SportLogia
          Vol. 11, Issue 1, June 2015.
      
SCOLIOSIS AND SPORT
        Slavica Đ. Jandrić1
        
        1School of medicine, University of Banja Luka, Bosnia  and Hrezegovina
        
editorial article
OWERVIEV PAPER
doi:  10.5550/sgia.151101.en.001J
UDC: 616.711:796
Summary
        In the course of growth and development, affected by various internal  and external factors, various postural disorders may occur, especially in  school-age children. Scoliosis is defined as a lateral curvature of the spinal  column in the coronal plane, but the disorder actually occurs in three  dimensions. The prevalence of scoliosis is from 2% to 3%, and it is the highest  in patients in the 12-14 age range, affecting girls more than boys at a ratio  of 2:1. Functional scoliosis occurs more frequently than structural scoliosis.  Idiopathic scoliosis is structural scoliosis which has no definite cause; it  may progress and affect the function of internal organ systems and occurrence  of back pain. Annual children’s medical check-ups and early detection of  scoliosis are essential for treatment of scoliosis. Treatment depends on the  size and progression of the curve, skeletal maturity, scope of physical therapy  and observation. The potential association between adolescent idiopathic  scoliosis and sports is still insufficiently researched. Young athletes may  have spinal deformities which are not related to any sports activity or may be  potentially associated with the sport they practise. The International  Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment has  come up with the guidelines for sports activities in children with scoliosis.  This association does not recommend sport for treatment of idiopathic  scoliosis. Sports activities are recommended due to their specific useful  effects in the psychological, neuromuscular and general aspect of health in  patients with scoliosis, even in patients during the treatment with spinal  orthoses. In patients with a high risk of scoliosis progression, it is  recommended to avoid competitive activities with a higher degree of mobility of  the spinal column
        Key words:posture, prevention, scoliosis, sport, treatment.
        References
Bielec,  G., Peczak-Graczyk, A., & Waade, B. (2013). Do swimming exercises induce  anthropometric changes in adolescents? Issues Compr Pediatr Nurs, 36(1-2),  37–47. 
        doi: 10.3109/01460862.2013.777818
; PMid: 23597276
        Burton, M.  S. (2013). Diagnosis and treatment of adolescent idiopathic scoliosis. Pediatr  Ann, 42(11), 224–228. 
        doi: 10.3928/00904481-20131022-09;
 PMid:  24168116
        Damsgaard,  R., Bencke, J., Matthiesen, G., Petersen, J. H., & Müller, J. (2001). Body  proportions, body composition and pubertal development of children in  competitive sports. Scand J Med Sci Sports, 11(1), 54–60. 
        doi:  10.1034/j.1600-0838.2001.011001054.x
; PMid: 11169236
        d'Hemecourt,  P. A., & Hresko, M. T. (2012). Spinal deformity in young athletes. Clin  Sports Med, 31(3), 441–451. 
        doi: 10.1016/j.csm.2012.03.013
; PMid:  22657994
        Fusco, C.,  Zaina, F., Atanasio, S., Romano, M., Negrini, A., & Negrini, S. (2011).  Physical exercises in the treatment of adolescent idiopathic scoliosis: An  updated systematic review. Physiotherapy Theory and Practice, 27(1),  80–114. 
        doi: 10.3109/09593985.2010.533342
; PMid: 21198407
        Górecki,  A., Kiwerski, J., Kowalski, I. M., Marczyński, W., Nowotny, J., Rybicka, M. ...  Szlachowska-Kluza, W. (2009). Bad posture prevention in children and youth in  education and upbringing– experts recommendations. Pol Ann Med, 16(1),  168–177.
        Green, N.  E., & Griffin, P. P. (1982). Hip dysplasia associated with abduction  contracture of the contralateral hip. JBJS, 63-A, 1273–1281.
        Green, B.  N., Johnson, C., & Moreau, W. (2009). Is physical activity contraindicated  for individuals with scoliosis? A systematic literature review. J Chiropr  Med, 8(1), 25–37. doi: 10.1016/j.jcm.2008.11.001
, PMid: 19646383; PMCid:PMC
        2697577
        Hellström,  M., Jacobsson, B., Swärd, L., & Peterson, L. (1990). Radiologic  abnormalities of the thoraco-lumbar spine in athletes. Acta Radiol,  1(2), 127–132. doi:  10.1177/028418519003100202
; 
        doi: 10.3109/02841859009177473![]()
        Jandrić,  S. (2010). Differences between boys and girls in terms of physical activity. Facta  Universitatis, 8(1), 1–7.
