Physiotherapy in the treatment of idiopathic scoliosis - Current recommendations based on the recommendations of SOSORT 2011 (Society on Scoliosis Orthopaedic and Rehabilitation Treatment)

Abstract

SOSORT is an international scientific society interested in spinal deformities, including idiopathic scoliosis (IS). One of the main tasks of the society is to provide diagnostic and therapeutic recommendations for all professionals involved in the conservative treatment of patients with IS. As a part of treatment of scoliosis we distinguished conservative and surgical treatment. The main purpose of the conservative treatment is to stop the progression of the curvature. The aim of the therapy is to improve the quality of life, improve the aesthetics and physical capacity as well. An important element of the conservative treatment is the physiotherapy, which can be used as independent part of treatment and as a support of brace and the surgical treatment. SOSORT recommends the use of physiotherapy in the form of Physiotherapeutic Specific Exercises (PSE) and the Special Inpatient Rehabilitation (SIR). PSE used in patients with SI must have confirmed efficacy according to the requirements of the Evidence Based Medicine. Moreover, the therapy should be selected individually and include: (1) three dimensional auto-correction of deformation, (2) training in activities of daily living, (3) stabilizing the corrected posture, and (4) education of the patient and her/his parents. SIR based on 3-4-week hospital or sanatorium stay is recommended especially at the beginning of the treatment process. Physiotherapists undertaking the work with children with IS should: (1) be qualified in the use of PSE, (2) have adequate experience in techniques used in pediatric orthopedics, (3) have the ability to analyze the variability of body posture during development, (4) have the ability to exercise choice depending on the stages of formation of motor skills, and (5) work in the therapeutic team led by physician supervising the treatment.