Walking with the pelvis in corrective posture can be an effective way to retrain muscle recruitment patterns. The effect of the exercise can be accentuated by doing the walking on a perturbed surface or vibration plate. Vibration has been shown to improve performance and challenge the proprioceptive system at a greater rate. This should be taught by your therapist or doctor in an Intensive setting.
Purpose- To reeducate movement patterns and activate muscles of gait during dynamic activities. This helps integrate a postural change.
Action- Slow motion walking with corrected body statics while continually activating otherwise neglected muscles of the trunk.
Breathing- Asymmetrical directional breathing with an increased focus on coordination of the diaphram, pelvic floor and intercostal muscles during ambulation.
Exercises to avoid
Vigorous exercises are not recommended due to the lieklylood of increased muscular imbalance and abnormal movement patterns. Before puberty, this type of exercise increases the production of growth hormone during a time of asymmetrical growth, which further increases the risk of scoliosis progression.
Extension exercises are not recommended when anterior rib prominences become accentuated during the movement. Have your therapist or doctor evaluate the effects of stretching over a ball or over arching the back during exercise.
Rotational Exercises- Due to the three (3) dimensional nature of scoliosis and the often counter-rotated sections of the upper and lower spine, forced or repetative rotation is not recommended.
Pilates- Pilates is an exercise method designed for spines without imbalances as seen in scoliosis. Prolonged postures of forced flexion of the torso and repetative arching of the spine increases risk of injury and further creates muscular imbalance during asymmetric movement patterns
Yoga- techniques that do not consider the asymmetry of the skeleton as seen in scoliosis should be avoided. Yoga can be an usefull method of exercise if it is modified to take into consideration the unique features of the scoliotic spine and ribcage.