        Jandric,  S. (2012a). Idiopatske skolioze [Idiopathic scoliosis]. Med Pregl, 65(1-2),  35–40. 
        doi: 10.2298/MPNS1202035J
; PMid: 22452237
        Jandric,  S. (2012b). Skolioze, kifoze i lordoze [Scoliosis, kyphosis and  lordosis]. Laktaši, Bosnia and Herzegovina: Grafomark.
        Jandrić,  S, & Antić, B. (2006). Low back pain and degenerative disc disease. Med  Pregl., 59(9-10), 456–461. 
        doi: 10.2298/MPNS0610456J![]()
        Jandrić,  S., Janković, Z., & Vranić, J. (2009). Efekat karate treninga na pojavu  posturalnih poremećaja i deformiteta kod djece školskog uzrasta [The effect of  karate training on the incidence of postural disorders and deformities in  children of school age]. In G. Bošnjak (Ed.), Prvi međunarodni naučni  kongres „Antropološki aspekti sporta, fizičkog vaspitanja i rekreacije“ (pp. 275–279). Banjaluka, Bosna and Herzegovina: Fakultet fizičkog vaspitanja i  sporta Univerziteta Banja Luka.
        Jovović,  V. (2008). Korektivna gimnastika sa kineziterapijom [Corrective  gymnastics with kinesitherapy]. 2nd ed. Nikšić, Montenegro: Filozofski  fakultet, Nikšić.
        Karski,  T., Kalakucki, J., & Karski, J. (2007). Relationship of ”syndrome of contractures” in newborns with the  development of the so-called idiopathic scoliosis. World J Pediatr, 3(4),  254–259.
        Kenanidis,  E. I., Potoupnis, M. E., Papavasiliou, K. A., Sayegh, F. E., & Kapetanos,  G. A. (2008). AIS and exercising: is there truly a liaison? Spine, 33(20),  2160–2165. doi: 10.1097/BRS.0b013e31817d6db3
; PMid: 18794756
        Kenanidis,  E. I., Potoupnis, M. E., Papavasiliou, K. A., Sayegh, F. E., & Kapetanos,  G. A. (2010). Adolescent idiopathic scoliosis in athletes: is there a  connection? Phys Sportsmed, 38(2), 165–170. 
        doi:  10.3810/psm.2010.06.1795
; PMid: 20631476
        Kratenová,  J., Zejglicová, K., Malý, M., & Filipová V. (2007). Prevalence and risk  factors of poor posture in school children in the Czech Republic. J Sch  Health, 77(3), 131–137. doi: 10.1111/j.1746-1561.2007.00182.x
; PMid:  17302855
        Łabaziewicz,  L. (2008). Faulty postures. In W. Marciniak and A. Szulc (Eds.), Orthopaedics  and Rehabilitation of Wiktor Dega (Vol. 2; pp. 63–77). Warsaw, Poland:  PZWL.
        Lehman, R.  A. Jr., Kang, D. G., Lenke, L. G., Sucato, D. J., & Bevevino, A. J. (2015).  Spinal Deformity Study Group. Return to sports after surgery to correct  adolescent idiopathic scoliosis:a survey of the Spinal Deformity Study Group. Spine  J, 15(5), 951–958. doi: 10.1016/j.spinee.2013.06.035
; PMid: 24099682
        Longworth,  B., Fary, R., & Hopper, D. (2014). Prevalence and predictors of adolescent  idiopathic scoliosis in adolescent ballet dancers. Arch Phys Med Rehabil, 95(9), 1725–1730. doi: 10.1016/j.apmr.2014.02.027
; PMid: 24662812
        Mau, H.  (1982). Atiopatogenese der Skoliose [Etiopathogenesis of scoliosis]. In Bücherei  des Orthopäden (pp. 1–110). Stuttgart, Germany: Enke Verlag.
