Priority 27 from the Scoliosis PSP

UNCERTAINTY: What is the most effective type of exercise (e.g. yoga, pilates, Schroth method, Alexander Technique) for people with scoliosis? (JLA PSP Priority 27)
Overall ranking	27
JLA question ID	0059/27
Explanatory note	Not available for this PSP
Evidence	Previous related research studies - Michele Romano, Silvia Minozzi, Josette Bettany-Saltikov, Fabio Zaina, Nachiappan Chockalingam, Tomasz Kotwicki, Axel Maier-Hennes & Stefano Negrini. (2012) Exercises for adolescent idiopathic scoliosis. Cochrane Back and Neck Group, The Cochrane Library. Williams MA, Heine PJ, Williamson EM, Toye F, Dritsaki M, Petrou S, Crossman R, Lall R, Barker KL, Fairbank J, Harding I, Gardner A, Slowther AM, Coulson N, Lamb SE. Active Treatment for Idiopathic Adolescent Scoliosis (ACTIvATeS): a feasibility study. Health Technology Assessment 2015; 19(55) Romano M, Minozzi S, Zaina F, Bettany-Saltikov J, Chockalingam N, Kotwicki T, Maier-Hennes A, Negrini S. Exercises for adolescent idiopathic scoliosis, a Cochrane systematic review. Spine 2013; 38(14): E883-E893
Health Research Classification System category	Musculoskeletal

Extra information provided by this PSP
Original uncertainty examples	Is it always necessary to prescribe scoliosis specific exercises for children with scoliosis or are core control and postural exercises sufficient? ~ Are there exercise programmes for the exact spinal levels/type of scoliosis? ~ Does yoga or other spine stretching therapies help with scoliosis? ~ To strengthen my legs I try to do 'squatting' exercises daily and also have a stationary bicycle. Is this causing the walking disability to worsen? Would doing no special exercises be better, relying on daily walks instead?

Extra information provided by this PSP

Original uncertainty examples

Is it always necessary to prescribe scoliosis specific exercises for children with scoliosis or are core control and postural exercises sufficient? ~ Are there exercise programmes for the exact spinal levels/type of scoliosis? ~ Does yoga or other spine stretching therapies help with scoliosis? ~ To strengthen my legs I try to do 'squatting' exercises daily and also have a stationary bicycle. Is this causing the walking disability to worsen? Would doing no special exercises be better, relying on daily walks instead?

PSP information
PSP unique ID	0059
PSP name	Scoliosis
Total number of uncertainties identified by this PSP.	54 (To see a full list of all uncertainties identified, please see the PSP final report held on the JLA website)
Date of priority setting workshop	4 November 2017