Postural Re-education in the Management of AIS

Postural Re-education in the Management of AIS

Conservative treatment of idiopathic scoliosis currently includes spinal bracing and physiotherapeutic scoliosis specific exercises (PSSE), both of which have level 1 evidence in support of their effectiveness. PSSE includes scoliosis specific exercises and maintenance of corrective movements during daily activities. Active self-correction (ASC) is gaining in importance as the time a patient can spend in exercises is becoming less and less and that poor habitual postures may contribute to progression of curves. The book describes and discusses the corrective movements and ASC in activities of daily living, including standing, sitting, carrying bags, kneeling, sport activities and sleeping and the underlying principles. Despite the lack of strong evidence in support of the role of corrective postures, the consensus among scoliosis experts is that ASC and corrective postures form an integral and important part of the conservative treatment of adolescent idiopathic scoliosis.