Este protocolo se aplica a pacientes de 10 a 17 años con escoliosis idiopática, un ángulo de Cobb de 10° a 20° y un signo de Risser de 0 a 3 — una curva vertebral leve en un individuo esqueléticamente inmaduro en el que detener la progresión es la prioridad clínica definidora.
El manejo en esta etapa se centra en ejercicios fisioterapéuticos específicos para la escoliosis — un programa de ejercicios especializado orientado a la corrección vertebral en tres dimensiones. El protocolo completo describe la estructura y los requisitos completos.
DOI: 10.1186/s13013-017-0145-8
It is recommended not to apply bracing to treat patients with curves below 15° ± 5° Cobb, unless otherwise justified in the opinion of a clinician specialized in conservative treatment of spinal deformities.
Under 10° of scoliosis, the diagnosis of scoliosis should not be made.
Physiotherapeutic scoliosis-specific exercises are recommended as the first step to treat idiopathic scoliosis to prevent/limit progression of the deformity and bracing.
It is recommended that physiotherapeutic scoliosis-specific exercises follow SOSORT Consensus and are based on auto-correction in 3D, training in ADL, stabilizing the corrected posture, and patient education.
The study found that scoliosis-specific active self-correction and task-oriented exercises, consistent with SEAS approach, improved Cobb angles by 5.3° at skeletal maturity and that traditional exercises were associated with stable curves.
In the intention-to-treat analysis, on average, the largest Cobb angle decreased by 1.2° in the Schroth and increased by 2.3° in the control group over 6 months, and this difference was statistically significant.
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