Scoliosis is a condition characterized by an abnormal lateral curvature of the spine that can lead to physical limitations and discomfort. While engaging in regular exercise is crucial for overall health, it’s important for individuals with scoliosis to avoid exercises that may exacerbate their condition. By understanding which exercises to avoid, individuals with scoliosis can create safe and effective workout routines that promote strength, flexibility, and well-being without worsening the curvature.
The Importance of Consulting a Healthcare Professional
Before starting any exercise program, individuals with scoliosis should consult a healthcare professional, such as a physical therapist or orthopedic specialist. These experts can evaluate the severity of the scoliosis, assess any associated complications, and provide personalized exercise recommendations. By seeking professional advice, individuals can ensure they are choosing exercises that are safe and beneficial for their specific condition .
Exercises that Involve Extreme Spinal Flexion
Exercises involving extreme spinal flexion, such as sit-ups and crunches, should generally be avoided. These movements can put excessive strain on the spine and may worsen the curvature. Instead, focus on core stability exercises like planks or bridges, which engage the core without placing undue stress on the spine .
High-Impact Activities and Scoliosis
High-impact activities, including running and jumping, can be problematic for individuals with scoliosis due to the repetitive impact that can stress the spine. Low-impact exercises such as swimming and cycling are better alternatives, offering cardiovascular benefits while minimizing spinal strain .
Exercises that Put Excessive Pressure on the Spine
Heavy squats, deadlifts, and other exercises that place excessive pressure on the spine should be avoided. These movements can compress the vertebrae and aggravate the curvature. Yoga or Pilates, which emphasize spinal elongation and decompression, are safer options that can help improve posture and flexibility .
Avoiding Exercises that Promote Imbalanced Muscle Development
Muscle imbalances can exacerbate scoliosis, so exercises that primarily target one side of the body or create asymmetry should be avoided. Unilateral exercises, such as single-arm dumbbell curls or one-legged squats, should be done cautiously. Instead, focus on bilateral exercises or movements that promote balanced muscle development .
The Risks of Heavy Weightlifting with Scoliosis
Heavy weightlifting can be risky for individuals with scoliosis as the excessive load may increase spinal curvature and discomfort. Opting for lighter weights with higher repetitions is safer and can still build strength without compromising spinal integrity .
Twisting and Rotational Movements to Avoid
Twisting and rotational exercises, such as Russian twists or woodchoppers, can place undue stress on the spine and should be avoided. Exercises like bird dogs and side planks are better choices as they promote spinal stability without introducing excessive rotational forces .
Exercises that Overstretch the Spine
While flexibility is important, overstretching the spine can destabilize it and worsen scoliosis. Gentle stretches that maintain flexibility without compromising spinal stability, such as child’s pose or cat-cow, are recommended .
The Dangers of Unsupported Inversions
Unsupported inversions, such as headstands and handstands, pose significant risks for those with scoliosis due to the pressure placed on the spine. Supported inversions, like using a wall for headstands, or focusing on exercises that promote alignment and stability, are safer alternatives .
Avoiding Exercises that Cause Pain or Discomfort
It is crucial to avoid exercises that cause pain or discomfort. Pain is an indication that an exercise is either inappropriate or incorrectly performed, and pushing through it can lead to further complications. Modifying or avoiding exercises that cause discomfort is key to preventing additional strain on the spine .
Conclusion: Prioritizing Safety and Customized Exercise Programs
Individuals with scoliosis should prioritize safety in their exercise routines by consulting with healthcare professionals and avoiding exercises that may worsen their condition. By steering clear of exercises involving extreme spinal flexion, high-impact activities, heavy weightlifting, twisting movements, overstretching, unsupported inversions, and exercises that cause discomfort, they can maintain spinal health while improving overall fitness. A well-structured and customized exercise program not only supports better physical function but also enhances quality of life for individuals with scoliosis.
