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Adolescent scoliosis treatment & prevention

The Role of Measured Resistance Exercises in Adolescent Scoliosis

Orthopedics
February 2003 Volume 26, Number 2

Vert Mooney, MD and Allison Brigham, BS

Study Outcomes & Clinical Relevance:

Twenty adolescent patients (18 girls and 2 boys) with scoliosis ranging from 15-41 degrees in their major curve were treated with a progressive resistive training program for torso rotation. All patients demonstrated an asymmetry of rotation strength measured on specialized equipment, and surface electrode electromyograms showed inhibition of lumbar paraspinal muscles. Sixteen of 20 patients demonstrated curve reduction, and no patient showed an increase in curve.

A Preliminary Report on the Effect of Measured Strength Training in Adolescent Idiopathic Scoliosis

Journal of Spinal Disorders
2000, Volume 13, Number 2

Vert Mooney, Jennifer Gulick, Robert Pozos
US Spine & Sport Center, Worldwide Clinical Trials, and San Diego State University

Study Outcomes & Clinical Relevance:

The authors studied 12 adolescent patients with scoliosis (10 girls and 2 boys) who were 11 to 16 years old and had curvatures ranging from 20 to 60 degrees. When tested on the MedX Rotary Torso Machine, both sides were unequal in their torso rotation strength in all patients. These asymmetries were correct completely with torso rotation, which was associated with significant strength gains. Strength gains ranged from 12% to 40%. A 16 year old girl with a 60 degree lumbar curve progressed and had surgery. None of the remaining patients progressed and 4 of the 12 had decreases in their curvatures from 20 to 28 degrees. These results are equal to or better than 23 hour per day bracing. None of the patients used braces during this study.

Treatment of Adolescent Idiopathic Scoliosis With Quantified Trunk Rotational Strength Training: A Pilot Study

Journal of Spinal Disorders
July 2008, Volume 21, Number 5

McIntire, Kevin L. PhD; Asher, Marc A. MD; Burton, Douglas C. MD; Liu, Wen PhD

Study Outcomes & Clinical Relevance:

Quantified trunk rotational strength training significantly increased strength. It was not effective for curves measuring 50 to 60 degrees. It appeared to help stabilize curves in the 20 to 40-degree ranges for 8 months, but not for 24 months. Periodic additional supervised strength training may help the technique to remain effective, although additional experimentation will be necessary to determine this.