Scoliosis is defined as a curvature of the spine which can be structural or nonstructural.
The non -structural scoliosis is usually formed due to leg discrepancy, muscle imbalance or poor posture.
Usually, one vertebral body and its growth plate pathology initiate Structural scoliosis. When one vertebral body becomes asymmetrical, the spinal column converts to an unstable condition and curve starts to develop.
Progression and Growth of the curvature
Although both infancy and adolescence are periods of rapid growth, as you can see in the graph only during adolescence does the velocity of growth accelerate.
Muscle imbalance along the spine
Muscles are weak in both shortened and lengthened sides of the spine where the scoliosis is developed. The muscle activation is needed to address both sides weakness.
Why do you need professional advice for proper exercises?
In many recommended videos on the Internet, the flexion exercises are promoted as effective exercises for scoliosis. However, you should avoid flexion exercises. Here is why?
Flexion exercises for stretching spine pull on shortened elastic structures on the back, which creates reactive contraction and more torsional deformity.
Here is what the research shows:
During flexion exercises, the concave muscles experience a “ quick stretch” via muscle spindles, resulting in a rapid contraction response. Creating more compression and torsion, increasing the demand on the convex side
Conversely, the convex muscle will react much slower, because the muscles are overworked and become fibrotic losing contractibility with time. Because convex muscles are slower to react, the concave muscles will pull the spine more into collapse /torsion.
If you have scoliosis you need to seek professional advice from skilled Physical therapists who are trained and knowledgeable about the right exercise program for scoliosis. This would help you to prevent increasing torsional deformity in the spine and progressing the curvatures.
Scoliosis is a 3-dimensional deformity that needs to be treated with the specific three-dimensionally based exercises.