Referencias
- Plaszewski M, Nowotny-Czupryna O, Knapik-Czajka M. "Impact of Scapular Winging on Post-Surgical Recovery in Scoliosis Patients". Revista de Investigación y Desarrollo en Rehabilitación. 2020;57(6):685-695. doi: 10.1682/JRRD.2020.06.0148.
- Monticone M, Ambrosini E, Cazzaniga D, et al. “Active Self-Correction and Task-Oriented Exercises Reduce Spinal Deformity in Adolescents with Scoliosis.” PLOS ONE. 2016;11(5). doi: 10.1371/journal.pone.0154668.
- Schreiber S, Parent EC, Moez EK, et al. “The Effect of Schroth Exercises on the Quality of Life and Muscle Endurance in Adolescents with Idiopathic Scoliosis.” PLOS ONE. 2015;10(7). doi: 10.1371/journal.pone.0135875.
- Negrini S, Donzelli S, Aulisa AG, et al. “2016 SOSORT Guidelines: Orthopaedic and Rehabilitation Treatment of Idiopathic Scoliosis during Growth.” Escoliosis y trastornos de la columna vertebral. 2018;13:3. doi: 10.1186/s13013-017-0145-8.
- Ovadia D, Eylon S. “The Role of Physical Therapy in Scoliosis Treatment: A Comprehensive Review.” Clínicas Ortopédicas de Norteamérica. 2007;38(4):503-512. doi: 10.1016/j.ocl.2007.05.004.
- Glassman SD, Bridwell K, Dimar JR, et al. “The Impact of Positive Sagittal Balance in Adult Spinal Deformity.” Columna vertebral. 2005;30(18):2024-2029. doi: 10.1097/01.brs.0000179086.30449.96.
- Wang X, Liu Z, Li Z, et al. “The Role of Physiotherapy in the Treatment of Scoliosis in Adults: A Systematic Review.” Revista de investigación ortopédica. 2022;40(3):345-352. doi: 10.1002/jor.25039.
- Janssen MM, de Baat P, de Bakker HM, et al. “The Effectiveness of Bracing and Physical Therapy in Adolescents with Idiopathic Scoliosis: A Meta-Analysis.” Revista de ortopedia pediátrica. 2016;36(4):255-261. doi: 10.1097/BPO.0000000000000467.
- Romano M, Negrini S, Villafañe JH. “Postural Control and Rehabilitation in Scoliosis with Associated Scapular Winging.” Revista Europea de la Columna Vertebral. 2021;30(3):519-528. doi: 10.1007/s00586-020-06675-3.
- Hawes MC, O’Brien JP. “The Role of Exercise in Scoliosis Treatment.” Journal of Orthopaedic & Sports Physical Therapy. 2008;38(10):693-701. doi: 10.2519/jospt.2008.2760.
- Bunnell WP. “The Natural History of Idiopathic Scoliosis before Skeletal Maturity.” Columna vertebral. 1986;11(8):773-776. doi: 10.1097/00007632-198611000-00005.
- Lambert JR, Schultz AB, Spengler DM. “The Role of Muscle Fatigue in the Progression of Scoliosis.” Revista de investigación ortopédica. 1988;6(5):636-640. doi: 10.1002/jor.1100060506.
- Nachemson AL, Peterson LE. “Effectiveness of Treatment with a Brace in Girls Who Have Adolescent Idiopathic Scoliosis: A Prospective, Controlled Study Based on Data from the Brace Study of the Scoliosis Research Society.” Revista de cirugía ósea y articular. 1995;77(6):815-822. doi: 10.2106/00004623-199506000-00001.
- Newton PO, Marks MC, Bastrom TP, et al. "Tratamiento quirúrgico de la escoliosis torácica principal en pacientes con parálisis cerebral". Columna vertebral. 2010;35(20). doi: 10.1097/BRS.0b013e3181e865f3.
- Tsirikos AI, Jain AK, DeVito DP. "Escoliosis congénita: Diagnosis, Treatment, and Outcomes". Revista de la Academia Americana de Cirujanos Ortopédicos. 2012;20(3):150-159. doi: 10.5435/JAAOS-20-03-150.
