Scoliosis Review: some reports

Regular readers will know that is was my intention to  conduct a lot of research on scoliosis and then publish some results. I am however, getting quite a lot of interest, so rather than sit on research , Ill publish thoughts and theories as i come across reports and Journals;  There is a risk that i can publish something that could be wrong and need to correct it later  However, the  value in people feeding back, digging out reports or treatments,  is worth a  possible public U turn!

regards

Andrew  Stemler ( andrew@crossfitlondonuk.com)

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

[Sports capacity of patients with scoliosis].

von Strempel A, Scholz M, Daentzer M

Sportverletz Sportschaden. 1993 Jun; 7(2):58-62.

Cobb angle less than 20. No  restrictions

For curves of 20° to 30°, they recommended restriction from what they call  performance sport; but school sports and competitive sports were allowed.

For curves of 30° to 50° or 20° to 30° with progression of 5° in 6 months, they allowed school sports with patients wearing a brace

Recommended these sports,:horseback riding, tennis, table tennis but not “performance sport or competitive sports at club level”. competitive sports allowed at school under the watchful eye of a teacher. For curves of 50° or more, they  recommended endurance sports (eg, cycling, swimming, hiking, jogging)”

Idiopathic scoliosis and spondylolysis in the female athlete. Tips for treatment.

Omey ML, Micheli LJ, Gerbino PG 2nd

Clin Orthop Relat Res. 2000 Mar; (372):74-84.

Scoliosis is not a contraindication to participation in sports and asserted that, unless a scoliosis was severe, it would not reduce physical function..

“Scoliosis is not a contraindication to participation in sports by the young athlete”; and they suggested  examination for underlying pathology (eg, syringomyelia, disk herniation, degenerative spinal disease) if pain accompanied scoliosis.

They also encouraged active strengthening and flexibility exercises for the spine during brace wearing and maintained that sports may be played while the athlete was not wearing a brace. Specifically asserted that swimming and water activity may be helpful to maintain flexibility, strength, and endurance.

Professional volleyball should be avoided, but recreational/amateur volleyball is acceptable.

Spinal deformity in the adolescent athlete.

Wood KB

Clin Sports Med. 2002 Jan; 21(1):77-92.

 “There is no objective evidence in the literature to suggest that active participation in any sport is directly associated with worsening of scoliotic curvatures beyond that of the natural history of the disorder.”

Recommended active exercise for  brace wearers  and encouraged brace wearing during exercise. No study exists showing negative effects of contact sports on the curve of a braced individual.  He encouraged  all athletics  out of a brace, not only for physical benefit, but for psychologic and social well-being!

Spinal deformity and athletics.

Schiller JR, Eberson CP

Sports Med Arthrosc. 2008 Mar; 16(1):26-31.

Recommends flexibility training and indicated that patients with scoliosis treated non-operatively can participate in all sporting activities.

Sport participation while wearing a brace was allowed and that sport participation out of a brace was also possible.

Conditioning should focus on flexibility of the spine and core strengthening and felt that the addition of plyometrics and power lifting after appropriate conditioning was acceptable. Athletes with scoliosis should be encouraged to participate in sport.

For postoperative patients, they maintained that sports participation should be at the discretion of the surgeon.

They did not recommend against torque sports for postoperative patients (eg, gymnastics, ballet, swimming, wrestling, javelin), as had previous authors.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s