Thursday, February 17, 2005

Revisiting exercise and scoliosis management

"As physical therapists specializing in the treatment of spinal conditions, we were pleased to read a physiotherapeutic perspective on adolescent idiopathic scoliosis featured in the BioMechanics supplement, Scoliosis Management (September).

In the article by Richards and Cassella ('Exercising Options,' page 14), the authors review two studies that examined the effects of exercise and a complement of other interventions for the reduction of curve progression in patients with idiopathic scoliosis. An important omission from this brief overview is the work of Vert Mooney, MD, and colleagues who have demonstrated in two peer-reviewed articles the effectiveness of exercise in the management of the scoliotic adolescent.

Importantly, this research challenges the closing statements by Richards and Cassella in which the authors conclude, 'Existing evidence does not suggest that exercise alone can prevent curve progression in adolescent idiopathic scoliosis. Designing a study involving exercise alone, therefore, would be ethically questionable.' "

User Interface Design - Ergonomics

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