sciences, Lombard, IL
    • ,
  • William Moreau, DC

      Affiliations

    • Private Practice, Estherville, IA 51334

Received 30 October 2008 ,Revised 24 November 2008 ,Accepted 25 November 2008.

References 

  1. Weinstein SL. Adolescent idiopathic scoliosis: prevalence and natural history. Instr Course Lect. 1989;38:115–128
  2. Dolan LA, Weinstein SL. Surgical rates after observation and bracing for adolescent idiopathic scoliosis: an evidence-based review. Spine. 2007;32(19 Suppl):S91–S100
  3. United States Preventive Services Task Force . Screening for idiopathic scoliosis in adolescents: recommendation statement. Rockville: Agency for Healthcare Research and Quality; 2004;
  4. Schiller JR, Eberson CP. Spinal deformity and athletics. Sports Med Arthrosc. 2008;16(1):26–31
  5. MacLean WE, Green NE, Pierre CB, Ray DC. Stress and coping with scoliosis: psychological effects on adolescents and their families. J Pediatr Orthop. 1989;9(3):257–261
  6. dos Santos Alves VL, Stirbulov R, Avanzi O. Impact of a physical rehabilitation program on the respiratory function of adolescents with idiopathic scoliosis. Chest. 2006;130(2):500–505
  7. Barrios C, Perez-Encinas C, Maruenda JI, Laguia M. Significant ventilatory functional restriction in adolescents with mild or moderate scoliosis during maximal exercise tolerance test. Spine. 2005;30(14):1610–1615
  8. Omey ML, Micheli LJ, Gerbino PG. Idiopathic scoliosis and spondylolysis in the female athlete. Tips for treatment. Clin Orthop Relat Res. 2000;(372):74–84
  9. Peelle MW, Luhmann SJ. Management of adolescent idiopathic scoliosis. Neurosurg Clin N Am. 2007;18(4):575–583
  10. Liljenqvist U, Witt KA, Bullmann V, Steinbeck J, Volker K. Recommendations on sport activities for patients with idiopathic scoliosis. Sportverletz Sportschaden. 2006;20(1):36–42
  11. Weiss HR, Negrini S, Hawes MC, Rigo M, Kotwicki T, Grivas TB, et al. Physical exercises in the treatment of idiopathic scoliosis at risk of brace treatment—SOSORT consensus paper 2005. Scoliosis. 2006;1:6
  12. Rowe DE, Feise RJ, Crowther ER, Grod JP, Menke JM, Goldsmith CH, et al. Chiropractic manipulation in adolescent idiopathic scoliosis: a pilot study. Chiropr Osteopat. 2006;14:15
  13. Romano M, Negrini S. Manual therapy as a conservative treatment for adolescent idiopathic scoliosis: a systematic review. Scoliosis. 2008;3:2
  14. Morningstar MW, Woggon D, Lawrence G. Scoliosis treatment using a combination of manipulative and rehabilitative therapy: a retrospective case series. BMC Musculoskelet Disord. 2004;5:32
  15. Chromy CA, Carey MT, Balgaard KG, Iaizzo PA. The potential use of axial spinal unloading in the treatment of adolescent idiopathic scoliosis: a case series. Arch Phys Med Rehabil. 2006;87(11):1447–1453
  16. Weiss HR, Bohr S, Jahnke A, Pleines S. Acupuncture in the treatment of scoliosis—a single blind controlled pilot study. Scoliosis. 2008;3:4
  17. Rubery PT, Bradford DS. Athletic activity after spine surgery in children and adolescents: results of a survey. Spine. 2002;27(4):423–427
  18. Shands AR, Barr JS, Colonna PC, Noall L. End-result study of the treatment of idiopathic scoliosis: report of the Research Committee of the American Orthopedic Association. J Bone Joint Surg. 1941;23-A(4):963–977
  19. Wood KB. Spinal deformity in the adolescent athlete. Clin Sports Med. 2002;21(1):77–92
  20. Nestle M, Jacobson MF. Halting the obesity epidemic: a public health policy approach. Public Health Rep. 2000;115(1):12–24
  21. Loud KJ, Micheli LJ. Common athletic injuries in adolescent girls. Curr Opin Pediatr. 2001;13(4):317–322
