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Old 09-06-2010, 12:08 PM
Dingo Dingo is offline
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Default Torso Rotation Strength Training for Scoliosis

September-17-2008 - News Story with Video: MedX torso machine reduces 8 year old girl's curve from 14 degrees to 8 degrees.
Roger Schwab: "We've seen it work on almost every case that we've had."
Main Line Health and Fitness Scoliosis page

May-24-2010 - Before and after x-rays: 10 months of Torso Rotation Strength Training
An 11 year old girl used TRS therapy for one year to treat her Scoliosis. The mother e-mailed me the x-rays and I combined them into one picture.

Update! The mother of the girl from above sent me additional x-rays and information to construct a timeline.
10 months of Torso Rotation Strength Training (4 sets of x-rays)

Therapy is based on 3 torso rotation strength training studies. All 3 studies found that torso rotation strength training stopped curve progression in all small and moderate curves. Many curves were reduced.

February 2003 - Study: The Role of Measured Resistance Exercises in Adolescent Scoliosis

Quote:
16 of the 20 patients demonstrated curve reduction, and although some fluctuation occured, none of the remaining 4 patients had a persistent increase in curve. No patient required surgery or bracing.
2006 - Study: Trunk rotational strength training for the management of adolescent idiopathic scoliosis (AIS).

Quote:
Seven adolescents with AIS (5 female 2 male; mean 14 yrs +/- 2.6 yrs; mean Cobb 28 degrees +/- 6 degrees range 20 degrees -37 degrees) underwent four months of supervised trunk rotational strength training, and repeat strength test. Four individuals showed reduction (>5 degrees) in their original curve, and 3 remained the same (+/-5 degrees).
July 2008 - Study: Treatment of adolescent idiopathic scoliosis with quantified trunk rotational strength training: a pilot study.

Quote:
Patients received a 4-month supervised followed by a 4-month home trunk rotational strength training program.
Quote:
Quantified trunk rotational strength training significantly increased strength. It was not effective for curves measuring 50 to 60 degrees. It appeared to help stabilize curves in the 20 to 40-degree ranges for 8 months, but not for 24 months. Periodic additional supervised strength training may help the technique to remain effective, although additional experimentation will be necessary to determine this.
2000 - Study/Report: A Preliminary Report On The Effect Of Measured Strength Training In Adolescent Idiotpathic Scoliosis

Quote:
Myolectric activity was asymmetric in both sides and in abdominal and paraspinal muscles of all patients. These asymmetries were corrected completely with torso rotation, which was associated with significant strength gains.
March 2007 - The Journal Of Musculoskeletal Medicine
Photocopied Report: Dr. Vert Mooney: Exercise For Managing Adolescent Scoliosis

Quote:
We combined this experience with that of a physiotherapist in New Zealand who was using the same equipment and the same protocols for a total of 31 patients with adolescent scoliosis. The mean curvature was 29.5 degrees (range 10 to 50) when treatment started and 25.1 degrees (minimum decrease, 4 and maximum decrease 43) when it concluded. ...None of the patients worsened.
Quote:
In most cases the curvature can be reduced. Brief exercises performed twice a week are adequate. Braces are not necessary.
2007 - Study: Trunk rotational strength asymmetry in adolescents with idiopathic scoliosis: an observational study

Quote:
Multiple muscle groups are involved in rotating the trunk. Among the most important muscle groups for trunk rotation are the oblique abdominal muscles. It is possible that the measured strength asymmetry is a result of altered biomechanics of the oblique abdominal muscles due to the asymmetrical torso.
February 2006 - Study: Geometric and electromyographic assessments in the evaluation of curve progression in idiopathic scoliosis.

