1748-7161-2-S1-P5 1748-7161 Poster presentation <p>Patient-specific exercise programs in the conservative management of the so-called idiopathic scoliosis</p> Karski T tkarski@dsk.lublin.pl

Department of Pediatric Orthopedics and Rehabilitation of Skubiszewski Medical University of Lublin; University Pediatric Hospital, Chodźki St. 2, 20-093 Lublin, Poland

 Scoliosis <p>4th International Conference on Conservative Management of Spinal Deformities</p> Publication of these abstracts has been funded by the National Scoliosis Foundation (http://www.scoliosis.org) and the Asklepios Katharina Schroth, Spinal Deformities Rehabilitation Centre (http://www.skoliose.com) Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here. http://www.biomedcentral.com/content/pdf/1748-7161-2-S1-info.pdf <p>4th International Conference on Conservative Management of Spinal Deformities</p> Boston, MA, USA 13–16 May 2007 http://www.scoliosis.org/sosort2007/ 1748-7161 2007 2 Suppl 1 P5 http://www.scoliosisjournal.com/content/2/S1/P5 10.1186/1748-7161-2-S1-P5 12 10 2007 2007 Karski; licensee BioMed Central Ltd.

Objective

To describe the application of a new classification system for early identification of patients that will benefit from specific exercise programs designed to prevent deformity development and progression

Study design

A group of 629 children, aged four to eight years, were identified in school scoliosis screening programs. Children judged to be at risk were assigned to three groups based on diagnostic protocols to identify asymmetry in posture and movement correlated with curvature patterns.

Methods

Exercise programs designed to improve flexion and stretching, and not strengthening, were used.

Results

Among treated patients, curvatures in seventy-one percent either improved or remained stable. Sixteen percent progressed significantly, with thirteen percent progressing to the point of requiring operative intervention.

Conclusion

Successful exercise-based rehabilitation requires early detection combined with programs designed for specific signs and symptoms in children at risk for progression.