Severe scoliosis (Cobb angle >50 degrees) in adult populations is associated with increased pain, reduced vital capacity, and mean progression of ten degrees per decade 12. Few nonsurgical approaches to prevent progression and maintain health related quality of life (HRQL) have been documented 3.

This study is a self-described case report of a sixty five-year-old female with severe scoliosis (Cobb angle 60–65 degrees), who was diagnosed at age 28 years, and was not treated surgically. A multimodal approach using low-impact and high-impact exercises offered through the YMCA, yoga and Tae Kwon Do Centers was used. These included aerobics, step aerobics, boot camps, pilates, yoga, nia, body conditioning, kickboxing and martial arts.

Flexibility and mobility have been maintained, and subjectively the deformity is not obvious to observers. Back pain severity has been reduced, but a lumbar support belt is still needed to perform house chores such as vacuuming and gardening. Heavy lifting is avoided.

Self-chosen and non-prescribed exercises were used to maintain function in a patient at high risk for reduced HRQL.