Quote:
In the natural history of idiopathic scoliosis, SGV (remaining growth) and EMG (muscle imbalance) ratio at the lower end vertebra are prominent risk factors of curve progression. The asymmetric (imbalanced) muscle activity is associated with increased axial rotation, which in its turn is associated with increasing Cobb angle and diminishing kyphosis.
Revisiting exercise and scoliosis management

Quote:
Our results using an identical testing and treatment protocol as described in the aforementioned studies reveal equally promising results. For example, one 12-year-old female graduate of our program radiographically demonstrated a 5 degrees curve reversal without the use of bracing. While we await the results of larger studies currently under way that address exercise-based management of adolescent idiopathic scoliosis, it is intriguing to contemplate that the muscle imbalances associated with scoliosis may be more causative than consequential. Such a possibility provides additional promise for conservative management of adolescent idiopathic scoliosis due to the plasticity of muscle tissue, particularly in the young adult. Thank you for a most welcome publication on a topic of great interest for the conservatively minded practitioner.
August 2009 - Study: Evidence for cognitive vestibular integration impairment in idiopathic scoliosis patients

Quote:
Manzoni and Miele [31] and Pompeiano et al. [32] have proposed that deficit in melatonin has an inhibitory effect on the vestibulospinal activity which could lead to abnormal activities of the cervical and axial muscles. In addition, impaired vestibular information from the cerebellum to the vestibular cortical network or alteration of this cortical network could also lead to alteration of back muscle activities. Therefore, vestibulospinal [31,32] as well as corticospinal abnormal activities may be part of the mechanisms leading to the onset and progression of scoliosis.
November 1997 - Study: Relation between adolescent idiopathic scoliosis and morphologic somatotypes.

Quote:
Adolescent girls with progressive adolescent idiopathic scoliosis have a morphologic somatotype that is different from the normal adolescent population. Subjects with progressive adolescent idiopathic scoliosis are significantly less mesomorphic than control girls.
Website - HealthCentral: Scoliosis - Managing Scoliosis

Quote:
Strengthening the Muscles That Turn the Torso. A promising approach focuses on training and strengthening the muscles that turn the torso. Studies using specific equipment (e.g., MedX Torso Rotation machine) are showing promise. In a 2003 California study, 16 of the 20 patients experienced curve reduction and no curves progressed. In an earlier study, patients increased strength from 12% to 40%. One girl with a severe lumbar curve required surgery, but there was no progression of curvature in the remaining 11 patients, and four of the patients experienced a reduction in their curvature. No braces were used. [SIZE=3]Clinical trials using this approach are underway in California, Maryland, Missouri, and Tennessee.[/SIZE] Exercising the torso to build muscle strength is important, in any case, in conjunction with braces.
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Old 03-12-2011, 02:09 PM
Dingo Dingo is offline
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Default Re: Torso Rotation Strength Training for Scoliosis

I just conducted an interview with one of the top Scoliosis experts in the United States. After the interview we had an exchange about torso rotation that I found helpful so I'm going to include it here.

Question) Your answer on the ineffectiveness of traction and exercise got me thinking.

"Again, exercising for hours at a time is no match for the braces on your teeth that are constantly pulling."

You are absolutely correct. When my son does torso rotation exercises he performs 3 sets of 15 on each side. The total time he spends exercising is literally a couple of minutes. I don't see how that small amount of stretching could make much difference. Could torso rotation work because of some sort of secondary action? For instance maybe this type of exercise releases hormones that stretch the ligaments in the spine? Maybe some other secondary effect? But you're right, a few minutes of exercise probably isn't enough to have a direct impact on the ligaments.

Dr. Kiester) Reasonably directed exercise is of huge impact which is why the immobilization of body bracing has such negative effects. The amount the ligaments have to stretch to stop the progression of the curve is surprisingly small. Thus a little exercise of an effective kind may even result in some reversal of the deformity. Doing a moderate force of continuous stretching (like putting braces on teeth) is when the goal is complete or near complete restitution of the normal anatomy.
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Old 15-10-2013, 06:01 AM
Dingo Dingo is offline
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Default Scott's 2013 update!!!

Scott update

Scott began doing torso rotation right around his 7th birthday. Since that time his back has remained stable. This morning Scott had his 10 year old checkup and his curve improved by 1 degree since last year.

These are his results so far.
2008 - Age 5 - 11 degrees
2009 - Age 6 - 14 degrees (or thereabouts)
2010 - Age 7 - 18.6 degrees (Torso Rotation and computer measurements began here)
2011 - Age 8 - 20.2 degrees
2012 - Age 9 - 20.0 degrees
2013 - Age 10 - 19.0 degrees (9am this morning)

To see photos of the machine he uses and to read a description of the exercise please follow this link.
Torso Rotation Therapy - How Scott is doing update
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