  22. Scherer RW, Langenberg P, von Elm E. Full publication of results initially presented in abstracts. Cochrane Database Syst Rev. 2007;(2):MR000005
  23. Dumville JC, Petherick ES, Cullum N. When will I see you again? The fate of research findings from international wound care conferences⁎. Int Wound J. 2008;5(1):26–33
  24. Phillips B, Ball C, Sackett D, Badenoch D, Straus S, Haynes B, et al. Oxford Centre for Evidence-Based Medicine levels of evidence. Oxford: Centre for Evidence-Based Medicine; 2001;
  25. Parsch D, Gartner V, Brocai DR, Carstens C, Schmitt H. Sports activity of patients with idiopathic scoliosis at long-term follow-up. Clin J Sport Med. 2002;12(2):95–98
  26. 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;
  27. Danielsson AJ, Romberg K, Nachemson AL. Spinal range of motion, muscle endurance, and back pain and function at least 20 years after fusion or brace treatment for adolescent idiopathic scoliosis: a case-control study. Spine. 2006;31(3):275–283
  28. Baker RJ, Patel D. Lower back pain in the athlete: common conditions and treatment. Prim Care. 2005;32(1):201–229
  29. von Strempel A, Scholz M, Daentzer M. Sports capacity of patients with scoliosis. Sportverletz Sportschaden. 1993;7(2):58–62
  30. Fuchs PD, Bertrand S, Iwinski H, Pellet J. Traumatic C6-C7 dislocation in a 14 year old with posterior spinal fusion for idiopathic scoliosis. J Trauma. 2001;51(5):1004–1007
  31. Mallau S, Bollini G, Jouve JL, Assaiante C. Locomotor skills and balance strategies in adolescents idiopathic scoliosis. Spine. 2007;32(1):E14–E22
  32. Tanchev PI, Dzherov AD, Parushev AD, Dikov DM, Todorov MB. Scoliosis in rhythmic gymnasts. Spine. 2000;25(11):1367–1372
  33. Kesten S, Garfinkel SK, Wright T, Rebuck AS. Impaired exercise capacity in adults with moderate scoliosis. Chest. 1991;99(3):663–666
  34. Bridwell KH. Surgical treatment of adolescent idiopathic scoliosis: the basics and the controversies. Spine. 1994;19(9):1095–1100
  35. Hellstrom M, Jacobsson B, Sward L, Peterson L. Radiologic abnormalities of the thoraco-lumbar spine in athletes. Acta Radiol. 1990;31(2):127–132
  36. Sward L. The thoracolumbar spine in young elite athletes. Current concepts on the effects of physical training. Sports Med. 1992;13(5):357–364
  37. Negrini S, Antonini G, Carabalona R, Minozzi S. Physical exercises as a treatment for adolescent idiopathic scoliosis. a systematic review. Pediatr Rehabil. 2003;6(3-4):227–235
  38. Lundin O, Hellstrom M, Nilsson I, Sward L. Back pain and radiological changes in the thoraco-lumbar spine of athletes. A long-term follow-up. Scand J Med Sci Sports. 2001;11(2):103–109
  39. Weinstein SL, Dolan LA, Spratt KF, Peterson KK, Spoonamore MJ, Ponseti IV. Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study. JAMA. 2003;289(5):559–567
  40. Ogon M, Riedl-Huter C, Sterzinger W, Krismer M, Spratt KF, Wimmer C. Radiologic abnormalities and low back pain in elite skiers. Clin Orthop Relat Res. 2001;(390):151–162
  41. Smyth RJ, Chapman KR, Wright TA, Crawford JS, Rebuck AS. Ventilatory patterns during hypoxia, hypercapnia, and exercise in adolescents with mild scoliosis. Pediatrics. 1986;77(5):692–697
  42. Danielsson AJ, Wiklund I, Pehrsson K, Nachemson AL. Health-related quality of life in patients with adolescent idiopathic scoliosis: a matched follow-up at least 20 years after treatment with brace or surgery. Eur Spine J. 2001;10(4):278–288
  43. Kocher MS, Sarwark JF. What's new in pediatric orthopaedics. J Bone Joint Surg Am. 2004;86-A(6):1337–1346