        Meyer, C.,  Cammarata, E., Haumont, T., Deviterne, D., Gauchard, G. C., & Leheup, B.  (2006). Why do idiopathic scoliosis patients participate more in gymnastics? Scand  J Med Sci Sports, 16(4), 231–236. 
        doi:  10.1111/j.1600-0838.2005.00482.x
; PMid: 16895527
        Meyer, C.,  Haumont, T., Gauchard, G. C., Leheup, B., Lascombes, P., & Perrin, P.  (2008).The practice of physical and sporting activity in teenagers with  idiopathic scoliosis is related to the curve type. Scand J Med Sci Sports, 18(6), 751–755. doi: 10.1111/j.1600-0838.2007.00750.x
; PMid: 18248544
        Mroczkowski,  A., & Jaskólski, E. (2006). Effects of aikido exercises on lateral spine  curvatures in children. Archives of Budo, 2(4), 31–34
        Negrini,  S., Aulisa, A. G., & Zaina, F. (2012). 2011 SOSORT guidelines: Orthopaedic  and Rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis, 7(1), 3. doi: 10.1186/1748-7161-7-3
; PMid: 22264320; PMCid: PMC3292965
        Parsch,  D., Gärtner, V., Brocai, D. R., Carstens, C., & Schmitt, H. (2002). Sports  activity of patients with idiopathic scoliosis at long-term follow-up. Clin  J Sport Med, 12(2), 95–98. doi: 10.1097/00042752-200203000-00005
;  PMid: 11953555
        Pećina, M.  (1982). Nauka o mišićima [Science of muscle]. In N. J.. Krmpotić (Ed.), Anatomija  čovjeka (pp. 235–252). Zagreb, Croatia: Jumena.
        Radisavljević,  M. (2001). Korektivna gimnastika sa osnovama kineziterapije [Corrective  gymnastics with the basics of kinesitherapy]. Belgrade, Serbia: Viša škola za  sportske trenere, Beograd.
        Rogala, E.  J., Drummond, D. S., & Gurr, J. (1978). Scoliosis: incidence and natural  history. A prospective epidemiological study. J Bone Joint Surg Am, 60(2),  173–176.
        Sedrez, J.  A., Da Rosa, M. I., Noll, M., Medeiros, F. D., & Candotti, C. T. (2015).  Risk factors associated with structural postural alterations on the spine of  children and adolescents. Revista Paulista de Pediatria, 33(1),  72–81. 
        doi: 10.1016/j.rpped.2014.11.012
; PMid: 25623725; PMCid: PMC4436959
        Steinberg,  N., Hershkovitz, I., Peleg, S., Dar, G., Masharawi, Y., Zeev, A., &  Siev-Ner, I. (2013). Morphological characteristics of the young scoliotic  dancer. Phys Ther Sport, 14(4), 213–220. 
        doi:  10.1016/j.ptsp.2012.07.003
; PMid: 23146194
        Stirling,  A. J, Howel, D., Millner, P. A., Sadiq, S., Sharples, D., & Dickson, R. A.  (1996). Late-onset idiopathic scoliosis in children six to fourteen years old:  A cross-sectional prevalence study. J Bone Joint Surg Am, 78(9),  1330–1336.
        Swärd, L.  (1992). The thoracolumbar spine in young elite athletes. Current concepts on  the effects of physical training. Sports Med, 13(5), 357–364.  doi: 10.2165/00007256-199213050-00005![]()
        Taft, E.,  & Francis, R. (2003). Evaluation and Management of Scoliosis. J Pediatr  Health Care, 17(1), 42–44. 
        doi: 10.1016/S0891-5245(02)88307-9
; doi:  10.1067/mph.2003.7
; PMid: 12533733
        Tanchev,  P. I., Dzherov, A. D., Parushev, A. D., Dikov, D. M., & Todorov, M. B.  (2000). Scoliosis in rhythmic gymnasts. Spine, 25(11), 1367–1372.  doi: 10.1097/00007632-200006010-00008
; PMid: 10828918
        Wood, K.  B. (2002). Spinal deformity in the adolescent athlete. Clin Sports Med, 21(1),  77–92. 
        doi: 10.1016/S0278-5919(03)00058-9![]()
        Zaina, F., Donzelli, S.,  Lusini, M., Minnella, S., & Negrini, S. (2015). Swimming and spinal  deformities: a cross-sectional study. J Pediatr, 166(1), 163–167.  doi: 10.1016/j.jpeds.2014.09.024
; PMid: 25444007




