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Is physical activity contraindicated for individuals with scoliosis? A systematic literature review.
MedLine Citation:
PMID:  19646383     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to perform a systematic review of the literature and other authoritative sources for recommendations regarding the appropriateness of physical and sporting activity for those with scoliosis.
METHODS: The literature was systematically searched in PubMed, the Cumulative Index to Nursing and Allied Health Literature, the Index to Chiropractic Literature, and the National Guidelines Clearinghouse from the earliest date of each database through July 2008. All languages and research designs were included. Web sites of respected organizations were searched for position/white papers on scoliosis and physical activity. Included articles were rated using the Oxford Centre for Evidence-Based Medicine criteria, and recommendations for physical activity were made using the Oxford Centre's criteria for grades of recommendation.
RESULTS: Of 42 articles retrieved, 11 met the inclusion criteria. The Internet review of 18 organizations yielded no previous guidelines or position papers for physical activity and scoliosis. Recommendations were made from 3 level 3b studies and 8 level 5 studies; they include the following: (1) brace-treated and surgically treated scoliosis patients have demonstrated that they can physically participate in physical activities at the same level as nonsurgical patients (grade C recommendation); (2) nonsurgically treated patients are encouraged to participate in sports and physical activity and (3) scoliosis is not a contraindication to participation in most sports (grade D recommendation); (4) brace-treated scoliosis patients are encouraged to exercise with their brace on; however, exercise may also be done outside of the brace (grade D recommendation); and (5) physical activity may be commenced after surgery for scoliosis; however, no high-quality evidence exists that guides the timing of return to physical activity (grade D recommendation). A potential association between elite-level competition in specific sports at an early age and an increased prevalence of scoliosis has been reported (grade C recommendation).
CONCLUSION: This article offers evidence-based guidance to health care providers and to patients with scoliosis when making decisions to participate in physical and sporting activities.
Authors:
Bart N Green; Claire Johnson; William Moreau
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of chiropractic medicine     Volume:  8     ISSN:  1556-3707     ISO Abbreviation:  J Chiropr Med     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-08-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101163637     Medline TA:  J Chiropr Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  25-37     Citation Subset:  -    
Affiliation:
Chiropractor, Chiropractic Division, Department of Physical and Occupational Therapy, Naval Medical Center San Diego, San Diego, CA; Associate Editor, National University of Health Sciences, Lombard, IL.
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