  44. Romano M, Negrini S. Does bracing change the sport habits of patients? A controlled study. Scoliosis. 2007;2(Suppl 1):S25
  45. Weiss HR. Is there a body of evidence for the treatment of patients with adolescent idiopathic scoliosis (AIS)?. Scoliosis. 2007;2:19
  46. Engsberg JR, Bridwell KH, Reitenbach AK, Uhrich ML, Baldus C, Blanke K, et al. Preoperative gait comparisons between adults undergoing long spinal deformity fusion surgery (thoracic to L4, L5, or sacrum) and controls. Spine. 2001;26(18):2020–2028
  47. Mahaudens P, Thonnard JL, Detrembleur C. Influence of structural pelvic disorders during standing and walking in adolescents with idiopathic scoliosis. Spine J. 2005;5(4):427–433
  48. Bunge EM, Juttmann RE, van Biezen FC, Creemers H, Hazebroek-Kampschreur AA, Luttmer BC, et al. Estimating the effectiveness of screening for scoliosis: a case-control study. Pediatrics. 2008;121(1):9–14
  49. Hawes MC. The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature. Pediatr Rehabil. 2003;6(3-4):171–182
  50. Hutchinson MR. Low back pain in elite rhythmic gymnasts. Med Sci Sports Exerc. 1999;31(11):1686–1688
  51. Lerman JA, Sullivan E, Haynes RJ. The Pediatric Outcomes Data Collection Instrument (PODCI) and functional assessment in patients with adolescent or juvenile idiopathic scoliosis and congenital scoliosis or kyphosis. Spine. 2002;27(18):2052–2057[discussion 2057-8]
  52. Weiss HR. Rehabilitation of adolescent patients with scoliosis—what do we know? A review of the literature. Pediatr Rehabil. 2003;6(3-4):183–194
  53. Romano M, Carabalona R, Petrilli S, Sibilla P, Negrini S. Forces exerted during exercises by patients with adolescent idiopathic scoliosis wearing fiberglass braces. Scoliosis. 2006;1:12
  54. Institute for Clinical Systems Improvement . Preventive services for children and adolescents. Bloomington (Minn): Institute for Clinical Systems Improvement; 2007;[Oct 2007 ed]
  55. American Academy of Family Physicians . Summary of recommendations for clinical preventive services. Leawood (Ky): American Academy of Family Physicians; 2007;[Revision 6.4]
  56. Klein GR, Levine BR, Hozack WJ, Strauss EJ, D'Antonio JA, Macaulay W, et al. Return to athletic activity after total hip arthroplasty. Consensus guidelines based on a survey of the Hip Society and American Association of Hip and Knee Surgeons. J Arthroplasty. 2007;22(2):171–175
  57. McKenzie JF, Pinger RF, Kotecki JE. An introduction to community health. 6th ed.. Sudbury (Mass): Jones and Bartlett; 2008;
  58. Friis RH, Sellers TA. Epidemiology for public health practice. 3rd ed.. Sudbury (Mass): Jones and Bartlett; 2004;

☆ Disclaimer: The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government.

☆☆ Refereeing Editor: Jerrilyn Cambron, DC, PhD (jcambron@nuhs.edu), was the Refereeing Editor for this manuscript. She was solely responsible for managing the peer review process, revision process, and the acceptance of this manuscript. The Editor and Associate Editor declare that they were not involved in the peer review process or acceptance decision for this paper.

★ The American Chiropractic Board of Sports Physicians provided funding for this study, which included a small stipend to the principal and second author of this paper. Each author signed a conflict of interest disclosure form provided and stored by the American Chiropractic Board of Sports Physicians. None of the authors had any conflicts of interest to declare.

PII: S1556-3707(08)00127-2

doi: 10.1016/j.jcm.2008.11.001

Journal of Chiropractic Medicine
Volume 8, Issue 1 , Pages 25-37 , March 2009

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